1441. Significant Decrease in the Incidence Rate of Common Outpatient Upper Respiratory Tract Infection Diagnoses per Clinic Visit in the First Respiratory Season of October 2020 to March 2021 During the Covid-19 Pandemic. A Report From an Outpatient Antimicrobial Stewardship Program at a community hospital in Brooklyn

Abstract Background As part of our outpatient Antimicrobial Stewardship Program, we do surveillance of diagnoses and antibiotic use for common upper respiratory tract infections such as acute upper respiratory tract infection, acute bronchitis, sinusitis, and pharyngitis. We sought to evaluate the impact of the Covid-19 pandemic on the incidence rate of upper respiratory tract infection diagnoses per clinic visit during October 2020 to March 2021 season compared to the three prior respiratory seasons. We also sought to reflect of impact of increase in televisits and overlapping symptoms of COVID 19 and upper respiratory tract infections. Methods Our cohort study extending from October 2017 to March 2021. We collected number of diagnoses of upper respiratory infections and number of unique clinic visits during four consecutive respiratory seasons at our primary care sites via electronic health records. Results During the recent October 2020 to March 2021 respiratory season which coincided with the second NYC Covid-19 wave, we had 11569 unique clinic visits and 39 diagnoses of an upper respiratory tract infection - incident rate of 1.29. In the three prior respiratory seasons combined, we had 40939 unique clinic visits and 833 diagnoses of an upper respiratory tract infection – incident rate of 1.49. The incident rates showed a dramatic decline using the test based method and the chi square-statistic p< 0.0001 with an incident rate ratio using a poisson exact method of 6.0359. Statistical comparisons of the current season to each prior individual season yielded similar results. The percentage of Tele-visits during the current season was 19% compared to 0% in the 3 prior seasons. Conclusion During the first respiratory season from October 2020 to March 2021 in midst of the Covid-19 pandemic which also coincided with the second Covid-19 wave in New York, we saw a statistically significant decrease in incidence of common upper respiratory tract infection diagnoses per clinic visit compared to the three prior respiratory seasons. Overlapping signs and symptoms of upper respiratory tract infections and Covid-19 with the added percentage in Tele-visits did not cause an increase in incidence rates of upper respiratory tract infection diagnoses. Covid-19 related mitigation efforts may have played a role. Disclosures All Authors: No reported disclosures

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Manejo perioperatorio de niños con infección respiratoria superior

Revista de la Facultad de Medicina ◽

10.15446/revfacmed.v67n2.66540 ◽

2019 ◽

Vol 67 (2) ◽

pp. 341-347

Author(s):

Norma Constanza Corrales-Zúñiga ◽

Nelly Patricia Martínez-Muñoz ◽

Sara Isabel Realpe-Cisneros ◽

Carlos Eberth Pacichana-Agudelo ◽

Leandro Guillermo Realpe-Cisneros ◽

...

Keyword(s):

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

Respiratory Tract Infections ◽

Upper Respiratory Tract Infection ◽

Cochrane Library ◽

Upper Respiratory Tract ◽

Upper Respiratory ◽

Tract Infections

Introducción. Es frecuente que muchos niños sometidos a procedimientos con anestesia general tengan historia de infección viral respiratoria superior reciente o activa.Objetivo. Realizar una revisión narrativa acerca de las pautas de manejo anestésico para los niños con infección reciente o activa de la vía aérea superior.Materiales y métodos. Se realizó una búsqueda estructurada de la literatura en las bases de datos ProQuest, EBSCO, ScienceDirect, PubMed, LILACS, Embase, Trip Database, SciELO y Cochrane Library con los términos Anesthesia AND Respiratory Tract Infections AND Complications; Anesthesia AND Upper respiratory tract infection AND Complications; Anesthesia, General AND Respiratory Tract Infections AND Complications; Anesthesia, General AND Upper respiratory tract infection AND Complications; Anesthesia AND Laryngospasm OR Bronchospasm. La búsqueda se hizo en inglés con sus equivalentes en español.Resultados. Se encontraron 56 artículos con información relevante para el desarrollo de la presente revisión.Conclusiones. Una menor manipulación de la vía aérea tiende a disminuir la frecuencia de aparición y severidad de eventos adversos respiratorios perioperatorios. No existe evidencia suficiente para recomendar la optimización medicamentosa en pacientes con infección respiratoria superior.

