Bacterial tracheitis - Revision history

Rossdonaldson1 at 20:37, 24 April 2024

2024-04-24T20:37:15Z

← Older revision		Revision as of 20:37, 24 April 2024
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	==Background==		==Background==
			[[File:Blausen 0865 TracheaAnatomy.png\|thumb\|Tracheal anatomy.]]
	[[File:Cross section of a trachea and esophagus.png\|thumb\|Cross section of a trachea and esophagus anatomy.]]		[[File:Cross section of a trachea and esophagus.png\|thumb\|Cross section of a trachea and esophagus anatomy.]]
	~~[[File:Blausen 0865 TracheaAnatomy.png\|thumb\|Tracheal anatomy.]]~~
	*Bacterial infection of tracheal epithelium		*Bacterial infection of tracheal epithelium
	**Often secondary infection after [[viral syndrome\|viral illness]]		**Often secondary infection after [[viral syndrome\|viral illness]]

Rossdonaldson1: /* Background */

2024-01-17T19:48:21Z

Background

← Older revision		Revision as of 19:48, 17 January 2024
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	==Background==		==Background==
			[[File:Cross section of a trachea and esophagus.png\|thumb\|Cross section of a trachea and esophagus anatomy.]]
			[[File:Blausen 0865 TracheaAnatomy.png\|thumb\|Tracheal anatomy.]]
	*Bacterial infection of tracheal epithelium		*Bacterial infection of tracheal epithelium
	**Often secondary infection after [[viral syndrome\|viral illness]]		**Often secondary infection after [[viral syndrome\|viral illness]]

Blsimpso at 19:00, 28 September 2021

2021-09-28T19:00:59Z

← Older revision		Revision as of 19:00, 28 September 2021
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	*[[Stridor (Peds)]]		*[[Stridor (Peds)]]
	*[[Stridor]]		*[[Stridor]]

			==External Links==
			*[https://www.merckmanuals.com/professional/pediatrics/respiratory-disorders-in-young-children/bacterial-tracheitis Merck Manual - Bacterial Tracheitis]
			*[http://www.emdocs.net/tracheitis-in-children-a-2018-update/ emDocs - Tracheitis in Children]

	==References==		==References==

ClaireLewis: /* Management */

2019-10-05T20:39:10Z

Management

← Older revision		Revision as of 20:39, 5 October 2019
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	==Management==		==Management==
	*Intubation, emergent, usually necessary		*[[Intubation]], emergent, usually necessary
	*Bronchoscopy to confirm diagnosis, rule out supraglottic pathology		*Bronchoscopy to confirm diagnosis, rule out supraglottic pathology
	*Antibiotics<ref>Bacterial Tracheitis - Treatment and Management. Medscape. http://emedicine.medscape.com/article/961647-treatment</ref>		*Antibiotics<ref>Bacterial Tracheitis - Treatment and Management. Medscape. http://emedicine.medscape.com/article/961647-treatment</ref>

ClaireLewis at 15:53, 14 September 2019

2019-09-14T15:53:42Z

← Older revision		Revision as of 15:53, 14 September 2019
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	==Background==		==Background==
	*Bacterial infection of tracheal epithelium		*Bacterial infection of tracheal epithelium
	**Often secondary infection after viral illness		**Often secondary infection after [[viral syndrome\|viral illness]]
	**[[S. Aureus]] most common, also [[strep]] species, [[H. Influenza]] and anaerobes		**[[S. Aureus]] most common, also [[strep]] species, [[H. Influenza]] and anaerobes
	*Peak age is 3-5 years old		*Peak age is 3-5 years old
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	*Severely ill child, starts out as viral prodrome		*Severely ill child, starts out as viral prodrome
	**Followed by inspiratory and expiratory [[stridor]], [[respiratory distress]], and copious purulent secretions		**Followed by inspiratory and expiratory [[stridor]], [[respiratory distress]], and copious purulent secretions
	*Difficult to differentiate from [[croup]] and [[~~epiglotitis~~]]		*Difficult to differentiate from [[croup]] and [[epiglottitis]]
	**Severe decompensation, high [[fever]], purulent secretions help differentiate		**Severe decompensation, high [[fever]], purulent secretions help differentiate
	**May also have concomitant [[pneumonia]]		**May also have concomitant [[pneumonia]]
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	*Bronchoscopy to confirm diagnosis, rule out supraglottic pathology		*Bronchoscopy to confirm diagnosis, rule out supraglottic pathology
	*Antibiotics<ref>Bacterial Tracheitis - Treatment and Management. Medscape. http://emedicine.medscape.com/article/961647-treatment</ref>		*Antibiotics<ref>Bacterial Tracheitis - Treatment and Management. Medscape. http://emedicine.medscape.com/article/961647-treatment</ref>
	**Third generation cephalosporin (cefotaxime or [[ceftriaxone]])		**Third generation cephalosporin ([[cefotaxime]] or [[ceftriaxone]])
	**PLUS MRSA coverage, options below depending on prevalence of CA-MRSA		**PLUS MRSA coverage, options below depending on prevalence of CA-MRSA
	***[[Clindamycin]] 40mg/kg/d IV divided q8hr '''OR'''		***[[Clindamycin]] 40mg/kg/d IV divided q8hr '''OR'''
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	==Complications==		==Complications==
	*Toxic shock syndrome		*[[Toxic shock syndrome]]
	*Septic shock		*[[Septic shock]]
	*Renal failure		*[[Renal failure]]
	*Postintubation pulmonary edema		*Postintubation [[pulmonary edema]]
	*ARDS		*[[ARDS]]
	*Residual subglottic stenosis		*Residual [[subglottic stenosis]]

