Respiratory Disorders

  • Roger P. Smith


Like it or not, patients with respiratory complaints are a part of our practice. The common cold is often referred to as the most frequent illness occurring in humans: over 40% of Americans suffer from a “cold” each year, accounting for more lost productivity than any other illness. Pharyngitis affects almost 30 million patients annually, with over 10% of all school-aged children seeking medical care each year. Seventeen million patients a year are diagnosed with asthma, with more females than males among adult-onset patients. Whether it is the reason for our patient’s visit or an incidental complaint, we are involved with the diagnosis and management of these problems.


Respiratory Syncytial Virus Allergic Rhinitis Sore Throat Common Cold Pneumocystis Carinii Pneumonia 
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Suggested Reading

  1. Arroll B, Kenealy T. Antibiotics for the common cold. Cochrane Database Syst Rev 2000;(2):CD000247.Google Scholar
  2. ATS Update. Future directions for research on diseases of the lung. Am J Respir Critical Care Med 1998;158:320–34.Google Scholar
  3. Barrett B, Vohmann M, Calabrese C. Echinacea for upper respiratory infection. J Fam Pract 1999;48:628–35.PubMedGoogle Scholar
  4. Bertino JS. Cost burden of viral respiratory infections: issues for formulary decision makers. Am J Med 2002;112(Suppl 6A):42S–49S.PubMedCrossRefGoogle Scholar
  5. Boulet LP, Thivierge RL, Amesse A, Nunes F, Francoeur S, Collet JP. Towards excellence in asthma management (TEAM): a population disease-management model. J Asthma 2002;39:341–50.PubMedCrossRefGoogle Scholar
  6. Centers for Disease Control. Forecasted state-specific estimates of self-reported asthma prevalence—1998. Morbid Mortal 1998;47:1022–25.Google Scholar
  7. Conrad DA, Jenson HB. Management of acute bacterial rhinosinusitis. Curr Opin Pediatr 2002;14(1):86–90.PubMedCrossRefGoogle Scholar
  8. Douglas RM, Chalker EB, Treacy B. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev 2000;(2):CD000980.Google Scholar
  9. Ducharme FM. Anti-leukotrienes as add-on therapy to inhaled glucocorticoids in patients with asthma: systematic review of current evidence. BMJ 2002;324(7353):1545.PubMedCrossRefGoogle Scholar
  10. Gern JE. Rhinovirus respiratory infections and asthma. Am J Med 2002;112(Suppl 6A):19S–27S.PubMedCrossRefGoogle Scholar
  11. Giles JT, Palat CT 3rd, Chien SH, Chang ZG, Kennedy DT. Evaluation of echinacea for treatment of the common cold. Pharmacotherapy 2000;20:690–7.PubMedCrossRefGoogle Scholar
  12. Greenberg SB. Respiratory viral infections in adults. Curr Opin Pulmon Med 2002;8:201–8.CrossRefGoogle Scholar
  13. Grimm W, Muller HH. A randomized controlled trial of the effect of fluid extract of Echinacea purpurea on the incidence and severity of colds and respiratory infections. Am J Med 1999;106:138–43.PubMedCrossRefGoogle Scholar
  14. Gwaltney JM. Clinical significance and pathogenesis of viral respiratory infections. Am J Med 2002;112(Suppl 6A):13S–18S.PubMedCrossRefGoogle Scholar
  15. Gwaltney JM. Viral respiratory infection therapy: historical perspectives and current trials. Am J Med 2002;112(Suppl 6A):33S–41S.PubMedCrossRefGoogle Scholar
  16. Henneicke-von Zepelin H, Hentschel C, Schnitker J, Kohnen R, Kohler G, Wustenberg P. Efficacy and safety of a fixed combination phytomedicine in the treatment of the common cold (acute viral respiratory tract infection): results of a randomised, double blind, placebo controlled, multicentre study. Curr Med Res Opin 1999;15:214–27.PubMedCrossRefGoogle Scholar
  17. Irwin RS, Madison JM. The diagnosis and treatment of cough. N Engl J Med 2000;343:1715–21PubMedCrossRefGoogle Scholar
  18. Jefferson TO, Tyrrell D. Antivirals for the common cold. Cochrane Database Syst Rev 2001;(3):CD002743.Google Scholar
