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Respiratory Conditions: Upper Respiratory Tract Infections.
FP Essent. 2019 Nov; 486:11-18.FE

Abstract

Upper respiratory tract infections (URTIs) include the common cold, rhinosinusitis, pharyngitis, and acute otitis media (AOM). URTIs account for billions of dollars in annual health care costs; acute respiratory tract infections are the most common reason for acute care appointments. Although URTIs typically are viral, these infections are the most common reason for prescription of antibiotics in adults. Recommended therapy for the common cold involves symptom management with over-the-counter drugs, though the Food and Drug Administration advises against use of these drugs in children younger than 6 years. Acute rhinosinusitis also typically is viral. A bacterial etiology is more likely if symptoms last longer than 10 days, the temperature is greater than 39°C (102.2°F), or if symptoms worsen after initial improvement. Antibiotics are not recommended unless symptoms worsen or do not improve after an additional 7 days. Acute pharyngitis also typically is of viral origin. Antibiotics for streptococcal pharyngitis should be prescribed only if test or culture results are positive. AOM can be managed without antibiotics except in children younger than 6 months, children ages 6 to 23 months with bilateral AOM, children older than 2 years with bilateral AOM and otorrhea, and certain high-risk patients.

Authors+Show Affiliations

Hospital Medicine for Family Physicians Fellowship at Womack Army Medical Center, 2817 Reilly Road Fort Bragg, NC 28310-7301.Womack Army Medical Center, 2817 Reilly Road Fort Bragg, NC 28310-7301.Hospital Medicine for Family Physicians Fellowship at Womack Army Medical Center, 2817 Reilly Road Fort Bragg, NC 28310-7301.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31710453

Citation

Shahan, Brian, et al. "Respiratory Conditions: Upper Respiratory Tract Infections." FP Essentials, vol. 486, 2019, pp. 11-18.
Shahan B, Barstow C, Mahowald M. Respiratory Conditions: Upper Respiratory Tract Infections. FP Essent. 2019;486:11-18.
Shahan, B., Barstow, C., & Mahowald, M. (2019). Respiratory Conditions: Upper Respiratory Tract Infections. FP Essentials, 486, 11-18.
Shahan B, Barstow C, Mahowald M. Respiratory Conditions: Upper Respiratory Tract Infections. FP Essent. 2019;486:11-18. PubMed PMID: 31710453.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Respiratory Conditions: Upper Respiratory Tract Infections. AU - Shahan,Brian, AU - Barstow,Craig, AU - Mahowald,Megan, PY - 2019/11/12/entrez PY - 2019/11/12/pubmed PY - 2019/12/4/medline SP - 11 EP - 18 JF - FP essentials JO - FP Essent VL - 486 N2 - Upper respiratory tract infections (URTIs) include the common cold, rhinosinusitis, pharyngitis, and acute otitis media (AOM). URTIs account for billions of dollars in annual health care costs; acute respiratory tract infections are the most common reason for acute care appointments. Although URTIs typically are viral, these infections are the most common reason for prescription of antibiotics in adults. Recommended therapy for the common cold involves symptom management with over-the-counter drugs, though the Food and Drug Administration advises against use of these drugs in children younger than 6 years. Acute rhinosinusitis also typically is viral. A bacterial etiology is more likely if symptoms last longer than 10 days, the temperature is greater than 39°C (102.2°F), or if symptoms worsen after initial improvement. Antibiotics are not recommended unless symptoms worsen or do not improve after an additional 7 days. Acute pharyngitis also typically is of viral origin. Antibiotics for streptococcal pharyngitis should be prescribed only if test or culture results are positive. AOM can be managed without antibiotics except in children younger than 6 months, children ages 6 to 23 months with bilateral AOM, children older than 2 years with bilateral AOM and otorrhea, and certain high-risk patients. SN - 2159-3000 UR - https://www.unboundmedicine.com/medline/citation/31710453/Respiratory_Conditions:_Upper_Respiratory_Tract_Infections_ L2 - https://medlineplus.gov/sinusitis.html DB - PRIME DP - Unbound Medicine ER -