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Hubungan Pencemaran Karbon Monoksida dalam Rumah dengan Kejadian ISPA di Desa Sungai Alat Kabupaten Banjar

JURNAL KESEHATAN LINGKUNGAN: Jurnal dan Aplikasi Teknik Kesehatan Lingkungan ◽

10.31964/jkl.v12i1.17 ◽

2015 ◽

Vol 12 (1) ◽

pp. 238

Author(s):

Imam Santoso ◽

Darmiah Darmiah

Keyword(s):

Carbon Monoxide ◽

Logistic Regression ◽

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

Upper Respiratory Tract Infection ◽

Upper Respiratory Tract ◽

Upper Respiratory ◽

Tract Infections ◽

Relationship Of

Abstract: Relationship of Carbon Monoxide Pollution in House With The Upper Respiratory Tract infection In Desa Sungai Alat Kabupaten Banjar. The data showed 64.2 % of households in South Kalimantan residents use charcoal and firewood for cooking, so the room in a house filled with smoke. In addition to the state of the smoke could also come from outside , because the habits of the people who set fire to dry land in the dry season. This phenomenon is predicted to be potential risk of respiratory tract infections. This study aims to determine the relationship of carbon monoxide pollution in homes with the upper respiratory tract infection in Desa Sungai Alat Kabupaten Banjar. Using cross sectional study design. The number of samples taken 28 infants in total population. Analysis used logistic regression. The results of the research data showed levels of CO in the average house of 0.42 mg / m3 in the range of 0.19 to 1.62 mg / m3 . The number of infants who suffer from respiratory 42.9 %. Houses that use firewood as much as 53.6 % , and home to the unhealthy category as much as 78.6 % . Temperatures in the average home 32.6 0C , and air humidity in the average home 71.41 %. Bivariate analysis using logistic regression, there was no significant association between levels of CO with the upper respiratory tract infection in infants ; similarly no significant association between the control variables with the dependent variable. To do a home assessment form should be conducted validity assessment. In further studies the expected number of samples propagated to the toddler . Keywords: pollution , carbon monoxide , upper respiratory tract infection

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Serum β2-microglobulin may be a viral biomarker by analyzing children with upper respiratory tract infections and exanthem subitum: a retrospective study

PeerJ ◽

10.7717/peerj.11109 ◽

2021 ◽

Vol 9 ◽

pp. e11109

Author(s):

Xulong Cai ◽

Qiaolan Xu ◽

Chenrong Zhou ◽

Tongjin Yin ◽

Li Zhou

Keyword(s):

Retrospective Study ◽

Tract Infection ◽

Respiratory Tract ◽

Bacterial Infection ◽

Respiratory Tract Infection ◽

Upper Respiratory Tract Infection ◽

Upper Respiratory Tract ◽

Exanthem Subitum ◽

Upper Respiratory ◽

Tract Infections

Background Due to the lack of effective and feasible viral biomarkers to distinguish viral infection from bacterial infection, children often receive unnecessary antibiotic treatment. To identify serum β2-microglobulin that distinguishes bacterial upper respiratory tract infection from viral upper respiratory tract infection and exanthem subitum in children. Methods This retrospective study was conducted from January 1, 2019 to September 30, 2020 in Yancheng Third People’s Hospital. Children with upper respiratory tract infection and exanthem subitum were recruited. The concentration of serum β2-microglobulin in the viral and bacterial infection groups were statistically analyzed. Results A total of 291 children included 36 with bacterial upper respiratory tract infection (median age, 13 months; 44.4% female), 197 with viral upper respiratory tract infection (median age, 12 months; 43.7% female) and 58 with exanthem subitum (median age, 13 months; 37.9% female). When the concentration of β2-microglobulin was 2.4mg/L, the sensitivity to distinguish viral from bacterial upper respiratory tract infection was 81.2% (95% CI [75.1–86.4%]), and the specificity was 80.6% (95% CI [64.0–91.8]%). When the cutoff was 2.91 mg/L, the sensitivity of β2-microglobulin to distinguish exanthem subitum from bacterial upper respiratory tract infection was 94.8% (95% CI [85.6–98.9]%), and the specificity was 100% (95% CI [90.3–100]%). Conclusions Serum β2-microglobulin may be a significant biological indicator in children with upper respiratory tract infection and exanthem subitum.

