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Tracheitis, Bacterial

Stephanie Mayle Scott, DO Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Acute, life-threatening upper airway obstruction due to infraglottic bacterial infection following a primary viral infection (typically parainfluenza or influenza)

  • Historically high m...

DIAGNOSIS

  • Careful history and physical exam are the best methods to help distinguish bacterial tracheitis from croup and other rare causes of upper airway obstruction.

  • The diagnosis of bacterial trache...

TREATMENT

  • Consider as a 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 respirato...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Children with artificial airway will require ongoing follow-up. 

DIET

Varies with clinical situations 

PATIENT EDUCATION

Keep immunizations up to da...

REFERENCES

1
Casazza G, Graham ME, Nelson D, C et al. Pediatric bacterial tracheitis—a variable entity: case series with literature review. Otolaryngol Head Neck Surg. 2019;160(3):546-549.
2
...

ADDITIONAL READING

Russell CJ, Shiroishi MS, Siantz E, et al. The use of inhaled antibiotic therapy in the treatment of ventilator-associated pneumonia and tracheobronchitis: a systematic r...

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

SNOMED

  • 62994001 Trach...

CLINICAL PEARLS

  • Bacterial tracheitis is an acute, potentially life-threatening, infraglottic bacterial infection which generally follows a primary viral infection.

  • Bacterial tracheitis should be suspec...

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