Update on childhood and adult infectious tracheitis.
Fiche publication
Date publication
novembre 2017
Journal
Medecine et maladies infectieuses
Auteurs
Membres identifiés du Cancéropôle Est :
Pr BONNIAUD Philippe
Tous les auteurs :
Blot M, Bonniaud-Blot P, Favrolt N, Bonniaud P, Chavanet P, Piroth L
Lien Pubmed
Résumé
The trachea is a pivotal organ of the respiratory tract. Rather than a genuine anatomic border, it acts as a crossroad in all respiratory infectious processes. Even though not strictly limited to the trachea, infections such as laryngotracheitis and tracheobronchitis are frequently diagnosed in children, in particular during the winter season. Infectious tracheitis etiologies are diverse and the distinction between viral and bacterial origins, albeit difficult, remains relevant considering the substantial differences in terms of gravity and therapeutic management. This literature review summarizes the microbiological and clinical aspects of community-acquired and nosocomial tracheitis in adults and children, as well as the adequate diagnostic and therapeutic approaches. It also highlights the emergence of fungal tracheitis in immunocompromised patients, of ventilator-associated tracheitis in intensive care medicine, and beyond all that the potential short and long-term consequences of tracheitis.
Mots clés
Croup, Tracheitis, Trachéite, Trachéite acquise sous ventilation, Ventilator-associated tracheitis
Référence
Med Mal Infect. 2017 Nov;47(7):443-452