Influenza and Respiratory Viruses
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Communicable Diseases of Children
15 Communicable Diseases of Children Dennis 1. Baumgardner The communicable diseases of childhood are a source of signif from these criteria, the history, physical examination, and ap icant disruption for the family and a particular challenge to the propriate laboratory studies often define one of several other family physician. Although most of these illnesses are self more specific respiratory syndromes as summarized in limited and without significant sequelae, the socioeconomic Table 15.1.3-10 impact due to time lost from school (and work), costs of medi Key points to recall are that significant pharyngitis is not cal visits and remedies, and parental anxiety are enormous. present with most colds, that most colds are 3- to 7-day Distressed parents must be treated with sensitivity, patience, illnesses (except for lingering cough and coryza for up to and respect for their judgment, as they have often agonized for 2 weeks), and that abrupt worsening of symptoms or develop hours prior to calling the physician. They are usually greatly ment of high fever mandates prompt reevaluation. Tonsillo reassured when given a specific diagnosis and an explanation of pharyngitis (hemolytic streptococci, Epstein-Barr virus, the natural history of even the most minor syndrome. adenovirus, Corynebacterium) usually involves a sore throat, It is essential to promptly differentiate serious from benign fever, erythema of the tonsils and pharynx with swelling or disorders (e.g., acute epiglottitis versus spasmodic croup), to edema, and often headache and cervical adenitis. In addition to recognize serious complications of common illnesses (e.g., var the entities listed in Table 15.1, colds must also be differenti icella encephalitis), and to recognize febrile viral syndromes ated from allergic rhinitis, asthma, nasal or respiratory tree (e.g., herpangina), thereby avoiding antibiotic misuse. -
Getting the Right Diagnosis Seeing Her Enhance the Team’S Quality Tion
Central PA Health Care Quality Unit March 2017 Volume 17, Issue 3 HCQU, M.C. 24-12, 100 N. Academy Ave., Danville, PA 17822 http://www.geisinger.org/hcqu (570) 271-7240 Fax: (570) 271-7241 Welcome to Centre Getting the County’s New HCQU Right Diagnosis Nurse! by Health After 50 | January 19, 2017 Have you ever turned your head and then had the world suddenly start to spin around you? This diz- zying sensation can be both disconcerting and poten- tially dangerous. Losing your equilibrium could cause you to fall and fracture a bone. If you’re an older adult, one likely reason for your dizziness is an inner-ear condition called benign paroxysmal positional vertigo (BPPV). The condition af- Welcome to our new HCQU em- fects up to 10 percent of adults by the time they turn ployee! In December, Marilyn Moser 80, according to researchers at the University of Con- accepted our offer of part time employ- necticut Health Center in a review published in the ment as the Centre County Regional Journal of the American Geriatrics Society. BPPV is re- Nurse for the HCQU replacing recently sponsible for about half the cases of dizziness in older retired Linda Dutrow. Marilyn has adults. eight years of experience in a wide va- As common as BPPV is, some primary care doc- riety of nursing. In her most recent tors may not immediately recognize the condition in position, Marilyn has provided educa- older patients, and diagnosis may be(Continued delayed onor page 5) tion to staff, families and clientele. -
Laryngitis from Reflux: Prevention for the Performing Singer
Laryngitis from Reflux: Prevention for the Performing Singer David G. Hanson, MD, FACS Jack J. Jiang, MD, PhD Laryngitis in General Laryngitis is the bane of performers and other professionals who depend on their voice for their art and livelihood. Almost every person has experienced acute laryngitis, usually associated with a viral upper- respiratory infection. Whenever there is inflammation of the vocal fold epithelium, there is an effect on voice quality and strength. Therefore, it is important to understand the factors that can cause laryngitis, especially the preventable causes of laryngitis. Laryngitis is a generic term for inflammation or irritation of the laryngeal tissues. The inflammation can be caused by any kind of injury, including infection, smoking, contact with caustic or acidic substance, allergic reaction, or direct trauma. Inflammatory response of the tissues includes leakage of fluid from blood vessels with edema or swelling, congregation of white blood cells, which release mediators of inflammation, and engorgement of the blood vessels. Most commonly laryngitis occurs from viral infection of the laryngeal epithelial lining associated with a typical cold. The viral infection is almost always quickly conquered by the body's immune system and lasts at most a few days. This kind of acute laryngitis rarely causes any long-term problem unless the vocal folds are damaged by overuse during the illness. Examination of the larynx will show whether the vocal folds are inflamed and allows some prediction of the degree of risk for damage. Other infections of the larynx are fortunately not common but include infections with bacteria and other organisms. -
