Join us   Log in  


Pages: 23-27

Date of Publication: 30-Apr-2018

Print Article   Download XML  Download PDF

Practical aspects of acute upper respiratory tract infections to the school child

Author: Prof. Dr. Sorin C. MAN

Category: Medical


Acute upper respiratory tract infections (AURTIs) are of particular importance through the frequency they are encountered in clinical practice. Although rarely fatal, they are a significant source of morbidity and have a considerable financial burden. The vast majority of AURTIs are viral, and therefore antibiotic therapy is not necessary. It is important to note that some AURTIs manifestations take over 7 days, and explaining this to parents can avoid repeated consultations for the same illness. In AURTIs care, it has been shown that parental satisfaction can be achieved by providing information about the disease and not necessarily by prescribing antibiotics.

Keywords: respiratory infection, fever, antibiotic, child


1.Kliegman RM, Stanton BF, St Geme III JW, Schor NF, Behrman RE. Nelson Textbook of Pediatrics. 20 ed. Elsevier, Philadelphia 2016.

2.Bennett JE, Dolin R, Blaser MJ. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 8 ed. Elsevier Saunders, Philadelphia 2015.

3.Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D. Nelson Pediatric Symptom-Based Diagnosis. Elsevier, Philadelphia 2018.

4.Ruuskanen O, Putto A, Sarkkinen H, Meurman O, Irjala K. C-reactive protein in respiratory virus infections. J Pediatr. 1985; 107: 97-100.

5.Butler CC, Kinnersley P, Hood K, et al. Clinical course of acute infection of the upper respiratory tract in children: cohort study. BMJ. 2003; 327: 1088-1089.

6.Hemila H, Chalker E. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev. 2013: CD000980.

7.Kurugol Z, Akilli M, Bayram N, Koturoglu G. The prophylactic and therapeutic effectiveness of zinc sulphate on common cold in children. Acta Paediatr. 2006;95:1175-1181.

8.Chiappini E, Venturini E, Principi N, et al. Update of the 2009 Italian Pediatric Society Guidelines about management of fever in children. Clin Ther. 2012; 34: 1648-1653 e1643.

9.Kenealy T, Arroll B. Antibiotics for the common cold and acute purulent rhinitis. Cochrane Database Syst Rev. 2013: CD000247.

10.Welschen I, Kuyvenhoven M, Hoes A, Verheij T. Antibiotics for acute respiratory tract symptoms: patients' expectations, GPs' management and patient satisfaction. Family practice. 2004; 21: 234-237.