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
Other diagnostic factors
- недомогание
- миалгия
- неприятный запах изо рта
- воспаленные миндалины
Risk factors
- контакт с инфицированным человеком
- младший детский возраст
- зимний сезон
- посещение детских садов
- воздействие сигаретного дыма или других респираторных раздражителей
Diagnostic tests
1st tests to order
- нет первичных анализов
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
Treatment algorithm
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 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
Простуда
Лечение кашля и простуды у детей
Mais Folhetos informativos para os pacientesCalculadoras
Оценивание боли в горле (фарингита) и критерии лечения (McIsaac)
Mais Calculadoras- Conectar-se ou assinar para acessar todo o BMJ Best Practice
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