Acute Respiratory Diseases; A Team Work

pg - 1 Report on Etiology, epidermiology, prophylaxis of the Acute respiratory diseases 1.Upper respiratory tract disease – common cold, phariyngitis otitis media, sinusitis 2.Lower respiratory tract disease – laryngitis, trachitis, laryngottracheobronchitis, bronchitis, bronchiolitis, pneumonia. Disease Main symptoms Micro - organism Common cold Burning sensation in nose & throat, nasal obstruction, nasal discharge Rhinovirus, parainfluenza, corona virus. Sinusitis Headache facial pain tenderness on palpation & percussion Strep.pneumonia, H.influenza, adeno virus parainfluenza Pharingitis Sore throat Strep. Pyogens, adeno , coxsaky Laringitis Trachitis Hoarsness , dry cough parainfluenza, influenza, strep.pneumonia, Strep.pyogens, diphtheria Laryngotracheobronchitis (croup) common in < 3yr, hoarseness, barky cough, respiratory stridor. Fever 38-40ºC Main-Para influenza Other- influenza, RSV, measles, diphtheria Epigottitis Sour throat hoarseness/ subglottic edema Mainly < 5yr of age H.influenza Influenza fever/ headache / respiratory symptoms Influanza virus A – pandermic B- Epidermic C – sporadic Bronchitis dry cough, wheezing, chest tightness Influenza virus, parainifuanza virus Bronchiolitis common in <6months, cough, dyspnoea RSV, para influenza, adeno, influenza virus Penumonia productive cough, fever, chest pain Main-strep. pneumonia Others- mycoplasma, staphy.aureus. H.influenza, legionela pg -2 Micro-organism Epidermiology Transmission Propylaxis Rhinovirus throughout the year, more in winter & automn all ages, more in children droplet transmission Influenza A-pandemic B-epidemic C- sporadic Increase in winter droplet Amantadine Remantadine 1 tab./day 2-3 wks Vaccination before season Para influenza thought the year > autumn & spring , ↑ in children droplet direct contact Nonspecific– isolation RSV thought the year ↑autumn & spring ↑ in children Nasocomial infection in pediatric hospital direct contact non specific Diphtheria thought the year ↑ in older patient & children 1-3 yrs droplets contact milk products Vaccine DT -Now then after one month then 6 month then booster 5-10years (monovelant / polyvelant) Strep.pneumonia Respiratory tract infection mainly in immuno supresion (malnutrition, alcoholism, immuno suppressant) pneumococcal polysaccride vaccine for immune suppressive patient Haemophilus influenza respiratory way haemophilus b conjugated vaccine Report on Etiology, epidemiology, prophylaxis of the Acute respiratory diseases Report prepared by 1. Dr. Sajid Mahmood, MD (EU), Accident & Emergency Department, NHS Royal infirmary Liverpool United Kingdom.2. Dr. Adnan Akram, MD (EU), Department of Infectious Diseases. University Hospital Riga Latvia.3. Dr. Aftab Ahmed, MD (EU), Infection Control Department, Kaunas Medical University Clinic. Lithuania. Contact: publications [at] infekcijas.eu