LRTIs and Sepsis Poppy. Bronchitis/Pneumonia Bronchitis ▫Infection & inflammation of airways Pneumonia ▫Infection & inflammation of alveoli.

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Presentation transcript:

LRTIs and Sepsis Poppy

Bronchitis/Pneumonia Bronchitis ▫Infection & inflammation of airways Pneumonia ▫Infection & inflammation of alveoli

Signs and Symptoms Signs ▫Fever ▫Tachypnoea ▫Crackles ▫ ↓ or bronchial breath sounds Symptoms ▫Dyspnoea ▫Cough ▫Sputum ▫Wheeze

Investigations PEFR Full blood count ( ↑ WCC) U&Es CRP Lactate ABGs CXR Nose & throat swabs (PCR tests) Sputum (microscopy, culture & sensitivities)

SEPSIS etc. SIRS ▫>1 of :  Temp 38°C  HR >90/min  RR >20/min  WCC 12x10 9 /dl SEPSIS ▫SIRS + known or suspected infection SEVERE SEPSIS ▫Sepsis + organ failure SEPTIC SHOCK ▫sepsis + hypotension (SBP <90mmHg) despite fluid resuscitation + perfusion abnormalities eg. lactic acidosis, ↓ UO, ↓ GCS

SEPSIS 6 1.Give high-flow oxygen 2.Take blood cultures 3.Give empirical IV antibiotics 4.Measure FBC & serum lactate 5.Start IV fluid resuscitation 6.Start accurate urine output measurements

CURB-65 Confusion Urea ▫>7mmol/L Respiratory rate ▫>30/minute Blood pressure ▫<90mmHg systolic or <60mmHg diastolic age ≥65 years old if score >1 → admit & if score >2 → IV treatment

Antibiotics CAP ▫Streptococcus pneumoniae ▫Staphylcoccus aureus ▫Haemophilus influenzae ▫Amoxicillin/Clarithromycin HAP ▫48-72h after being admitted ▫Often caused by multiple organisms Acute bronchitis ▫Often viral – no antibiotics!

Any questions?