The Curbsiders Internal Medicine Podcast #457 Cold and Flu Season: Upper Respiratory Infections aka URIs
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Oct 14, 2024 Dr. Amber Bird, an academic general internist at Penn and residency program director, dives into the nitty-gritty of upper respiratory infections. She emphasizes the importance of accurate diagnosis and symptom relief while steering clear of unnecessary antibiotics. The discussion includes effective home remedies and the role of vaccinations in preventing complications. Learn about antivirals for influenza and the significance of educating patients on managing their symptoms. A mix of humor and valuable insights makes this a must-listen for anyone navigating cold and flu season!
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Targeted Viral Testing
- Viral respiratory testing mainly helps guide treatment decisions for influenza or COVID-19.
- Testing is less useful if outside the treatment window or if management won't change.
Over-the-Counter Relief
- Offer over-the-counter decongestants (nasal or combined with antihistamines) for symptom relief.
- Consider nasal saline or intranasal corticosteroids for general congestion or if oral decongestants are unsuitable.
Managing Cough
- Use dextromethorphan for adults' coughs, though efficacy is moderate.
- Consider guaifenesin for reactive, post-viral coughs, but be aware of mixed data on benzonatate's effectiveness.