  19. Katz PO. Gastroesophageal reflux disease—state of the art. Rev Gastroenterol Disord 2001;1:128–38.PubMedGoogle Scholar
  20. Leiner S, Mays M. Pharmacologic management of common lower respiratory tract disorders in women. J Midwifery Womens Health 2002;47:167–81.PubMedCrossRefGoogle Scholar
  21. Lindenmuth GF, Lindenmuth EB. The efficacy of Echinacea compound herbal tea preparation on the severity and duration of upper respiratory and flu symptoms: a randomized, double-blind placebo-controlled study. J Altern Complement Med 2000;6(4):327–34.PubMedCrossRefGoogle Scholar
  22. Lordan JL, Holgate ST. H1-antihistamines in asthma. Clin Allergy Immunol 2002;17:221–48.PubMedGoogle Scholar
  23. Marshall I. Zinc for the common cold. Cochrane Database Syst Rev 2000;(2): CD001364.Google Scholar
  24. Meadows M. Beat the winter bugs. How to hold your own against colds and flu. FDA Consum 2001;35(6):11–17.PubMedGoogle Scholar
  25. Melchart D, Walther E, Linde K, Brandmaier R, Lersch C. Echinacea root extracts for the prevention of upper respiratory tract infections: a double-blind, placebo-controlled randomized trial. Arch Fam Med 1998;7:541–5.PubMedCrossRefGoogle Scholar
  26. Mitchell JL. Use of cough and cold preparations during breastfeeding. J Hum Lact 1999;15:347–9.PubMedCrossRefGoogle Scholar
  27. Monto AS. Epidemiology of viral respiratory infections. Am J Med 2002; 112(Suppl 6A):4S–12S.PubMedCrossRefGoogle Scholar
  28. Mossad SB, Macknin ML, Medendorp SV, Mason P. Zinc gluconate lozenges for treating the common cold. A randomized, double-blind, placebo-controlled study. Ann Intern Med 1996;125(2):81–88.PubMedGoogle Scholar
  29. Neuzil KM, Reed GW, Mitchell EF Jr, Griffin MR. Influenza-associated morbidity and mortality in young and middle-aged women. JAMA 1999;281:901.PubMedCrossRefGoogle Scholar
  30. Peebles RS, Hartert TV. Highlights from the annual scientific assembly: patient-centered approaches to asthma management: strategies for treatment and management of asthma. South Med J 2002;95(7):775–9.PubMedGoogle Scholar
  31. Potter YJ, Hart LL. Zinc lozenges for treatment of common colds. Ann Pharmacother 1993;27(5):589–592.PubMedGoogle Scholar
  32. Powrie RO. Drugs in pregnancy. Respiratory disease. Best Pract Res Clin Obstet Gynaecol 2001;15(6):913–36.PubMedCrossRefGoogle Scholar
  33. Recommendations of prophylaxis against PCP for adults and adolescents with human immunodeficiency virus. MMWR, Recommendations and Reports, 41 RR-4 (April 10, 1992).Google Scholar
  34. Rodrigo GJ, Rodrigo C. Continuous vs intermittent beta-agonists in the treatment of acute adult asthma: a systematic review with meta-analysis. Chest 2002;122:160–5.PubMedCrossRefGoogle Scholar
  35. Singh M. Heated, humidified air for the common cold. Cochrane Database Syst Rev 2000;(2):CD001728.Google Scholar
  36. Smucny J, Fahey T, Becker L, Glazier R, McIsaac W. Antibiotics for acute bronchitis. Cochrane Database Syst Rev 2000;(4):CD000245.Google Scholar
  37. Taverner D, Bickford L, Draper M. Nasal decongestants for the common cold. Cochrane Database Syst Rev 2000;(2):CD001953.Google Scholar
  38. Tuffaha A, Gern JE, Lemanske RF Jr. The role of respiratory viruses in acute and chronic asthma. Clin Chest Med 2000;21:289–300.PubMedCrossRefGoogle Scholar
  39. Van Cauwenberge PB, van Kempen MJ, Bachert C. The common cold at the turn of the millennium. Am J Rhinol 2000;14:339–43.PubMedCrossRefGoogle Scholar
  40. West JV. Acute upper airway infections. Br Med Bull 2002;61:215–30.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Roger P. Smith
    • 1
  1. 1.Department of Obstetrics and GynecologyUniversity of Missouri, Truman Medical CenterKansas CityUSA

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