Burden of Acute Respiratory Tract Infections and comman cold - Dr Sheetu Singh

1
Burden of Acute Respiratory Tract Infections

• Morbidity
• Absence from school and work
• Expenditures for clinic visits, hospitalization
  and medications
• Mortality Community-acquired pneumonia in
  children with comorbidities are leading cause of
  mortality in our country

2
What causes RTI?

• Viruses - majority of infections (70-80)
• Bacteria - acute otitis media and pneumonia
• Antibiotic resistance is common among S.
  pneumoniae, H. influenzae, and M. catarrhalis
  isolates

Streptococcus pneumoniae Haemophilus influenzae
Moraxella catarrhalis Streptococcus pyogenes
Mycoplasma sp. Chlamydiophila sp.
3
Outline

• Introduction
• Evaluation and therapy
• - Acute viral rhinosinusitis (common cold)
• Acute sore throat acute sinusitis
• Acute otitis media
• Influenza
• Community-acquired pneumonia bronchiolitis
• Antibiotic resistance
• Conclusion

4
Common cold

• Etiology mostly viral
• Symptoms runny nose, often mucopurulent
  discharge is present
• Is there role of antibiotics?
• No role of antibiotics unless mucopurulent
  discharge persists for gt10-14 days

5
Outline

• Introduction
• Evaluation and therapy
• - Acute viral rhinosinusitis (common cold)
• Acute sore throat acute sinusitis
• Acute otitis media
• Influenza
• Community-acquired pneumonia bronchiolitis
• Antibiotic resistance
• Conclusion