Today's BMJ: Investigating recurrent respiratory infections in primary care

[FRSM]

Из самой большой европейской больницы. ИМХО, может быть интересно.


Practice
Rational Testing
Investigating recurrent respiratory infections in primary care

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....When evaluating a patient with recurrent infection, consider the acronym SPUR (severe, persistent, unusual, or recurrent) to prompt investigations for underlying causes

In unusual recurrent upper or lower respiratory tract infections with no obvious predisposing factors, check serum immunoglobulin (IgG, IgA, and IgM) and carry out electrophoresis of serum and urine as well as baseline investigations such as fasting serum glucose, full blood count, and renal function

The primary antibody deficiency syndromes are a group of rare disorders characterised by the inability to produce clinically effective antibody response to infection—delay in diagnosis remains a problem and contributes to chronic disease

Recurrent lower respiratory tract infections in a young person with normal immunoglobulin concentrations and electrophoresis results should prompt referral to a respiratory physician to exclude respiratory disease such as bronchiectasis and cystic fibrosis......

The website of the United Kingdom Primary Immunodeficiency Network ([Ссылки доступны только зарегистрированным пользователям ]) provides information and diagnostic algorithms for primary immunodeficiencies.