Facial Pressure,Or Shortness of Breath
SINUS PAIN? If You Are Suffering From Headaches, Allergies, Facial Pressure, Or Shortness Of Breath, This Information Guide Might Just Help YOU Find Relief! How Can I Get Instant Lasting Relief From My Sinus Symptoms? SINUS SUFFERERS Find instant relief that lasts. If you suffer from headaches, cough, facial pain or tenderness, lack of energy, nasal congestion and discharge, sore throat and postnasal drip, loss of smell or bad breath, you are not alone. Over 30 million people in the United States each year complain of sinus issues. Sinus infections are one of the most common reasons for a visit to a healthcare provider. One out of five antibiotics in the United States are prescribed for sinus sufferers. Many times prescription drugs, or other methods only give temporary relief from sinus pain. If you’ve tried prescription drugs to relieve your sinus pain, and you are still suffering…you might have what is commonly referred to in medical terms as “sinusitis” If you are looking for a better and quicker way to get long-lasting relief, sinus surgery might be the solution for you. The good news is that you don’t need to suffer any longer. Why? Now, you can instantly solve your sinus issues with an in-office procedure calledBalloon Sinuplasty. You might be saying to yourself, “that sounds great, but what if I’m afraid of surgery?” The great news is that Balloon Sinuplasty is a minimally-invasive procedure that can be done in-office, so there is no need to go to the hospital. Most of the time, there is only minimal discomfort and recovery times are quick (often within 24 hours). -
Epidemiology and Clinical Presentation of the Four Human
Liu et al. BMC Infectious Diseases 2013, 13:28 http://www.biomedcentral.com/1471-2334/13/28 RESEARCH ARTICLE Open Access Epidemiology and clinical presentation of the four human parainfluenza virus types Wen-Kuan Liu1,2†, Qian Liu1,2†, De-Hui Chen2, Huan-Xi Liang1,2, Xiao-Kai Chen1,2, Wen-Bo Huang1,2, Sheng Qin1,2, Zi-Feng Yang1,2 and Rong Zhou1,2* Abstract Background: Human parainfluenza viruses (HPIVs) are important causes of upper respiratory tract illness (URTI) and lower respiratory tract illness (LRTI). To analyse epidemiologic and clinical characteristics of the four types of human parainfluenza viruses (HPIVs), patients with acute respiratory tract illness (ARTI) were studied in Guangzhou, southern China. Methods: Throat swabs (n=4755) were collected and tested from children and adults with ARTI over a 26-month period, and 4447 of 4755 (93.5%) patients’ clinical presentations were recorded for further analysis. Results: Of 4755 patients tested, 178 (3.7%) were positive for HPIV. Ninety-nine (2.1%) samples were positive for HPIV-3, 58 (1.2%) for HPIV-1, 19 (0.4%) for HPIV-2 and 8 (0.2%) for HPIV-4. 160/178 (88.9%) HPIV-positive samples were from paediatric patients younger than 5 years old, but no infant under one month of age was HPIV positive. Seasonal peaks of HPIV-3 and HPIV-1 occurred as autumn turned to winter and summer turned to autumn. HPIV-2 and HPIV-4 were detected less frequently, and their frequency of isolation increased when the frequency of HPIV-3 and HPIV-1 declined. -
Acute (Serious) Bronchitis
Acute (serious) Bronchitis This is an infection of the air tubes that go down to your lungs. It often follows a cold or the flu. Most people do not need treatment for this. The infection normally goes away in 7-10 days. We make every effort to make sure the information is correct (right). However, we cannot be responsible for any actions as a result of using this information. Getting Acute Bronchitis How the lungs work Your lungs are like two large sponges filled with tubes. As you breathe in, you suck oxygen through your nose and mouth into a tube in your neck. Bacteria and viruses in the air can travel into your lungs. Normally, this does not cause a problem as your body kills the bacteria, or viruses. However, sometimes infection can get through. If you smoke or if you have had another illness, infections are more likely to get through. Acute Bronchitis Acute bronchitis is when the large airways (breathing tubes) to the lungs get inflamed (swollen and sore). The infection makes the airways swell and you get a build up of phlegm (thick mucus). Coughing is a way of getting the phlegm out of your airways. The cough can sometimes last for up to 3 weeks. Acute Bronchitis usually goes away on its own and does not need treatment. We make every effort to make sure the information is correct (right). However, we cannot be responsible for any actions as a result of using this information. Symptoms (feelings that show you may have the illness) Symptoms of Acute Bronchitis include: • A chesty cough • Coughing up mucus, which is usually yellow, or green • Breathlessness when doing more energetic activities • Wheeziness • Dry mouth • High temperature • Headache • Loss of appetite The cough usually lasts between 7-10 days. -
