What Is the Treatment of Acute Tracheitis?

Acute tracheitis is a serious bacterial infection of the trachea. Management is initiated promptly, with attention to airway status, adequate hydration, and antibiotic therapy.

The protocol begins with airway clearance and establishment of IV access for hydration support. Antibiotherapy is delivered by the IV route initially, using a defined combination approach, then transitioned to oral agents as the patient's condition improves.

Improvement criteria include: fever reduction, diminished respiratory distress, improved SpO2, and improved appetite and/or activity.

References

  1. Suction purulent secretions.
  2. Insert a peripheral IV line and provide IV hydration.
  3. The IV treatment is administered for at least 5 days then, if the clinical condition has improved and oral treatment can be tolerated, change to: amoxicillin/clavulanic acid (co-amoxiclav) PO to complete 7 to 10 days of treatment, as in epiglottitis.
  4. Improvement criteria include: fever reduction, diminished respiratory distress, improved SpO2, improved appetite and/or activity.
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