Antibiotics of No Value in Upper Respiratory Infection

1979 ◽  
Vol 1 (3) ◽  
pp. 76-76
Keyword(s):  
No Value ◽  
Respiratory Infection ◽  
Respiratory Infections ◽  
Viral Disease ◽  
Upper Respiratory Infection ◽  
Upper Respiratory Infections ◽  
Upper Respiratory

Children with upper respiratory infections who had streptococci excluded by culture were treated with either of the above agents or a placebo. There was no difference among the regimes in overall outcome. Comments: This study would seem superfluous but for the continued promiscuous use of the antibiotics for viral disease in hopes of "preventing complications." It doesn't work. I wish that it did. (R.H.R.)

scholarly journals THE ETIOLOGY OF ACUTE UPPER RESPIRATORY INFECTION (COMMON COLD)

1931 ◽  
Vol 53 (4) ◽  
pp. 447-470 ◽  
Author(s):  
Perrin H. Long ◽  
James A. Doull ◽  
Janet M. Bourn ◽  
Emily McComb
Keyword(s):  
Respiratory Infection ◽  
Common Cold ◽  
Respiratory Infections ◽  
Upper Respiratory Infection ◽  
Upper Respiratory Infections ◽  
In Series ◽  
The Common ◽  
Upper Respiratory

Experimental upper respiratory infections similar to "common colds" were transmitted singly and in series through two and four passages in nine out of fifteen persons, by intransal inoculations with bacteria-free filtrates of nasopharyngeal washings obtained from individuals ill with natural "colds." These observations conform with those reported by previous workers and lend further support to the view that the incitant of the "common cold" is a filtrable virus.

SPECIAL ARTICLE

PEDIATRICS ◽  
1955 ◽  
Vol 15 (3) ◽  
pp. 334-336
Author(s):  
Sidney S. Samuels
Keyword(s):  
Otitis Media ◽  
Respiratory Infections ◽  
Acute Otitis Media ◽  
Air Travel ◽  
Virus Infections ◽  
Secretory Otitis Media ◽  
Upper Respiratory Infection ◽  
Upper Respiratory Infections ◽  
Sense Of Security ◽  
Upper Respiratory

THE DIAGNOSIS of non-suppurative, secretory otitis media has been made much more frequently in recent years than it was prior to 1950. This increase has been noticed in children many more times than in adults, as pointed out by Robison and Nicholas. The disease is much more commonly found because of increased vigilance some otologists believe, as does Suehs, since the entity was reviewed and clarified by the brilliant work of Hoople in that year. However, there are undoubtedly other factors contributing to the greater incidence of this entity, such as the increased use of antibiotics in upper respiratory infections, including otitis media; an increase in the number of so-called virus infections; the greater prevalence of allergic diathesis; increased air travel; and, as Lindsay states, the swing of time pendulum toward extreme conservatism in recommending removal of tonsils and adenoids, a tendency resulting partly from a sense of security afforded by antibiotic therapy. The condition has received more of the attention it merits lately from that group of practitioners who are first in contact with the patients, namely the pediatrician and general practitioner who attend the acutely ill child. For usually the actual onset of the illness is acute, an otitis media occurring during an acute upper respiratory infection or as an acute otitis media following such an illness. The former need not even reach the stage where it is definitely recognized, its progress being halted by the antibiotic treatment administered. The attention of the attending physiciain is focused upon the middle ear in the younger child, either by the presence of pain in the affected ear, or by the abnormal appearance of the tympanic membrane, or both.

CLINICAL DATA ANALYSIS AND MATHEMATICAL MODELING OF MIXED INFECTIONS

1995 ◽  
Vol 03 (02) ◽  
pp. 389-396 ◽  
Author(s):  
MATVEEV A. YU ◽  
A. A. ROMANYUKHA
Keyword(s):  
Viral Hepatitis ◽  
Respiratory Infection ◽  
Respiratory Infections ◽  
Analysis Data ◽  
Upper Respiratory Infection ◽  
Clinical Data Analysis ◽  
Viral Respiratory Infection ◽  
Rate Of Recovery ◽  
Upper Respiratory ◽  
Viral Respiratory

Quantitative analysis data describing course of viral hepatitis show that concominal viral respiratory infection did not influence hepatitis severity and the rate of recovery after it. In the groups of hepatitis patients with different severity we also found the upper respiratory infections increasing proportional to the hepatitis severity. The rhinoviral infection initiation model in healthy and in hepatitis patients was obtained. Using this model allowed us to describe the phenomenon of upper respiratory infection incidence increasing in viral hepatitis dynamics.

scholarly journals Acute upper respiratory infections in Western Australian emergency departments, 2000–2003

2008 ◽  
Vol 32 (4) ◽  
pp. 691 ◽  
Author(s):  
Sharyn L Ingarfield ◽  
Antonio Celenza ◽  
Ian G Jacobs ◽  
Thomas V Riley
Keyword(s):  
Respiratory Infections ◽  
Length Of Hospital Stay ◽  
Teaching Hospitals ◽  
Acute Tonsillitis ◽  
Upper Respiratory Infection ◽  
Upper Respiratory Infections ◽  
Care Services ◽  
Common Diagnosis ◽  
Upper Respiratory ◽  
Western Australian