Hand Washing Is Best Defense Against Colds, Flu and Food-Borne Illness
Hand washing is best defense against colds, flu and food-borne illness With the cold and flu season in full swing and holiday travel stirring up the pot of infectious diseases, a simple, yet often-overlooked act might just keep you healthy and on your feet this winter. Simply put, hand washing is the single most effective way to prevent the spread of both viral and bacterial infections. Disease-carrying microbes can spread from person to person by people touching one another. They also can be transmitted when a person touches a contaminated surface and then touches his or her mouth, eyes or nose. Good hand-washing techniques include using an adequate amount of soap and water, rubbing hands together to create friction, and rinsing under running water. The use of gloves is not a substitute for hand washing. In addition to merely washing your hands, understanding the nature of infections is important. The common cold The common cold is an infection of the upper respiratory tract - the nose, nasal passages and the throat. There are more than 200 viruses that can cause colds. Cold symptoms usually show up about two days after a person becomes infected. Early signs of a cold are a sore, scratchy throat, sneezing, and a runny nose. Other symptoms that may occur later include headache, stuffy nose, watery eyes, hacking cough, chills, and general ill-feeling lasting from two to seven days. Some cases may last for two weeks. Colds are really not very contagious, compared to other infectious diseases. Close personal and prolonged contact is necessary for the cold viruses to spread. -
Hoarseness a Guide to Voice Disorders
MedicineToday PEER REVIEWED ARTICLE POINTS: 2 CPD/1 PDP Hoarseness a guide to voice disorders Hoarseness is usually associated with an upper respiratory tract infection or voice overuse and will resolve spontaneously. In other situations, treatment often requires collaboration between GP, ENT surgeon and speech pathologist. RON BOVA Voice disorders are common and attributable to Inflammatory causes of voice MB BS, MS, FRACS a wide range of structural, medical and behav- dysfunction JOHN McGUINNESS ioural conditions. Dysphonia (hoarseness) refers Acute laryngitis FRCS, FDS RCS to altered voice due to a laryngeal disorder and Acute laryngitis causes hoarseness that can result may be described as raspy, gravelly or breathy. in complete voice loss. The most common cause Dr Bova is an ENT, Head and Intermittent dysphonia is normally always secon - is viral upper respiratory tract infection; other Neck Surgeon and Dr McGuinness dary to a benign disorder, but constant or pro- causes include exposure to tobacco smoke and a is ENT Fellow, St Vincent’s gressive dysphonia should always alert the GP to short period of vocal overuse such as shouting or Hospital, Sydney, NSW. the possibility of malignancy. As a general rule, a singing. The vocal cords become oedematous patient with persistent dysphonia lasting more with engorgement of submucosal blood vessels than three to four weeks warrants referral for (Figure 3). complete otolaryngology assessment. This is par- Treatment is supportive and aims to maximise ticularly pertinent for patients with persisting vocal hygiene (Table), which includes adequate hoarseness who are at high risk for laryngeal can- hydration, a period of voice rest and minimised cer through smoking or excessive alcohol intake, exposure to irritants. -
Influenza (Flu) Information and Advice for Patients Infection Prevention and Control
Influenza (flu) Information and advice for patients Infection Prevention and Control What is influenza? Influenza (also known as flu) is a respiratory illness which is caused by the influenza virus. For most people influenza is just a nasty experience, but for some it can lead to illnesses that are more serious such as bronchitis and pneumonia. These illnesses may require treatment in hospital and can be life-threatening especially in the elderly, asthmatics and those in poor health. Most people confuse influenza with a heavy cold; however influenza is usually a more severe illness than the common cold. What are the symptoms of influenza? The most common symptoms of influenza are a quick onset of: • fever • shivering • headache • muscle ache • dry cough The symptoms of a cold are different as they usually occur gradually and include a runny nose, sneezing, watery eyes and throat irritation. A cold does not cause a fever or body aches. What causes influenza? Influenza is caused by the influenza (flu) virus. There are 2 main types that cause infection: influenza A and influenza B. Influenza A is usually a more severe infection than influenza B. Each year 1 or 2 subtypes (strains) of influenza A may be in circulation and 1 type of influenza B. Influenza C is an uncommon type that infrequently causes infection. How does influenza spread? The flu virus is highly contagious and is easily passed from person-to-person when an infected person coughs or sneezes, releasing infected droplets into the air. These droplets then land on surfaces and can be picked up by others who touch them. -
