upper respiratory tract infection in neonates

Ngày tải lên: 13/08/2014, 08:20

Ngày tải lên: 12/08/2014, 18:20

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Ngày tải lên: 12/08/2014, 23:23

... or upper urinary tract infection The presence of symptomatic bacteriuria can be established with a single urine sample upper urinary tract infection (UUTI) evidence of urinary tract infection ... link with catheterisation or urinary tract infection. 131 Urinary tract infection is the most common hospital acquired infection in the UK, accounting for 23% of all infections and the majority of ... symptoms such as dysuria, urgency or frequency (suggesting lower urinary tract infection) or loin pain (suggesting upper urinary tract infection) are extremely likely to have bacteriuria (see...

Ngày tải lên: 08/03/2014, 14:20

... viruses, distinguishing patients with primary viral infection from those with primary bacterial infection is difficult Signs and symptoms of bacterial and viral URIs are, in fact, indistinguishable ... challenging Nonspecific Infections of the Upper Respiratory Tract Nonspecific URIs are a broadly defined group of disorders that collectively constitute the leading cause of ambulatory care visits in ... United States By definition, nonspecific URIs have no prominent localizing features They are identified by a variety of descriptive names, including acute infective rhinitis, acute rhinopharyngitis/nasopharyngitis,...

Ngày tải lên: 06/07/2014, 15:21

... factor for nosocomial sinusitis in intensive care units Acute infectious sinusitis can be caused by a variety of organisms, including viruses, bacteria, and fungi Viral rhinosinusitis is far more ... can be retained, producing the typical signs and symptoms of sinusitis The retained secretions may become infected with a variety of pathogens, including viruses, bacteria, and fungi Sinusitis ... although there is increasing concern about community strains of methicillin-resistant S aureus (MRSA) as an emerging cause Anaerobes are occasionally found in association with infections of the...

Ngày tải lên: 06/07/2014, 15:21

... bacterial sinusitis, acute fungal sinusitis, or sinusitis from noninfectious causes (e.g., allergic rhinosinusitis) In the case of an immunocompromised patient with acute fungal sinus infection, ... over or is supine Although rare, manifestations of advanced sphenoid or ethmoid sinus infection can be profound, including severe frontal or retroorbital pain radiating to the occiput, ... Amoxicillin, 45–90 mg/kg qd of any duration, including (up to g) PO in divided doses (bid or fever unilateral/focal (>102°F), tid), or facial swelling or pain Cefuroxime axetil, 30 mg/kg qd PO in divided...

Ngày tải lên: 06/07/2014, 15:21

... many years In chronic bacterial sinusitis , infection is thought to be due to the impairment of mucociliary clearance from repeated infections rather than to persistent bacterial infection However, ... results of culture and susceptibility testing of sinus aspirates Chronic Sinusitis Chronic sinusitis is characterized by symptoms of sinus inflammation lasting >12 weeks This illness is most commonly ... as amphotericin B Specific therapy should be individualized according to the fungal species and the individual patient's characteristics Treatment of nosocomial sinusitis should begin with broad-spectrum...

Ngày tải lên: 06/07/2014, 15:21

... cellulitis is an infection of the skin overlying the external ear and typically follows minor local trauma It presents with the typical signs and symptoms of a skin/soft tissue infection, with ... penicillinase-resistant penicillin plus an antipseudomonal quinolone (e.g., nafcillin plus ciprofloxacin) is typically used Incision and drainage may be helpful for culture and for resolution of infection, which ... occasionally involved Treatment consists of systemic antibiotics active against both P aeruginosa and S aureus An antipseudomonal penicillin (e.g., piperacillin) or a combination of a penicillinase-resistant...

Ngày tải lên: 06/07/2014, 15:21

... unchecked, the infection can migrate to the base of the skull (resulting in skull-base osteomyelitis) and on to the meninges and brain, with a high associated mortality rate Cranial nerve involvement ... pathogen For P aeruginosa, the regimen typically includes an antipseudomonal penicillin or cephalosporin (e.g., piperacillin or ceftazidime) with an aminoglycoside A fluoroquinolone antibiotic ... used in place of the aminoglycoside and can even be administered orally, given the excellent bioavailability of this drug class In addition, antibiotic drops containing an agent active against...

