lower respiratory tract infections Flashcards
What parts of the body are included in the lower respiratory tract?
trachea
bronchus
bronchioles
lungs
What are the LRTI associated with the lungs?
Pneumonia
abscesses
What are the two types of bronchitis?
Acute
chronic
What are the 4 types of pneumonia?
hospital acquired
community acquired
ventilator acquired
aspiration
What types of microorganisms cause LRTI?
bacteria
viruses
fungi - mainly only in immunocompromised
What is acute bronchitis?
inflammation and oedema of the trachea and bronchi
What are the symptoms of acute bronchitis?
dry cough - may be associated with retrosternal pain due to inflammation
dyspnoea - dificulty breathing
tachypnoea - fast breathing
Which microorganisms are the main cause of acute bronchitis?
viruses e.g. rhinovirus coranovirus adenovirus influenza
How do you diagnose acute bronchitis?
diagnostic tests not included in mild presentation
vaccination/previous exposures helps to rule out organisms
cultures of respiratory secretions
What is the treatment for acute bronchitis?
supportive treatment
oxygen/respiratory support for severe disease/co-morbidites
bacterial = antibiotics
What is chronic bronchitis?
sputum producing cough on most days for at least 3 months of two successive years
caused by exogenous irritants not microorganisms
have acute exacerbation via infective agents
How would you treat a acute exacerbation in chronic bronchitis?
oxygen/ventilation
What is bronchiolitis?
inflammation and oedema of the bronchioles
What are the symptoms of bronchiolitis?
acute wheeze
cough
nasal discharge
respiratory distress
What microorganism commonly causes bronchiolitis?
RSV (Respiratory syncytial virus)