Acute Bronchitis
ACUTE BRONCHITIS Bronchitis is an infection of the airways in the lungs, most commonly caused by a virus. COVID-19 may need consideration in people with these symptoms below: What does it feel like? You will have a cough which may be associated with clear, yellow or green phlegm (pronounced ‘flem’), noisy breathing, blocked nose, sore throat, mild headache, and fever. What can I do to feel better? Bronchitis usually gets better on its own. Paracetamol and ibuprofen, warm drinks, honey, cough lozenges and inhaling steam from the shower may help ease your symptoms. Avoid anything that irritates the airways, such as cigarette smoke. Will antibiotics help? Antibiotics are not usually needed. Taking antibiotics when you don’t need them can lead to the bacteria becoming resistant to that antibiotic. When bacteria become resistant to an antibiotic, the antibiotic no longer works. What can I do to stop it spreading? Infections can spread to others when you cough, sneeze or blow your nose. Cover your mouth with your elbow when you cough or sneeze, wash your hands regularly, dispose of tissues after use and stay away from crowded places while unwell. Do I need to see a doctor? Not usually. The cough normally takes 2 to 3 weeks to go away. If your symptoms last longer or if you have trouble breathing, you are feeling worse, you have other medical conditions such as chronic lung disease, or you are concerned, see your doctor. COVID-19 is caused by a virus, and it can cause cough, runny nose, and sore throat. -
Sore Throats
Sore Throats Insight into relief for a sore throat • What causes a sore throat? • What are my treatment options? • How can I prevent a sore throat? • and more... Infections from viruses or bacteria are the main cause of sore throats and can make it difficult to talk and breathe. Allergies and sinus infections can also contribute to a sore throat. If you have a sore throat that lasts for more than five to seven days, you should see your doctor. While increasing your liquid intake, gargling with warm salt water, or taking over-the-counter pain relievers may help, if appropriate, your doctor may write you a prescription for an antibiotic. What are the causes and symptoms of a sore throat? Infections by contagious viruses or bacteria are the source of the majority of sore throats. Viruses: Sore throats often accompany viral infections, including the flu, colds, measles, chicken pox, whooping cough, and croup. One viral infection, infectious mononucleosis, or “mono,” takes much longer than a week to be cured. This virus lodges in the lymph system, causing massive enlargement of the tonsils, with white patches on their surface. Other symptoms include swollen glands in the neck, armpits, and groin; fever, chills, and headache. If you are suffering from mono, you will likely experience a severe sore throat that may last for one to four weeks and, sometimes, serious breathing difficulties. Mono causes extreme fatigue that can last six weeks or more, and can also affect the liver, leading to jaundice-yellow skin and eyes. Bacteria: Strep throat is an infection caused by a particular strain of streptococcus bacteria. -
Exclusion Chart
Exclusion Chart Adapted from Managing Infectious Diseases in Child Care and Schools, 3rd Edition by the American Academy of Pediatrics Symptoms Common Causes Complaints or What Notify Health Notify Temperarily Exclude? If Excluded, Readmit Might Be Seen Consultant Parent When Cold Symptoms Viruses (early stage • Runny or stuffy Not necessary YES NO, unless: • Exclusion criteria are of many viruses) nose unless • Fever accompanied by resolved. • Adenovirus • Scratchy throat epidemics behavior change • Coxsackievirus • Coughing occur (i.e., • Child looks or acts • Enterovirus • Sneezing RSV) very ill • Parainfluenza • Watery eyes • Child has difficulty • Respiratory • Fever breathing syncytial virus • Child has blood-red or (RSV) purple rash not • Rhinovirus associated with injury • Coronavirus • Child meets other • Influenza exclusion criteria Bacteria • Mycoplasma • Bordetella pertussis Cough • Common cold • Dry or wet cough Not necessary YES NO, unless: • Exclusion criteria are • Lower • Runny nose unless a • Severe cough resolved respiratory (clear, white, or vaccine- • Rapid or difficult infection (e.g., yellow-green) preventable breathing pneumonia, • Sore throat disease is • Wheezing if not bronchiolitis) • Throat irritation occurring, such already evaluated and • Croup • Hoarse voice, as pertussis treated • Asthma barking cough • Cyanosis (i.e., blue • Sinus infection • Coughing fits color of skin and • Bronchitis mucous membranes) • Pertussis • Child is unable to participate in classroom activities Diarrhea • Usually viral, • Frequent