Treating the immunocompetent patient who presents with an upper respiratory infection: pharyngitis, sinusitis, and bronchitis.

摘要: Infections of the upper respiratory tract are among most common conditions seen in primary care [1]. The consists oropharynx, nares, and nasopharynx, which lined by stratified squamous epithelium; sinuses, larynx, trachea, areas generally columnar, goblet, gland cells. There normal flora occupying former, evaluation infections is complicated presence colonizing species, may have no role infection. latter group sterile, requires invasive measures to access obtain material for culture [2]. Physiological mucous production be altered here nonspecific noninfectious causes, further complicating diagnosis. Because specific etiological agent an infection (URI) often not identified, clinical judgment required approach their diagnosis treatment. causative these typically a virus, yet studies reported rates antibiotic prescriptions 46% pediatric patients [3] 52% adults [4]. In this article, author reviews evidence-based treatment immunocompetent patient who has URI, with focus on rational use antibiotics treating pharyngitis, sinusitis, bronchitis.