Signs and symptoms of infection
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Signs and Symptoms of Infection
Signs and Symptoms of Serious Infections in Children
Serious infections in children, such as sepsis, meningitis, pneumonia, pyelonephritis, osteomyelitis, and cellulitis, present with various signs and symptoms that primary care physicians use to assess the likelihood of a serious condition. Classical signs like meningeal irritation and impaired peripheral circulation have high specificity but are not always present. A study involving 3981 children found that while individual signs had low diagnostic accuracy, a multivariable triage instrument showed high sensitivity (96.8%) and specificity (88.5%) for excluding serious infections when children tested negative on the classification tree1.
Chronic Wound Infections: Classic vs. Secondary Signs
In chronic wounds, classic signs of acute infection such as pain, erythema, edema, heat, and purulence are less reliable indicators compared to signs specific to secondary wounds. These specific signs include serous exudate, delayed healing, discoloration of granulation tissue, friable granulation tissue, pocketing at the wound base, foul odor, and wound breakdown. Increasing pain and wound breakdown were found to be sufficient indicators of infection with 100% specificity2 6.
Early Nonspecific Signs in Elderly Institutionalized Individuals
In elderly institutionalized individuals, early nonspecific signs of infection often go unnoticed, leading to delayed diagnosis and treatment. Nursing assistants have identified general signs such as discomfort, unrestrained behavior, aggressiveness, restlessness, confusion, tiredness, feebleness, and decreased eating as potential early indicators. More specific signs include fever and pain, which are associated with established infections like pneumonia and urinary tract infections3.
Common Signs and Symptoms of COVID-19
COVID-19 presents with a wide range of symptoms. The most frequent include fever, cough, and dyspnea, although gastrointestinal symptoms and loss of taste or smell are also reported, especially in mild cases. Dyspnea is more common in severe and fatal cases. Given the variability in symptoms, a sensitive case definition is crucial for effective surveillance and treatment4 8.
Acute HIV Infection Symptoms
In a cohort undergoing community-based screening for acute HIV infection, 52% of patients reported ongoing signs or symptoms at the time of testing, while 28% had symptoms within the previous 14 days. These symptoms are critical for early detection and management of HIV5.
Long COVID Symptoms
Long COVID, defined as symptoms persisting at least four weeks after acute infection, includes fatigue, dyspnea, olfactory dysfunction, myalgia, cough, and gustatory dysfunction. These symptoms can significantly impact quality of life and require ongoing management7.
Common Cold and Influenza Symptoms
The common cold and influenza are diagnosed based on symptomatology, including fever, anorexia, malaise, chilliness, headache, muscle aches, sore throat, rhinorrhea, sneezing, nasal congestion, cough, watery eyes, and sinus pain. Understanding the mechanisms behind these symptoms can aid in better management and treatment10.
Conclusion
Recognizing the signs and symptoms of various infections is crucial for timely diagnosis and treatment. While some signs are specific and reliable, others may be nonspecific and require a combination of indicators for accurate assessment. Understanding these symptoms across different infections can improve patient outcomes and guide clinical practice.
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