Infect Chemother.  2011 Oct;43(5):383-389. 10.3947/ic.2011.43.5.383.

Bacterial Upper Respiratory Infections

Affiliations
  • 1Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea. ksw2kms@knu.ac.kr

Abstract

Acute bacterial upper respiratory infections include acute rhinosinusitis, acute pharyngotonsillitis, acute laryngitis, and acute epiglottitis. These are common reasons for primary care visits. Acute bacterial sinusitis usually occurs as a secondary complication of acute viral sinusitis. Acute viral sinusitis will recover over the course of 7-10 days without antibiotics. Amoxicillin is a drug of choice for acute bacterial sinusitis in the practice guidelines. Patients with acute pharyngotonsillitis should be treated with antibiotics (amoxicillin) for 10 days with the purpose of prevention of rheumatic fever. Use of rapid antigen detection should be encouraged for the appropriate use of antibiotics, especially in Korea. Etiologies of acute laryngitis in adults are mainly viruses. However, M. pneumoniae, M. catarrhalis, H. influenzae are major bacterial pathogens of laryngtitis. Acute epiglottitis, cellulitis of the epiglottis, is a life-threatening infection. Airway keeping and antibacterial therapy against H. influenzae and other bacterial pathogens are main stays of management. Evidence-based approach is greatly in need for appropriate care for patients with bacterial upper respiratory infections.

Keyword

Upper respiratory infections; Bacterial Infections; Evidence-based practice

MeSH Terms

Adult
Amoxicillin
Anti-Bacterial Agents
Bacterial Infections
Cellulitis
Epiglottis
Epiglottitis
Evidence-Based Practice
Humans
Influenza, Human
Korea
Laryngitis
Pneumonia
Primary Health Care
Respiratory Tract Infections
Rheumatic Fever
Sinusitis
Amoxicillin
Anti-Bacterial Agents

Cited by  1 articles

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Infect Chemother. 2017;49(4):326-352.    doi: 10.3947/ic.2017.49.4.326.


