What is a common organism infection in tracheitis?
What is a common organism infection in chronic bronchitis
inflammation of walls of bronchi and bronchioles causing narrowing
Widening of the bronchi and bronchioles
Excessive mucous production that narrows the bronchial tree
Who does acute bronchitis occur in?
Who does chronic bronchitis occur in?
Who does bronchiolitis occur in?
What is the most common microbial cause for acute bronchiolitis?
Respiratory syncytial virus (RSV)
Who would we consider Ribavirin treatment in for acute bronchiolitis?
- Bronchopulmonary dysplasia
- Congenital heart dz
Who would we consider prophylaxis against RSV in?
Patients with underlying pulmonary or CV disease
- RSV immune globulin
How do we administer Palivizumab?
IM or IV infusion monthly
- Antibody formation
- Rare anaphylaxis
What are the most common causes of acute bronchitis?
- Influenza virus
What pathogens do we see in children?
Adults viruses + Parainfluenza virus
What is a frequent bacterial cause of acute bronchitis?
Mycoplasma pneumoniae-“Walking pneumonia”
Abx treatment for acute bronchitis
2. Respiratory Fluoroquinolone
What is the hallmark definition of chronic bronchitis?
- Cough for 3 mos. for 2. years
- Excessive sputum production
- Expectoration w/ persistent presence of microorganisms in pt’s sputum
Chronic bronchitis treatment
- Mobilize and enhance sputum expectoration-Chest physiotherapy, humidification of inspired air
- Aerosolized bronchodilator- Albuterol
- Abx if warranted
What are the most common bacterial pathogens in sputum in chronic bronchitis?
- H. ifluenza
- M. catarrhalis
- S. pneumoniae
Abx treatment for chronic bronchitis
What is the MC pathogen causing CAP?
What organism is only seen in <1 month?
List first generation cephalosporin and clinical use
Skin, soft tissue, UTI
List second generation cephalosporin and clinical use
More active vs. S.pneumoniae, H.influenza
List third generation cephalosporin and clinical use
Ceftriaxone, Cefixime Crosses intro CNS: -Pneumonia -Meiningitis -Gonorrhea -Beta-lactamase stable
List fourth generation cephalosporin and clinical use
List fifth generation cephalosporin and clinical use
Carbapenems (Beta-Lactam) SE’s
Carbapenems (Beta-Lactam) coverage
- Broad spectrum
- Grame (-) rods