Upper Respiratory Tract Infection Flashcards
What percentage of admissions were acute URTI’s in 2013 in Scotland?
- 7%
In children, if the child is well but has an URTI what is the pathology?
Viral
If the child is ill and has an URTI what is the pathology?
Bacterial
What is otitis media?
- Infection of the ear
What is the main problem caused by otitis media?
Earache
What is erythema?
Redness of the skin (can be seen in otitis media)
What happens to the eardrum in otitis media?
- Bulges
- Normally shiny timpanic membrane red
What bacteria can cause a secondary infection in otitis media?
- Pneumococci
- Haemophilus Influenzae
What is the best treatment for otitis media?
Main problem is pain so PAIN RELIEF
Why is it somewhat unsuitable to use antibiotics for otitis media?
- Usually goes away before antibiotics work
- Side effects of antibiotics probably worse than the benefit
When should otitis media be treated with antibiotics?
- Severe uni/bilateral otitis media lasting over 6 months
- Severe pain for 48 hours
What is needed for diagnosis of the pathogen causing tonsillitis/pharyngitis?
Throat swab
Why is a throat swab still inefficient?
By the time the results get back the patient is usually better if it is a virus
What happens if you give someone with suspected tonsillitis amoxicillin and they have Epstein-Barr?
- They will turn a shade of red
- Symptoms will get worse
What is croup caused by?
Influenza A