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Tracheitis, Bacterial

Mary Cataletto, MD, FAAP, FCCP and Margaret J. McCormick, MS, RN, CNE Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Acute, potentially life-threatening infraglottic bacterial infection following a primary viral infection, usually parainfluenzae or influenza viruses

  • Isolated tracheitis is rare. More...

DIAGNOSIS

  • May present with fever and systemic toxicity or as more localized disease

  • Careful history and physical exam are the best methods to distinguish bacterial tracheitis from croup and other rare ...

TREATMENT

  • Treat as potentially life-threatening airway emergency.

  • Children with suspected or actual bacterial tracheitis should be cared for in a pediatric ICU (2)[C].

  • Assess and monitor respiratory sta...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Children with artificial airways will require ongoing follow-up. 

DIET

Varies with clinical situation 

PATIENT EDUCATION

Keep immunizations up to da...

REFERENCES

1
Blot M, Bonniaud-Blot P, Favrolt N, et al. Update on childhood and adult infectious tracheitis. Med Mal Infect.  2017;47(7):443–452. [View Abstract on OvidMedline]
2
Kuo CY, Parikh SR. ...

ADDITIONAL READING

  • Hopkins A, Lahiri T, Salerno R, et al. Changing epidemiology of life-threatening upper airway infections: the reemergence of bacterial tracheitis. Pediatrics.  2006;118(4):1418...

CODES

ICD10

  • J04.10 Acute tracheitis without obstruction

  • J04.11 Acute tracheitis with obstruction

  • J05.0 Acute obstructive laryngitis [croup]

  • J04.1 Acute tracheitis

  • J04.1 Acute tracheitis

ICD9

  • 464.10 Acute tra...

CLINICAL PEARLS

  • Bacterial tracheitis is an acute, potentially life-threatening, infraglottic bacterial infection following a primary viral infection that accounts for 5–14% of upper airway obstruction...

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