Reference

1. Gonzales R, Bartlett JG, Besser RE, Cooper RJ, Hickner JM, Hoffman JR, Sande MA. Principles of appropriate antibiotic use for treatment of acute respiratory tract infections in adults: background, specific aims, and methods. Ann Intern Med. 2001. 134:479–486.
Article
2. Heikkinen T, Järvinen A. The common cold. Lancet. 2003. 361:51–59.
Article
3. Meltzer EO, Hamilos DL, Hadley JA, Lanza DC, Marple BF, Nicklas RA, Bachert C, Baraniuk J, Baroody FM, Benninger MS, Brook I, Chowdhury BA, Druce HM, Durham S, Ferguson B, Gwaltney JM, Kaliner M, Kennedy DW, Lund V, Naclerio R, Pawankar R, Piccirillo JF, Rohane P, Simon R, Slavin RG, Togias A, Wald ER, Zinreich SJ. American Academy of Allergy, Asthma and Immunology (AAAAI). American Academy of Otolaryngic Allergy (AAOA). American Academy of Otolaryngology--Head and Neck Surgery (AAO-HNS). American College of Allergy, Asthma and Immunology (ACAAI). American Rhinologic Society (ARS). Rhinosinusitis: establishing definitions for clinical research and patient care. J Allergy Clin Immunol. 2004. 114:6 Suppl. 155–212.
Article
4. Rosenfeld RM, Andes D, Bhattacharyya N, Cheung D, Eisenberg S, Ganiats TG, Gelzer A, Hamilos D, Haydon RC 3rd, Hudgins PA, Jones S, Krouse HJ, Lee LH, Mahoney MC, Marple BF, Mitchell CJ, Nathan R, Shiffman RN, Smith TL, Witsell DL. Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg. 2007. 137:3 Suppl. S1–S31.
Article
5. Bisno AL, Gerber MA, Gwaltney JM Jr, Kaplan EL, Schwartz RH. Infectious Diseases Society of America. Practice guidelines for the diagnosis and management of group A streptococcal pharyngitis Infectious Diseases Society of America. Clin Infect Dis. 2002. 35:113–125.
Article
6. Gwaltney JM Jr. Acute community-acquired sinusitis. Clin Infect Dis. 1996. 23:1209–1223. quiz 1224-5.
Article
7. Anon JB, Jacobs MR, Poole MD, Ambrose PG, Benninger MS, Hadley JA, Craig WA. Sinus And Allergy Health Partnership. Antimicrobial treatment guidelines for acute bacterial rhinosinusitis. Otolaryngol Head Neck Surg. 2004. 130:1 Suppl. 1–45.
Article
8. Slavin RG, Spector SL, Bernstein IL, Kaliner MA, Kennedy DW, Virant FS, Wald ER, Khan DA, Blessing-Moore J, Lang DM, Nicklas RA, Oppenheimer JJ, Portnoy JM, Schuller DE, Tilles SA, Borish L, Nathan RA, Smart BA, Vandewalker ML. American Academy of Allergy, Asthma and Immunology. American College of Allergy, Asthma and Immunology. Joint Council of Allergy, Asthma and Immunology. The diagnosis and management of sinusitis: a practice parameter update. J Allergy Clin Immunol. 2005. 116:6 Suppl. S13–S47.
Article
9. Brook I. Acute and chronic bacterial sinusitis. Infect Dis Clin North Am. 2007. 21:427–448.
Article
10. Hickner JM, Bartlett JG, Besser RE, Gonzales R, Hoffman JR, Sande MA. American Academy of Family Physicians. American College of Physicians-American Society of Internal Mediciine. Centers for Disease Control; Infectious Diseases Society of America. Principles of appropriate antibiotic use for acute rhinosinusitis in adults: background. Ann Intern Med. 2001. 134:498–505.
Article
11. Young J, De Sutter A, Merenstein D, van Essen GA, Kaiser L, Varonen H, Williamson I, Bucher HC. Antibiotics for adults with clinically diagnosed acute rhinosinusitis: a metaanalysis of individual patient data. Lancet. 2008. 371:908–914.
Article
12. Ahovuo-Saloranta A, Borisenko OV, Kovanen N, Varonen H, Rautakorpi UM, Williams JW Jr, Mäkelä M. Antibiotics for acute maxillary sinusitis. Cochrane Database Syst Rev. 2008. CD000243.
Article
13. Zalmanovici A, Yaphe J. Intranasal steroids for acute sinusitis. Cochrane Database Syst Rev. 2009. CD005149.
14. Matthys J, De Meyere M, van Driel ML, De Sutter A. Differences among international pharyngitis guidelines: not just academic. Ann Fam Med. 2007. 5:436–443.
Article
15. Chiappini E, Regoli M, Bonsignori F, Sollai S, Parretti A, Galli L, de Martino M. Analysis of different recommendations from international guidelines for the management of acute pharyngitis in adults and children. Clin Ther. 2011. 33:48–58.
Article
