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16 Cards in this Set

  • Front
  • Back

What is bronchitis?

Inflammation of the trachea and bronchi. Can be infectious or caused by irritants.

Acute bronchitis

Options secondary to upper respiratory infection. Usually viral. Caused by Bordetella pertussis, mycoplasma pneumoniae, chlamydophila pneumoniae.

Chronic bronchitis

Affects about 10 to 25% of adults. Coughing up sputum daily for more than 3 months for 2 years. Most often a result of long-term smoking. Acute flare-ups occur and maybe caused by haemophilus influenzae, streptococcus pneumoniae, and moraxella Catarrhalis.

Bronchiolitis

Inflammation of the bronchioles. Usually in children less than 2. Runny nose, cough, fever, wheezing, rapid breathing, respiratory distress. Respiratory syncytial virus causes up 40-80% of cases. Preferred specimen is nasal wash

Pneumonia

Infection and inflammation of the lower respiratory tract

Symptoms of viral and atypical pneumonia

Viral and atypical bacterial pneumonia. Usually present as an upper respiratory infection that progresses to the lungs. Non productive cough, low grade fever, fatigue and myalgia.

Organisms that cause atypical pneumonia

Legionella, mycoplasma pneumonia, chlamydophila pneumonia.

Symptoms of bacterial pneumonia

Abrupt onset of fever and chills, with production of purulent sputum. CBC shows leukocytosis with a left shift. Blood cultures may be positive. Strep pneumoniae, H. influenza, klebsiella pneumoniae.

For children 2 months to 5 years the most common organisms responsible for community-acquired pneumonia are?

Viruses, H. influenza, strep pneumoniae, staph aureus

For school-age children and young adults less than 30 years of age community-acquired pneumonia organisms include?

Mycoplasma pneumoniae

For adults community-acquired pneumonia caused by what organism?

Strep pneumoniae about 80% of cases

Hospital-acquired pneumonia are caused by what type of organism?

Klebsiella, enterobacteriaceae, staph aureus, anaerobes, strep pneumoniae, pseudomonas aeruginosa, Legionella

Chronic lower respiratory tract infections include what organisms?

Mycobacterium tuberculosis, fungal infections, actinomyces, nocardia

What are the five ways to collect specimens for lower respiratory illnesses?

Sputum, endotracheal suction sputum, bronchoscopy , transtracheal aspirates, thoracentesis

What media should be used for processing lower respiratory specimens?

BAP, chocolate, EMB

Processing lower respiratory specimens for influenza and RSV

EIA, PCR. Serology testing for mycoplasma, and chlamydophila