1. Family Medicine Department Dr. Eman Ahmad Marei Husam Salhab URTI & Antibiotics

6. Types and causative agents

8. Management Principles Viral (Don’t Use Antibiotics) Why? -Promotes antibiotic resistance -Adverse reactions such as allergy and anaphylaxis -Costly -Patients do not need antibiotics to feel satisfied Bacterial (Use antibiotics) Why? - To prevent rheumatic fever - To prevent suppurative complications (e.g., peritonsillar abscess) - To speed up recovery - To reduce spread to others

20. How many points does our patient have? 1 1 0 1 0 0 Fever over 38 C Absence of cough Tender ant. cervical adenopathy Tonsillar swelling or exudate Age< 15 y Age> 45 Total = 3

22. Acute otitis media

23. Normal Tympanic Membrane

24. Acute otitis media Redness Bulging

25. Acute otitis media Bullae Perforation

29. TREATMENT GUIDELINES (cont.) Antibiotics Children < 6 months Children 6 months - 2 years + abnormal clinical course For children >2 years, + recurrent within 12 months or Down's syndrome, cleft palate, compromised immune system

31. Acute sinusitis

34. Common cold

36. Pertussis (Whooping Cough)

38. Croup Inflammation of the larynx and upper airway .