16. Komaroff AL, Pass TM, Aronson MD, Ervin CT, Cretin S, Winickoff RN, Branch WT Jr. The prediction of streptococcal pharyngitis in adults. J Gen Intern Med. 1986. 1:1–7.
Article
17. Bisno AL. Acute pharyngitis. N Engl J Med. 2001. 344:205–211.
Article
18. Linder JA, Stafford RS. Antibiotic treatment of adults with sore throat by community primary care physicians: a national survey, 1989-1999. JAMA. 2001. 286:1181–1186.
Article
19. Kim SW. Upper respiratory infections in adults. J Korean Med Assoc. 2010. 53:10–19.
Article
20. Cooper RJ, Hoffman JR, Bartlett JG, Besser RE, Gonzales R, Hickner JM, Sande MA. American Academy of Family Physicians. American College of Physicians-American Society of Internal Medicine. Centers for Disease Control. Principles of appropriate antibiotic use for acute pharyngitis in adults: background. Ann Intern Med. 2001. 134:509–517.
Article
21. Del Mar CB, Glasziou PP, Spinks AB. Antibiotics for sore throat. Cochrane Database Syst Rev. 2006. CD000023.
Article
22. Centor RM, Witherspoon JM, Dalton HP, Brody CE, Link K. The diagnosis of strep throat in adults in the emergency room. Med Decis Making. 1981. 1:239–246.
Article
23. McIsaac WJ, Kellner JD, Aufricht P, Vanjaka A, Low DE. Empirical validation of guidelines for the management of pharyngitis in children and adults. JAMA. 2004. 291:1587–1595.
Article
24. Gerber MA, Shulman ST. Rapid diagnosis of pharyngitis caused by group A streptococci. Clin Microbiol Rev. 2004. 17:571–580.
Article
25. Gieseker KE, Mackenzie T, Roe MH, Todd JK. Comparison of two rapid Streptococcus pyogenes diagnostic tests with a rigorous culture standard. Pediatr Infect Dis J. 2002. 21:922–927.
26. Dimatteo LA, Lowenstein SR, Brimhall B, Reiquam W, Gonzales R. The relationship between the clinical features of pharyngitis and the sensitivity of a rapid antigen test: evidence of spectrum bias. Ann Emerg Med. 2001. 38:648–652.
Article
27. Hall MC, Kieke B, Gonzales R, Belongia EA. Spectrum bias of a rapid antigen detection test for group A beta-hemolytic streptococcal pharyngitis in a pediatric population. Pediatrics. 2004. 114:182–186.
Article
28. Kim S. The evaluation of SD Bioline Strep A rapid antigen test in acute pharyngitis in pediatric clinics. Korean J Lab Med. 2009. 29:320–323.
Article
29. Gerber MA, Baltimore RS, Eaton CB, Gewitz M, Rowley AH, Shulman ST, Taubert KA. Prevention of rheumatic fever and diagnosis and treatment of acute Streptococcal pharyngitis: a scientific statement from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Disease in the Young, the Interdisciplinary Council on Functional Genomics and Translational Biology, and the Interdisciplinary Council on Quality of Care and Outcomes Research: endorsed by the American Academy of Pediatrics. Circulation. 2009. 119:1541–1551.
Article
30. Lennon DR, Farrell E, Martin DR, Stewart JM. Once-daily amoxicillin versus twice-daily penicillin V in group A beta-haemolytic streptococcal pharyngitis. Arch Dis Child. 2008. 93:474–478.
Article
31. Schalén L. Acute laryngitis in adults: diagnosis, etiology, treatment. Acta Otolaryngol Suppl. 1988. 449:31.
Article
32. Reveiz L, Cardona AF, Ospina EG. Antibiotics for acute laryngitis in adults. Cochrane Database Syst Rev. 2007. CD004783.
Article
33. Schalén L, Christensen P, Eliasson I, Fex S, Kamme C, Schalén C. Inefficacy of penicillin V in acute laryngitis in adults. Evaluation from results of double-blind study. Ann Otol Rhinol Laryngol. 1985. 94:14–17.
Article
34. Schalén L, Eliasson I, Kamme C, Schalén C. Erythromycin in acute laryngitis in adults. Ann Otol Rhinol Laryngol. 1993. 102:209–214.
Article
35. Frantz TD, Rasgon BM, Quesenberry CP Jr. Acute epiglottitis in adults. Analysis of 129 cases. JAMA. 1994. 272:1358–1360.
Article
36. Centers for Disease Control and Prevention (CDC). Progress toward elimination of Haemophilus influenzae type b invasive disease among infants and children--United States, 1998-2000. MMWR Morb Mortal Wkly Rep. 2002. 51:234–237.
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