Influenza Flashcards

1
Q

Influenza?

A

Viral infection in the upper respiratory tract (URT)

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2
Q

What is significant about the onset?

A

It is acute

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3
Q

List the 3 types of influenza.

A
  1. Type A (most prevalent)
  2. Type B
  3. Type C
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4
Q

Incubation period?

A

1-4 days, with 2 days being the average

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5
Q

How long do individuals remain infectious post-onset of symptoms?

A

5-6 days

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6
Q

Although antibiotics are not used for viral infections, why might some physicians prescribe antibiotics when treating influenza?

A

They may prescribe it for the secondary bacterial infection that occurred or possibly for prophylactic treatment in a severely immunocompromised patient

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7
Q

What can influenza lead to?

A

Pneumonia (may be fetal)

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8
Q

If an pt who has influenza dies, what does this mean?

A

They died from the complications, not the influenza virus

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9
Q

What is the best way to prevent influenza?

A

Immunization

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10
Q

Why should antibiotics not be used to treat influenza?

A

Antibiotics are used to treat bacterial infections NOT viruses.

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11
Q

In Canada, approximately how much of the population becomes infected with influenza?

A

10-20%

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12
Q

Approximately how many people in Canada die every year d/t influenza?

A

4000 (but they die from complications not the influenza virus)

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13
Q

Who are rates of influenza highest amongst?

A

Children

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14
Q

Who are rates of serous illness or death related to influenza highest amongst?

A

Immunocompromised people or people 65 years +

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15
Q

What is death primarily related to?

A

secondary pneumonia

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16
Q

Mode of transmission of influenza?

A

Inhalation of droplet nuclei

17
Q

How long can children be infectious for?

A

For more than 10 days

18
Q

How long can young children shed the virus before their initial onset of symptoms?

A

up to 6 days

19
Q

How long can severely immunocompromised persons shed the virus for?

A

weeks or months

20
Q

Which 3 infections can influenza cause?

A
  1. Uncomplicated respiratory infection (rhinotracheitis)
  2. Viral pneumonia
  3. Respiratory viral infection (followed by a bacterial infection)
21
Q

Where is the initial site of establishment?

A

Upper airway infection

22
Q

What does the virus first target and kill?

A

Mucus-secreting, ciliated, and other epithelial cells

23
Q

What happens if the virus spreads to the lower respiratory tract?

A

Infection can cause severe shedding of bronchial and alveolar cells down to a single-cell-thick basal layer.

24
Q

What does influenza infection promote?

A

Bacterial adhesion to epithelial cells

25
Manifestations of influenza
- Abrupt onset of fever and chills - malaise - muscle aching - headache - profuse, watery nasal discharge - nonproductive cough - sore-throat
26
Goal of treatment for influenza?
limit the infection of the URT
27
Treatment for influenza?
- symptomatic management : rest, keep warm, keep well hydrated - analgesics, antipyretics, cough meds - antiviral drugs: amantidine/zanamivir/oseltamivir
28
When should anti-viral drugs be initiated for the best results?
ASAP and up to 48 hours after onset of symptoms
29
Which antiviral drug is effective against influenza A?
Amantidine
30
Antiviral drugs?
Amantidine; Zanamivir; Oseltamivir
31
Zanamivir/Oseltamivir?
Inhibitor of Na