Objective: To describe the epidemiological and other characteristics of emergency department (ED) presentations diagnosed with acute upper respiratory infection (URI). Design and setting: A retrospective study of patients given an ED diagnosis of acute URI from July 2000 to July 2003 at any of the four metropolitan teaching hospitals in Perth, Western Australia. Results: Acute URI accounted for 3.6% (95% CI, 3.5?3.7) of ED presentations, and 80.7% (95% CI, 80.1?81.3) of these were aged less than 15 years. The most common diagnosis was acute upper respiratory infections of multiple and unspecified sites, followed by croup and acute tonsillitis. Of those with croup, 76.0% (95% CI, 74.7?77.3) presented at night, 67.6% (95% CI, 66.2?69.0) were male and the number of presentations with croup was highest in June 2002. The number of diagnoses of acute tonsillitis did not display a great deal of variation from month to month. Overall, hospital admission was 12.3% (95% CI, 11.8?12.8), with a median length of hospital stay of 1 day (IQR 1.0?2.0). An increase in comorbidity, residing in the most disadvantaged areas, and being a re-presentation increased the odds of being admitted. Conclusion: Further investigation is needed into whether alternative medical care services would be appropriate and acceptable for patients with less severe acute URIs.

scholarly journals Acute Respiratory Infection by Chlamydophila pneumoniae and Mycoplasma pneumoniae in a Population of Older Adults in Colombia

2017 ◽  
Vol 58 (4) ◽  
Author(s):  
Nidi Lorena Corredor Cubides ◽  
Karent Juileth Beltrán Suárez ◽  
Juan Camilo Segura Salgero ◽  
Laura Bettin Torres ◽  
Jeanette Coriat Budik ◽  
...  
Keyword(s):  
Older Adults ◽  
Mycoplasma Pneumoniae ◽  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Respiratory Infections ◽  
Age Groups ◽  
Mortality Rates ◽  
Chlamydophila Pneumoniae ◽  
Upper Respiratory Infections ◽  
Upper Respiratory

<p><strong>Abstract</strong></p><p><strong>Introduction:</strong> Acute Respiratory Infection (ARI) is a heterogeneous group of viral and bacterial respiratory pathologies including <em>Chlamydophila pneumoniae</em> (CP) and <em>Mycoplasma pneumoniae</em> (MP) that are not routinely identified; these infections in the older adults have mortality rates 3 to 5 times higher than that recorded in other age groups. <strong>Methods:</strong> this study was conducted prospectively to determine the proportion of atypical bacterial pathogens in older adults with ARI in Bogotá. Microbiological diagnosis was determined by real-time PCR (qPCR) in samples of respiratory origin and serology for antibodies IgG, IgA and IgM to MP and CP. <strong>Results:</strong> A total of 71 patients were enrolled from 2012 to 2013. Upper respiratory infections were diagnosed in the 69% of patients and lower respiratory infections in 31%. MP was identified in 9.8% and CP in 8.5%. <strong>Conclusions:</strong> these findings indicated that CP and MP must be viewed as a significant etiological agent of ARI in older adults in Bogotá.</p>

Do Children Who Experience Laryngospasm Have an Increased Risk of Upper Respiratory Tract Infection?

1996 ◽  
Vol 85 (3) ◽  
pp. 475-480. ◽  
Author(s):  
Mark S. Schreiner ◽  
Irene O'Hara ◽  
Dorothea A. Markakis ◽  
George D. Politis
Keyword(s):  
Confidence Interval ◽  
Respiratory Infection ◽  
Odds Ratio ◽  
Signs And Symptoms ◽  
Control Group ◽  
Upper Respiratory Tract ◽  
Upper Respiratory Infection ◽  
Airway Surgery ◽  
Increased Risk ◽  
Upper Respiratory

Background Laryngospasm is the most frequently reported respiratory complication associated with upper respiratory infection and general anesthesia in retrospective studies, but prospective studies have failed to demonstrate any increase in risk. Methods A case-control study was performed to examine whether children with laryngospasm were more likely to have an upper respiratory infection on the day of surgery. The parents of all patients (N = 15,183) who were admitted through the day surgery unit were asked if their child had an active or recent (within 2 weeks of surgery) upper respiratory infection and were questioned about specific signs and symptoms to determine if the child met Tait and Knight's definition of an upper respiratory infection. Control subjects were randomly selected from patients whose surgery had occurred within 1 day of the laryngospasm event. Results Patients who developed laryngospasm (N = 123) were 2.05 times (95% confidence interval 1.21-3.45) more likely to have an active upper respiratory infection as defined by their parents than the 492 patients in the control group (P &lt; or = 0.01). The development of laryngospasm was not related to Tait and Knight's definition for an upper respiratory infection or to recent upper respiratory infection. Children with laryngospasm were more likely to be younger (odds ratio = 0.92, 95% confidence interval 0.87-0.99), to be scheduled for airway surgery (odds ratio = 2.08, 95% confidence interval 1.21-3.59), and to have their anesthesia supervised by a less experienced anesthesiologist (odds ratio = 1.69, 95% confidence interval 1.04-2.7) than children in the control group. Conclusion Laryngospasm was more likely to occur in children with an active upper respiratory infection, children who were younger, children who were undergoing airway surgery, and children whose anesthesia were supervised by less experienced anesthesiologists. Understanding the risk factors and the magnitude of the likely risk should help clinicians make the decision as to whether to anesthetize children with upper respiratory infection.

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