Ngày tải lên: 06/07/2014, 15:21

... With bacterial infection, the tympanic membrane can also be erythematous, bulging, or retracted and occasionally can spontaneously perforate The signs and symptoms accompanying infection can be ... penicillin and amoxicillin in roughly onequarter of S pneumoniae isolates, one-third of H influenzae isolates, and nearly all M catarrhalis isolates, outcome studies continue to find that amoxicillin ... months or four episodes within 12 months) is generally due to relapse or reinfection, although data indicate that the majority of early recurrences are new infections In general, the same pathogens...

Ngày tải lên: 06/07/2014, 15:21

... displacement of the pinna, usually in conjunction with the typical signs and symptoms of acute middle-ear infection Rarely, patients can develop severe complications if the infection tracks under ... fluid collection and infection is usually the same in the mastoid as in the middle ear Early and frequent treatment of acute otitis media is most likely the reason that the incidence of acute mastoiditis ... declined to only 1.2–2.0 cases per 100,000 person-years in countries with high prescribing rates for acute otitis media In countries like the Netherlands, where antibiotics are used sparingly...

Ngày tải lên: 06/07/2014, 15:21

... Oropharyngeal infections range from mild, self-limited viral illnesses to serious, life-threatening bacterial infections The most common presenting symptom is sore throat—one ... account for a minority of cases, although these serogroups are nonrheumatogenic The remaining bacterial causes of acute pharyngitis are seen infrequently (

Ngày tải lên: 06/07/2014, 15:21

... pharyngitis, such as influenza virus, adenovirus, HSV, EBV, CMV, and M pneumoniae, are available in some locations and can be used when these infections are suspected The diagnosis of acute EBV infection ... (bid), or History of rheumatic fever or Cephalexin, 50 mg/kg qd PO in divided doses (qid), or Documented household exposure or Benzathine penicillin G, single dose of 25,000 units/kg IM Positive rapid ... exposure or Benzathine penicillin G, single dose of 1.2 million units IM Positive rapid strep screen Children Clinical streptococcal tonsillar suspicion of pharyngitis swelling, enlarged/tender...

Ngày tải lên: 06/07/2014, 15:21

... or incision and drainage Oral Infections Aside from periodontal disease such as gingivitis, infections of the oral cavity most commonly involve HSV or Candida species In addition to causing painful ... IV echinocandins (caspofungin, micafungin, and anidulafungin) Vincent's angina, also known as acute necrotizing ulcerative gingivitis or trench mouth, is a unique and dramatic form of gingivitis ... infection to the lung and other distant sites Occasionally, the infection can extend along the carotid sheath and into the posterior mediastinum, resulting in mediastinitis, or it can erode into...

Ngày tải lên: 06/07/2014, 15:21

... countries, mass vaccination against Hib has reduced the annual incidence of acute epiglottitis in children by >90%; in contrast, the annual incidence in adults has changed little since the introduction ... Etiology After the introduction of the Hib vaccine in the mid-1980s, disease incidence among children in the United States declined dramatically Nevertheless, lack of vaccination or vaccine failure ... of infectious etiology is much less common in developed than in developing countries Laryngitis due to Mycobacterium tuberculosis is often difficult to distinguish from laryngeal cancer, in part...

Ngày tải lên: 06/07/2014, 15:21

... eradicate carriage of H influenzae Infections of the Deep Neck Structures Deep neck infections are usually extensions of infection from other primary sites, most often within the pharynx or oral ... structures in the head, neck, and thorax, providing pathogens with easy access to areas including the mediastinum, carotid sheath, skull base, and meninges Once infection reaches these sensitive areas, ... patient with H influenzae epiglottitis include an unvaccinated child under the age of 4, all members of the household (including the patient) should receive prophylactic rifampin for days to...

Ngày tải lên: 06/07/2014, 15:21

Ngày tải lên: 11/08/2014, 02:21

Ngày tải lên: 11/08/2014, 05:22