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TREATMENT OF UPPER RESPIRATORY TRACT INFECTION: A CASE REPORT

Canadian Journal of Applied Sciences ◽

10.21065/19257430.2.1 ◽

2012 ◽

Vol 2 ◽

pp. 1

Author(s):

Sumreen Javed ◽

Keyword(s):

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

Respiratory Tract Infections ◽

Upper Respiratory Tract Infection ◽

Upper Respiratory Tract ◽

Amoxicillin Clavulanate ◽

Upper Respiratory ◽

Tract Infections ◽

Common Infections

Respiratory tract infections are the most common infections in the developing countries. Its mode of spread is also very fast as compared to any other infection. Therefore; we have aimed this study based on the administration of two different drugs, Ciprox (Ciprofloxacin) and Augmentin (amoxicillin/clavulanate potassium), for the treatment of upper respiratory tract infection.

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Antibiotics and Upper Respiratory Tract Infections

PEDIATRICS ◽

10.1542/peds.61.2.324 ◽

1978 ◽

Vol 61 (2) ◽

pp. 324-324

Author(s):

Howard S. Traisman

Keyword(s):

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

No Value ◽

Respiratory Tract Infections ◽

Upper Respiratory Tract Infections ◽

Upper Respiratory Tract ◽

Benign Condition ◽

Upper Respiratory ◽

Tract Infections

I wish to commend Dr. Alvaro Navia-Monedero on his letter regarding the use of antibiotics in upper respiratory tract infections (Pediatrics 59:141, January 1977). Dr. Martin Hardy and I did a similar study in the 1950s1 and arrived at the same conclusion that antibiotics are of no value in the treatment of the uncomplicated upper respiratory tract infection. It is unfortunate that we see the use of antibiotics by our colleagues for this same benign condition.

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Factors Associated with Antibiotic Misuse in Outpatient Treatment for Upper Respiratory Tract Infections

Antimicrobial Agents and Chemotherapy ◽

10.1128/aac.00652-15 ◽

2015 ◽

Vol 59 (7) ◽

pp. 3848-3852 ◽

Cited By ~ 44

Author(s):

Jennifer L. Schroeck ◽

Christine A. Ruh ◽

John A. Sellick ◽

Michael C. Ott ◽

Arun Mattappallil ◽

...

Keyword(s):

Tract Infection ◽

Respiratory Tract ◽

Respiratory Tract Infection ◽

Respiratory Tract Infections ◽

Retrospective Chart Review ◽

Antibiotic Use ◽

Upper Respiratory Tract Infections ◽

Upper Respiratory Tract ◽

Upper Respiratory ◽

Tract Infections

ABSTRACTThe Centers for Disease Control and Prevention has promoted the appropriate use of antibiotics since 1995 when it initiated the National Campaign for Appropriate Antibiotic Use in the Community. This study examined upper respiratory tract infections included in the campaign to determine the degree to which antibiotics were appropriately prescribed and subsequent admission rates in a veteran population. This study was a retrospective chart review conducted among outpatients with a diagnosis of a respiratory tract infection, including bronchitis, pharyngitis, sinusitis, or nonspecific upper respiratory tract infection, between January 2009 and December 2011. The study found that 595 (35.8%) patients were treated appropriately, and 1,067 (64.2%) patients received therapy considered inappropriate based on the Get Smart Campaign criteria. Overall the subsequent readmission rate was 1.5%. The majority (77.5%) of patients were prescribed an antibiotic. The most common antibiotics prescribed were azithromycin (39.0%), amoxicillin-clavulanate (13.2%), and moxifloxacin (7.5%). A multivariate regression analysis demonstrated significant predictors of appropriate treatment, including the presence of tonsillar exudates (odds ratio [OR], 0.6; confidence interval [CI], 0.3 to 0.9), fever (OR, 0.6; CI, 0.4 to 0.9), and lymphadenopathy (OR, 0.4; CI, 0.3 to 0.6), while penicillin allergy (OR, 2.9; CI, 1.7 to 4.7) and cough (OR, 1.6; CI, 1.1 to 2.2) were significant predictors for inappropriate treatment. Poor compliance with the Get Smart Campaign was found in outpatients for respiratory infections. Results from this study demonstrate the overprescribing of antibiotics, while providing a focused view of improper prescribing. This article provides evidence that current efforts are insufficient for curtailing inappropriate antibiotic use.

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