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Upper Respiratory Infection (URI)

Mohammed Zaid Siddiqui, MS, DO and Irfan H Siddiqui, MD Reviewed 06/2022
 


BASICS

  • Upper respiratory infections (URIs) are one of the most common medical diagnoses, contributing to millions of office visits annually and resulting in significant lost productivity through misse...

DIAGNOSIS

Diagnosis is clinical based on reported and observed symptoms. 

HISTORY

  • Nasal congestion: 80–100%

  • Sneezing: 50–70%

  • Throat irritation: 50%

  • Cough: 40%

  • Hoarseness: 30%

  • Malaise: 20–25%

  • Headache: 25%

  • Feve...

TREATMENT

GENERAL MEASURES

  • Smoking cessation

  • Vaporizer/humidifier: no consistent benefit proven

  • Cold preparations do not change course

  • Antibiotics not indicated

  • Avoid cough and cold preparations in childre...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Contact a physician’s office for prolonged fever, difficulty breathing, or concern for secondary complications. 

DIET

Encourage fluids and adequate hydration. 

PATIENT EDUCATION

REFERENCES

1
Thomas M, Bomar, PA. Upper respiratory tract infection. In StatPearls [Internet].Treasure Island, FL: StatPearls Publishing; 202;June30.
2
Kirkpatrick GL. The common cold. Prim Care. 1996;23...

ADDITIONAL READING

Kaur R, Schulz S, Fuji N, et al. COVID-19 pandemic impact on respiratory infectious diseases in primary care practice in Children. Front Pediatr. 2021;13;9:7224...

SEE ALSO

Bronchitis, Acute; Pharyngitis; Rhinitis, Allergic 

CODES

ICD10

  • J06.9 Acute upper respiratory infection, unspecified

  • J11.1 Influenza due to unidentified influenza virus with other respiratory manifestations

  • B97.4 Respiratory syncytial virus causing diseas...

CLINICAL PEARLS

  • Supportive therapy is mainstay for most upper respiratory tract infections.

  • Point of care testing can rule out group A Streptococcus infection in the appropriate clinical setting.

  • Limit ...

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