Exam 3 - URTI Flashcards
describe acute bronchitis
mostly respiratory viruses
standard cold presentation
treatment for acute bronchitis
self-limiting, symptom management
NO ANTIBIOTICS
what qualifies as chronic bronchitis
chronic cough w/ sputum on most days for greater than 3 months for 2 years
what qualifies as an acute exacerbation of chronic bronchitis
increased sputum
increased cough of SOB
what are the pathogens of acute chronic bronchitis
strep pneumo
h. influenzae
moraxella
Enterobacterales
pseudomonas aeruginosa
what is the treatment duration for acute chronic bronchitis
5-7 days
preferred treatment for acute chronic bronchitis
amox clav
cefuroxime
cefpodoxime
strep pneumo will be susceptible to these
alternate therapy for acute chronic bronchitis
doxycycline
TMP/SMX
Azithromycin
(less strep pneumo coverage, only use with allergy)
what should be used if there is a risk for pseudomonas in acute chronic bronchitis
levofloxacin 750
how does acute pharyngitis present
sudden sore throat w/ fever and swollen mouth parts
how to test for acute pharyngitis
rapid antigen test and cultures to confirm
pathogens of acute pharyngitis
respiratory or strep pyogenes (group A)
preferred treatment of acute pharyngitis
pen VK
amoxicillin
(strep A very susceptible to these)
treatment of acute pharyngitis w/ pen allergy
non severe: cephalexin, cefadroxil, cefuroxime, cefpodoxime
severe: azithromycin, clindamycin
presentation of acute bacterial rhinosinusitis
persistent symptoms for > 10 days w/ no improvement or severe symptoms first few days or worsening symptoms after initial improvement
what are the pathogens for acute bacterial sinusitis
strep pneumo
h. influenzae
moraxella
staph aureus
pseudomonas
what are the general philosophies when treating acute sinusitis
watchful waiting up to 7 days or initiate therapy ASAP
what is the preferred treatment for acute sinusitis
amox clav 500/125 or 875/125 or
amox clav 2000/125 if resistance if of concern
what is the second line treatment for acute sinusitis
doxycycline 100
levo 500
moxi 400
what drugs are NOT recommend in acute sinusitis and why
oral 2nd/3rd gen cephs, macrolides, TMP/SMX due to strep pneumo resistance
how to treat acute sinusitis w/ MRSA concern
add on doxy, TMP/SMX, linezolid, or clindamycin
how to treat acute sinusitis w/ pseudomonas concern
add on levo 750
