Card Set Information
Eye ear nose throat disorders
Common EENT disorders.
What are the most likely causative pathogens in adult ABRS (acute bacterial rhino-sinusitis)?
What is S.
Most common bacterial pathogen in ABRS, AOM, CAP. Rare (10%) spontaneous resolution in AOM. Treatment target in AOM. It is a gram-positive diplococci.
=>25% drug-resistant. DRSP risk w/ recent antimicrobial use (within 4-6 weeks), exposure to, or being a child in day care, advancing age.
What is H.
Common pathogen in ABRS, AOM, CAP, particularly in recurrent infection, tobacco users.
50% spontaneous resolution in AOM.
=>30% penicillin-resistant via beta-lactamase production.
What is M.
Less common pathogen in ABRS, AOM, rare cause of CAP.
About 90% spontaneous resolution in AOM.
=>90% penicillin-resistant via beta-lactamase production.
What are the diagnostic criteria for adult ABRS?
Nasal drainage, nasal congestion, facial pain/pressure, postnasal drip, hyposmia/anosmia, fever, cough, fatigue, maxillary dental pain, ear fullness.
S/sx of URI => 7-10d or worse after 5-7d.