	==See Also==		==See Also==

Beren85 at 18:53, 18 April 2018

2018-04-18T18:53:04Z

← Older revision		Revision as of 18:53, 18 April 2018
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	*Admit to ICU		*Admit to ICU
	*Often require prolonged intubation (4-5 days)		*Often require prolonged intubation (4-5 days)

			==Complications==
			*Toxic shock syndrome
			*Septic shock
			*Renal failure
			*Postintubation pulmonary edema
			*ARDS
			*Residual subglottic stenosis

	==See Also==		==See Also==

Mholtz: Text replacement - "==Treatment==" to "==Management=="

2017-12-11T04:29:29Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 04:29, 11 December 2017
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	*Emergent bronchoscopy is diagnostic and therapeutic		*Emergent bronchoscopy is diagnostic and therapeutic

	==~~Treatment~~==		==Management==
	*Intubation, emergent, usually necessary		*Intubation, emergent, usually necessary
	*Bronchoscopy to confirm diagnosis, rule out supraglottic pathology		*Bronchoscopy to confirm diagnosis, rule out supraglottic pathology

Rossdonaldson1: /* Clinical Features */

2017-09-19T14:20:22Z

Clinical Features

← Older revision		Revision as of 14:20, 19 September 2017
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	*Severely ill child, starts out as viral prodrome		*Severely ill child, starts out as viral prodrome
	**Followed by inspiratory and expiratory [[stridor]], [[respiratory distress]], and copious purulent secretions		**Followed by inspiratory and expiratory [[stridor]], [[respiratory distress]], and copious purulent secretions
	*Difficult to differentiate from [[croup]] and [[~~epiglottis~~]]		*Difficult to differentiate from [[croup]] and [[epiglotitis]]
	**Severe decompensation, high [[fever]], purulent secretions help differentiate		**Severe decompensation, high [[fever]], purulent secretions help differentiate
	**May also have concomitant [[pneumonia]]		**May also have concomitant [[pneumonia]]

Mholtz at 06:20, 7 July 2017

2017-07-07T06:20:44Z

← Older revision		Revision as of 06:20, 7 July 2017
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	**Third generation cephalosporin (cefotaxime or [[ceftriaxone]])		**Third generation cephalosporin (cefotaxime or [[ceftriaxone]])
	**PLUS MRSA coverage, options below depending on prevalence of CA-MRSA		**PLUS MRSA coverage, options below depending on prevalence of CA-MRSA
	***[[Clindamycin]] 40mg/kg/d IV divided q8hr		***[[Clindamycin]] 40mg/kg/d IV divided q8hr '''OR'''
	~~***~~'''OR''' [[~~vancomycin~~]] 45mg/kg/d IV divided q8hr		***[[Vancomycin]] 45mg/kg/d IV divided q8hr

	==Disposition==		==Disposition==
	*ICU ~~admit~~		*Admit to ICU
	*Often require ~~prolong~~ intubation, 4-5 days		*Often require prolonged intubation (4-5 days)

	==See Also==		==See Also==

Mholtz: Text replacement - "OR" to "'''OR'''"

2017-05-30T20:28:49Z

Text replacement - "OR" to "'''OR'''"

← Older revision		Revision as of 20:28, 30 May 2017
Line 31:		Line 31:
	**PLUS MRSA coverage, options below depending on prevalence of CA-MRSA		**PLUS MRSA coverage, options below depending on prevalence of CA-MRSA
	***[[Clindamycin]] 40mg/kg/d IV divided q8hr		***[[Clindamycin]] 40mg/kg/d IV divided q8hr
	***OR [[vancomycin]] 45mg/kg/d IV divided q8hr		***'''OR''' [[vancomycin]] 45mg/kg/d IV divided q8hr

	==Disposition==		==Disposition==