LRTI Flashcards
(17 cards)
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
what Is a compilation of pneumonia?
Empyaema
- infection into pleural space
Symptoms of Empyaema?
treatment?
chest pain
unwell
antibiotics and surgical drainage of the fluid
