Acute respiratory tract infection is the commonest reason for children consulting, and about one-fifth re-consult for the same illness episode. Fifty-nine audiotape recordings from nine general practitioners (GPs) consulting with children with acute respiratory tract infections were examined. Prognosis was mentioned in only 22 consultations, with GPs predicting a brief course in 11, a possibly ...

Background.  Respiratory syncytial virus (RSV) and influenza are significant causes of seasonal respiratory illness in children. The incidence of influenza and RSV hospitalization is well documented, but the incidence of medically attended, laboratory-confirmed illness has not been assessed in a well defined community cohort. Methods.  Children aged 6-59 months with medically attended acute res...

The following principles of appropriate antibiotic use for adults with nonspecific upper respiratory tract infections apply to immunocompetent adults without complicating comorbid conditions, such as chronic lung or heart disease. 1. The diagnosis of nonspecific upper respiratory tract infection or acute rhinopharyngitis should be used to denote an acute infection that is typically viral in ori...

BACKGROUND The epidemiology and burden of influenza remain poorly defined in sub-Saharan Africa. Since 2005, the Kenya Medical Research Institute and Centers for Disease Control and Prevention-Kenya have conducted population-based infectious disease surveillance in Kibera, an urban informal settlement in Nairobi, and in Lwak, a rural community in western Kenya. METHODS Nasopharyngeal and orop...

A ten-year retrospective study of the consultations of 50 families with a city general practice was used to test the hypothesis that mothers who receive an excess of psychotropic drugs have children who receive an excess of antibiotics for episodes of acute respiratory illness. The children of the 10 mothers classed as high psychotropic users were seen twice as often with acute respiratory illn...

Although the severe acute respiratory illness (SARI) case definition is increasingly used for inpatient influenza surveillance, pneumonia is a more familiar term to clinicians and policymakers. We evaluated WHO case definitions for severe acute respiratory illness (SARI) and pneumonia (Integrated Management of Childhood Illnesses (IMCI) for children aged <5 years and Integrated Management of Ad...

ICD-9-coded chief complaints and diagnoses are a routinely collected source of data with potential for use in public health surveillance. We constructed two detectors of acute respiratory illness: one based on ICD-9-coded chief complaints and one based on ICD-9-coded diagnoses. We measured the classification performance of these detectors against the human classification of cases based on revie...

With the COVID-19 pandemic health system is facing dual burden of cases, one being or Severe Acute Respiratory Illness (SARI) cases and second other Non-COVID cases. The due to SARI became almost neglected by Health System increasing sufferings In current COVID times All India Institute Medical Sciences, Gorakhpur continued provide care manuscript provides detailed strategy results various stra...

Human metapneumovirus (hMPV), a recently discovered paramyxovirus, is thought to be primarily a winter-spring pathogen affecting young children with a clinical presentation similar to that of respiratory syncytial virus. In June-July 2006, a respiratory outbreak in a long-term-care facility was reported to the local health department and investigated. Surveillance identified 26 residents and 13...