LRTI Flashcards
common bacterial organisms that cause LRTI (5)
Strep pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Mycoplasma pneumoniae, Chlamydia pneumoniae
common viral organisms that cause LRTI?
RSV, parainfluenza III, influenza A and B, adenovirus
What is Tracheitis?
- symptoms?
- organism ?
pus laid trachea
- croup that doesn’t get better
- fever
Staph or Strep invasive infection
Treatment of Tracheitis?
Augmentin
what is Bronchitis?
- how does a child present?
- organisms
Endobronchial infection
- Loose rattly cough with URTI
- Post-tussive vomit - “glut”
- no wheezes - the child is well
Haemophilus/Pneumococcus
What is Bacterial bronchitis?
organism?
Disturbed mucociliary clearance
Minor airway malacia
RSV/adenovirus
bacterial bronchitis normally follows a?
URTI?
- lasts 4-6 weeks
Bronchiolitis - ORGANISM ?
RSV
- parable III, HMPV
symptoms of Bronchiolitis?
Nasal stuffiness, tachypnoea, poor feeding
- crackles and wheeze
chest recession
Features of LRTI?
48 hrs, fever (>38.5oC), SOB, cough, grunting
- REDUCED OR BRONICAL BS
Signs of pneumonia? (3)
focal (LLZ)
- crepitations
- high fever
Investigations for community acquired pneumonia?
CBC, pulse oximetry, sputum an blood cultures
First line treatment?
Oral Amoxycillin first line
Oral Macrolide second choice
- when child is not vomiting
LRTI vs Bronchiolitis
LRTI - all ages, rapid onset symptoms, fever
Bronchiolitis - <12 days - 3 days before peak symptoms
- rarely have fever
Features of Pertussis?
Coughing fits
Vomiting and colour change
cough more than 2 weeks
