Tracheobronchitis associated with tracheostomy tubes and endotracheal intubation in children
- Charles R Woods, MD, MS
Charles R Woods, MD, MS
- Professor of Pediatrics
- University of Louisville School of Medicine
- Section Editors
- Glenn C Isaacson, MD, FAAP
Glenn C Isaacson, MD, FAAP
- Section Editor — Pediatric Otolaryngology
- Professor, Department of Otolaryngology, Head and Neck Surgery and Pediatrics
- Lewis Katz School of Medicine at Temple University
- Sheldon L Kaplan, MD
Sheldon L Kaplan, MD
- Editor-in-Chief — Pediatrics
- Section Editor — Pediatric Infectious Diseases
- Professor and Vice Chairman for Clinical Affairs
- Baylor College of Medicine
Children who require artificial airways (ie, tracheostomy for the management of chronic respiratory insufficiency or endotracheal intubation for an acute critical illness) are at increased risk for bacterial tracheopulmonary infections. Infections in these patients occur due to bacterial colonization of the artificial airway and mucosal injuries related to airway cannulation . Tracheobronchitis in this setting is generally characterized by clinical signs of respiratory tract infection (eg, fever, cough, increased sputum production) without radiographic evidence of pneumonia.
Tracheal infections associated with tracheostomy tubes and endotracheal intubation in children will be discussed here. The clinical features, diagnosis, treatment, and prevention of bacterial tracheitis in children and the diagnosis of ventilator-associated pneumonia are discussed separately:
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- Bacterial tracheitis
- Ventilator-associated tracheobronchitis
- Artificial airway-associated tracheobronchitis
- CLINICAL FEATURES
- DIAGNOSTIC EVALUATION
- Chest imaging
- Complete blood count
- Inflammatory biomarkers
- - Gram stain
- - Culture
- DIFFERENTIAL DIAGNOSIS
- SUMMARY AND RECOMMENDATIONS