chronic infections Flashcards
what causes damage to bronchial mucosa
smoking
malignancy
viral infection
what causes abnormal cilia
–Kartenager’s Syndrome –Youngs Syndrome
what causes abnormal secretions
CF
channelopathies
empyema
pus in the pleural space
how is empyema treated
small bore seldinger drains
Amoxicillin and Metronidazole
bronchiectasis
irreversible dilation of the bronchial tree
presentation of bronchiectasis
recurrent chest infections
no response to antibiotics
persistent sputum production
chronic bronchial sepsis
often nursery workers
confirmed positive sputum results
treatment for chronic bronchial sepsis
Stop smoking • ‘Flu vaccine • Pneumococcal vaccine • Reactive antibiotics –Send sputum sample –Give antibiotics appropriate to most recent positive culture
the diagnosis of chronic infection must lead to what
underlying immune deficiency