Respiratory Infections
When a child experiences a runny nose, sore throat, red eyes, hoarseness, coughing, fever, and swollen lymph nodes, they may have an uncomplicated respiratory illness. These infections are very common in daycare children or school going children or even children with siblings and up to six infections a year is normal. However, severe symptoms include:
Breathing fast – having difficulty getting oxygen through the lungs
Retractions – visible outline of ribcage or ribs
Coughing – more frequent than usual
Lack of activity normal for the child’s age
Not talking appropriately
Wheezing
When one can hear the child’s lungs
Stridor – harsh, bark-like cough
Fever
A temperature higher than what is normal for the child.
Prevention from illness include:
Parents or guardians should wash their hands before meals
Immunizations should be up to date
Parents and guardians should be appropriately informed about the risks of not vaccinating their children at the proper time for each and every form of bacterial and viral infection
Annual physicals
Educate children to sneeze into their sleeve, use a tissue and wash their hands
Adequate hours of sleep
Drink plenty of fluids
Consult child’s physician.
Acute respiratory infections (ARIs) are either upper or lower respiratory tract infections (URIs or LRIs). The URT includes airways from nostrils to one’s vocal cords, and the LRT is the trachea to the alveoli. These infections can spread systemically and lead to inflammation as well as reduced ling function. Diseases which have the capability of becoming systemic include diphtheria, pertussis (whooping cough) and measles, all of which are preventable via a vaccination.
Respiratory tract infections can be fatal, so they must be managed promptly and accurately. Here is a list of causes:
URT
Rhinitis – common cold
Sinusitis
Ear infections – Hib, pseudomonas
Acute pharyngitis
Tonsillopharyngitis
Epiglottitis
Laryngitis
Most of these are viral
Rhinoviruses
Respiratory syncytial viruses (RSV)
Parainfluenza
Influenza
Adenovirus
Corona virus.
Acute pharyngitis
Streptococcal infections
Corynebacterium diphtheria
Acute ear infection
LRT
Pneumonia
Bronchiolitis
Pneumonia
Pneum.
Hib
Pneumonia
pneum.
Hib
Mycoplasma
Chlamydia p.
Bronchiolitis
Influenza
HIV.
Majority, if not all of these causes may be preventable if proper interventions are applied:
Vaccinations
Measles
Diphtheria
Pertussis
Hib
For infants and young children
Prevent meningitis
Prevent Pneumonia
Pneumococcus
23 strains of pneu.
Influenza (annual).
Treatments for respiratory tract infections and severe pneumonia are intramuscular antibiotics, especially chloramphenicol. Nonetheless, parents should be made aware of both side effects of medications and the fact that these infections have serious consequences. If left untreated, viral and bacterial infections can lead to heart block – diphtheria, legionella – and some may lead to endocarditis – strep or staph infections. Moreover, some of these infections may cause other problems, such as renal failure as well. Each child has an individual case and each child should be individually managed. Unnecessary treatment should not be administered because many antibiotics have long-term side effects.
Figure 1 – Influenza. Spreading of influenza A (H5N1) viruses and efforts for potential pandemics.