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Простуда

Last reviewed: 22 Sep 2024
Last updated: 29 Mar 2022

Summary

Definition

History and exam

Key diagnostic factors

  • наличие факторов риска
  • острое начало
  • ринит
  • боль в горле
  • чихание
  • постназальный дренаж
  • кашель
  • лихорадка
  • неспецифическое воспаление глотки
  • отек слизистой оболочки носа / эритема
  • гнойный дренаж в носовые ходы и по задней стенке глотки
  • пульс <100 уд / мин; нет гипотонии
Full details

Other diagnostic factors

  • недомогание
  • миалгия
  • неприятный запах изо рта
  • воспаленные миндалины
Full details

Risk factors

  • контакт с инфицированным человеком
  • младший детский возраст
  • зимний сезон
  • посещение детских садов
  • воздействие сигаретного дыма или других респираторных раздражителей
Full details

Diagnostic tests

1st tests to order

  • нет первичных анализов
Full details

Tests to consider

  • развернутый анализ крови
  • мазок из глотки
  • бактериологическое исследование мокроты на культуры возбудителя
  • выявление гетерофильных антител
  • C-реактивный белок (СРБ)
  • рентгенография органов грудной клетки
  • КТ синусов
  • вирусное тестирование
Full details

Treatment algorithm

ACUTE

все пациенты

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

Christopher Cates, MA, FRCGP

Senior Research Fellow

Division of Community Health Sciences

St. George's University of London

London

UK

Divulgaciones

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

Divulgaciones

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

Divulgaciones

ADS declares that she has no competing interests.

Greg Poland, FRCOG

Mary Lowell Leary Endowed Professor

General Internal Medicine

Paediatrics

Mayo Clinic

Rochester

MN

Declarações

GP has no competing interests in regards to the common cold. He does consult with a variety of manufacturers and performs research studies related to influenza, founded by vaccine manufacturers, none of which involves virus related to the common cold.

Peter Dicpinigaitis, MD

Professor of Clinical Medicine

Albert Einstein College of Medicine

Director

Intensive Care Unit

Weiler Division/Montefiore Medical Center

Bronx

NY

Declarações

PD has served as a consultant to Reckitt Benckiser, Procter & Gamble, Wyeth Pharmaceuticals, Novartis, Glaxo SmithKline, and Boehringer Ingelheim.

  • Diagnósticos diferenciais

    • Коронавирусная болезнь 2019 (COVID-19)
    • Высокая температура (аллергический ринит)
    • Хронический синусит
    Mais Diagnósticos diferenciais
  • Diretrizes

    • 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 Diretrizes
  • Folhetos informativos para os pacientes

    Простуда

    Лечение кашля и простуды у детей

    Mais Folhetos informativos para os pacientes
  • Calculadoras

    Оценивание боли в горле (фарингита) и критерии лечения (McIsaac)

    Mais Calculadoras
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