Summary
Definition
History and exam
Key diagnostic factors
- acute onset
- rhinitis
- sore throat
- sneezing
- postnasal drainage/drip
- cough
- fever
- nonspecific red pharynx
- nasal mucosal edema/erythema
- purulent drainage in nares and posterior pharynx
- pulse and blood pressure within normal limits
Other diagnostic factors
- malaise
- myalgia
- halitosis
- inflamed tonsils
Risk factors
- exposure to affected individuals
- young age
- winter season
- daycare attendance
- exposure to cigarette smoke or other respiratory irritants
Diagnostic investigations
1st investigations to order
- no initial test
Tests to avoid
- serum Monospot for Epstein-Barr virus infection
Investigations to consider
- CBC
- throat swab
- sputum culture
- C-reactive protein (CRP)
- chest x-ray
- sinus CT scan
- viral testing
Treatment algorithm
all patients
Contributors
Authors
Bruce Arroll, MBChB, PhD, FRNZCGP
Professor
Department of General Practice and Primary Health Care
University of Auckland
Auckland
New Zealand
Disclosures
BA is an author of a number of references cited in this topic.
Timothy Kenealy, MBChB, PhD, FRNZCGP
Associate Professor of Integrated Care
Department of General Practice and Primary Health Care
University of Auckland
Auckland
New Zealand
Disclosures
TK is an author of a number of references cited in this topic.
Peer reviewers
Fatima Syed, MD, MSc
Associate Professor of Medicine
Duke University School of Medicine
Durham
NC
Declarações
FS declares that she has no competing interests.
Christopher Cates, MA, FRCGP
Senior Research Fellow
Division of Community Health Sciences
St. George's University of London
London
UK
Declarações
CC declares that he has no competing interests.
Christopher Del Mar, MA MB, BChir MD, FRACGP, FAFPHM
Professor
Faculty of Health Sciences and Medicine
Bond University
Queensland
Australia
Declarações
CDM declares that he has no competing interests.
An De Sutter, MD, PhD
Associate Professor
Department of General Practice and Primary Health Care
Ghent University
Belgium
Declarações
ADS declares that she has no competing interests.
Créditos aos pareceristas
Os tópicos do BMJ Best Practice são constantemente atualizados, seguindo os desenvolvimentos das evidências e das diretrizes. Os pareceristas aqui listados revisaram o conteúdo pelo menos uma vez durante a história do tópico.
Declarações
As afiliações e declarações dos pareceristas referem--se ao momento da revisão.
Referências
Principais artigos
Harris AM, Hicks LA, Qaseem A, et al. Appropriate antibiotic use for acute respiratory tract infection in adults: advice for high-value care from the American College of Physicians and the Centers for Disease Control and Prevention. Ann Intern Med. 2016 Mar 15;164(6):425-34.Texto completo Resumo
Jefferson T, Del Mar CB, Dooley L, et al. Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Database Syst Rev. 2020 Nov 20;11:CD006207.Texto completo Resumo
van Driel ML, Scheire S, Deckx L, et al. What treatments are effective for common cold in adults and children? BMJ. 2018 Oct 10;363:k3786.
De Sutter AI, Eriksson L, van Driel ML. Oral antihistamine-decongestant-analgesic combinations for the common cold. Cochrane Database Syst Rev. 2022 Jan 21;1:CD004976.Texto completo Resumo
Isbister GK, Prior F, Kilham HA. Restricting cough and cold medicines in children. J Paediatr Child Health. 2012 Feb;48(2):91-8. Resumo
Smith SM, Schroeder K, Fahey T. Over-the-counter (OTC) medications for acute cough in children and adults in community settings. Cochrane Database Syst Rev. 2014 Nov 24;(11):CD001831.Texto completo Resumo
Kenealy T, Arroll B. Antibiotics for the common cold and acute purulent rhinitis. Cochrane Database Syst Rev. 2013 Jun 4;(6):CD000247.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Hay fever (allergic rhinitis)
- Chronic sinusitis
- Tonsillitis
Mais Diagnósticos diferenciaisDiretrizes
- Pharmacologic and nonpharmacologic treatment for acute cough associated with the common cold: CHEST expert panel report
- Appropriate antibiotic use for acute respiratory tract infection in adults: advice for high-value care from the American College of Physicians and the Centers for Disease Control and Prevention
Mais DiretrizesFolhetos informativos para os pacientes
Common cold
Treating coughs and colds in children
Mais Folhetos informativos para os pacientesCalculadoras
Sore Throat (Pharyngitis) Evaluation and Treatment Criteria (McIsaac)
Mais Calculadoras
Conectar-se ou assinar para acessar todo o BMJ Best Practice
O uso deste conteúdo está sujeito ao nosso aviso legal