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Acute Respiratory Infection ( ARI )

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acute respiratory tract infection
Acute Respiratory Infection ( ARI ) is infections of respiratory tract, from nose to alveoli. It is one of the major killer disease of children worldwide. Generally, leading cause of morbidity and mortality of this disease is on under 5 children.

ARI is caused by a variety of agents. They are :

Bacteria : ( most of lower ARIs ) Bordetella pertusis, Corynebacteruim diptheriae, Hemophilus influenza, Kleibsella pneumoniae, Staphylococcus aureus, Streptococcus pneumoniae.

Virus (most of upper ARIs) : Influenza virus, parainfluenza virus, measles virus, rhinovirus, respiratory syncytial virus.

Others : Mycoplasma pneumoniae, Chlamydia

The disease is mainly transmitted through droplet infection, or also through the droplet nuclei. Once the healthy person is invaded by the infection, patient shows different clinical features like difficulty in breathing , fast breathing which reaches more than 50/min slowly till 5 years. Not only this, one also suffer from ear problems followed by time to time.

Based on the guidelines of integrated management of childhood illness ( IMCI, by WHO ) , ARI is classified into several types. They are :

1.No pneumonia : There is no chest indrawing as well as no fast breathing. For this sort of ARI , there is several symptomatic treatment.

2.Pneumonia : If pneumonia is resulted from ARI, in this case also , there is no chest indrawing, however, fast breathing is resulted.

3.Severe pneumonia : In case of ARI followed by severe pneumonia, there is chest indrawing as well as fast breathing. Treatment for this is use of antibiotics like co-trimoxazole, amoxicillin, chloramphenicol, etc.

7 comments:

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