Respiratory Tract Infection Flashcards
What respiratory tract infections affect the lower respiratory tract?
Acute Bronchitis
Acute exacerbation of Chronic bronchitis
Pneumonia
Influenza
What are the signs of diphtheria?
Chartestic pseudo-membrane
What are features of acute bronchitis?
Productive cough Fever Normal Chest examination Normal CXR May have transient wheeze
What are the signs of an acute exacerbation of chronic bronchitis?
Usually upper respiratory tract infection Purulent sputum production Wheezy Breathless Coarse crackles in chest Ankle oedema - in advanced disease
How is an exacerbation of Bronchitis managed?
Antibiotics - amoxicillin/doxycycline
Short course of steroids
Refer to hospital if in respiratory failure
What is the incubation time of Rhinovirus?
1-5 days
What is the incubation time of Group A streptococci?
1-5 days
What is the incubation time of Influenza and Parainfluenza ?
1-4 days
What is the incubation time of RSV?
7 days
What is the incubation time of Pertussis?
7-21 days
What are symptoms of pneumonia?
Malaise Anorexia Rigors - shakes Myalgia Arthralgia Headache Pleurisy
What are severity markers for pneumonia?
Temperature < 35 or > 40
Caynosis PaO2 <4
Multi-lobar involvement
What bacterium causes acute epiglottis?
Haemophillus Influenzae
What virus can cause bronchiolitis?
RSV
What is are the symptoms of Influenza?
Fever Malaise Myalgia headache Cough Prostration
What causes “flu”?
Influenza A and B
Parainfluenza Virus
Haemphilus influenza
What are the complications of flu?
Pneumonia
Bronchitis
Otis Media
During pregnancy what may influenza indicate?
Perinatal mortality
How is Influenza diagnosed?
PCR
Antibody detection
How can flu be prevented?
Vaccination
Live Attenuated Vaccine - more effective than killed vaccine in children aged 2-17
What are the atypical pneumonias?
Mycoplasma
Coxiella
Chlamydophila Psittaci
- all respond to macrolides
How are the atypical pneumonias diagnosed?
Serology
PCR
What does Metapneumovirus cause?
Acute respiratory tract infection.
What bacterium can cause infantile pneumonia?
Chlamydia tachomatis
How is Chlamydria trachoma’s diagnosed?
Mother’s urine
Throat swab of children.