Managing lower respiratory tract infections

This series explores a range of clinically important conditions that are known for their varied presentations, overlapping signs and symptoms, and the diagnostic challenges they pose across imaging and microbiology. The challenges and how they affect patient management and outcomes were also considered across four areas by guest speakers from the USA, India, Sri Lanka, and the UK. 

Community acquired pneumonia and lower respiratory tract infections

Webinar 1 of 4

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Community acquired pneumonia in adults and the elderly, diagnosis and management

In this talk, Dr Kushlani Jayatilleke, Consultant in Clinical Microbiology and Infection Control at Jayawardena General Hospital, Colombo, Sri Lanka, discusses key aspects of community‑acquired pneumonia from risk assessment and rapid imaging to early antibiotic therapy, pathogen testing, and the crucial role of vaccination.

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Community acquired pneumonia in infants and children - the role of a specific diagnosis on management

In this talk, Dr Sanjay Deshpande, Assistant Professor and Attending in Paediatric Infectious Diseases at Texas Children’s Hospital and Baylor College of Medicine, USA, discusses paediatric pneumonia with a focus on rapid diagnostics, targeted antibiotic therapy, and improved antimicrobial stewardship to reduce resistance and enhance patient care.

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Atypical pneumonia syndromes in children – diagnosis and management

In this talk, Dr Mitul Patel, Consultant in Clinical Microbiology and Infection Control at Birmingham Children’s Hospital, UK, explores the evidence and the evidence gaps underlying current recommendations for the microbiological diagnosis of pneumonia in children. The session reviews existing guidelines, highlights key areas of uncertainty, and discusses the practical implications for everyday clinical practice.

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Chronic pneumonia in adults and the elderly - more than being an infectious disease

In this talk, Dr Sanjay Bhattacharya, Senior Consultant and Head of Clinical Microbiology and Infection Control at Tata Medical Centre, Kolkata, India, discusses the causes of chronic pneumonia including tuberculosis, fungal infections, and other atypical pathogens, as well as important non‑infectious conditions such as bronchiectasis and airway obstruction.

Healthcare associated lower respiratory tract Infections

Healthcare associated lower respiratory tract infections

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HAP & VAP – The complexities associated with diagnosis and management

In this talk, Dr Aruna Poojary, Consultant in Clinical Microbiology and Infection Control at Breach Candy Hospital, Mumbai, India, discusses hospital‑acquired and ventilator‑associated pneumonia, focusing on diagnostic challenges, rising antimicrobial resistance, and the essential role of robust infection‑prevention practices.

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Hospital acquired pneumonia in the Immunocompromised host – challenges in Diagnosis and Management

In this talk Dr Subramanian Swaminathan, Senior Consultant & Head Department of Infectious Diseases, Gleneagles Global Hospital Chennai, India, discusses hospital acquired respiratory infections in immunocompromised patients, focusing on diagnostic challenges, atypical presentations, and the need for rapid, targeted management.

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Challenges in the Diagnosis and Management of Fungal and Viral Healthcare Associated Pneumonia

In this talk, Dr Sharmila Sengupta, Professor of Microbiology at the Amrita Institute of Medical Sciences, Faridabad, India, discusses healthcare associated pneumonias are discussed, highlighting bacterial, fungal and viral causes, diagnostic challenges, and the need for early suspicion to improve outcomes.

 

Infective airway disease

Webinar 3 of 4

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Acute Bronchitis in adults and children - Challenge in diagnosis and appropriate management

In this talk, Dr Lancelot Pinto, Consultant Respirologist at P.D. Hinduja National Hospital and Research Centre, Mumbai, India, discusses acute bronchitis with a focus on its viral causes, common diagnostic pitfalls, key red‑flag symptoms, and the importance of avoiding unnecessary antibiotics to support good antimicrobial stewardship.

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Infective Exacerbations in COPD & Asthmatic Bronchitis

In this talk, Dr Rishikesavan Suntharalingam, Consultant Pulmonologist, Sri Lanka, emphasises the importance of antibiotic stewardship, with prescribing guided by clear clinical indicators of bacterial infection. He also addresses key regional challenges in South Asia, including antimicrobial resistance, resource limitations, and restricted access to optimal therapies. Preventive strategies such as influenza and pneumococcal vaccination, smoking cessation, pulmonary rehabilitation, and structured self‑management plans are highlighted. The session concludes with practical takeaways.

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Interstitial pneumonia – Challenges in the Diagnosis and Management

In this talk, Dr Aditya Agrawal, Consultant in Pulmonary Medicine at Breach Candy Hospital and Research Centre and Parsee General Hospital, Mumbai, India, provides a clear overview of interstitial pneumonias, emphasising that these are histopathologic patterns rather than single diseases. He introduces the 2025 ERS/ATS behaviour based classification, outlines key diagnostic challenges such as distinguishing idiopathic pulmonary fibrosis from fibrotic hypersensitivity pneumonitis—and explains the role of the newly defined bronchiolocentric interstitial pneumonia (BIP).

 

Complicated lower respiratory tract infections

Webinar 4 of 4

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Challenges in the diagnosis of Infections and Management of Empyema Thoracis

In this talk, Dr Sneka Palanisamy, Consultant Microbiology and Infection control, Mersey and West Lancashire NHS Trust UK, gives a clear, practical overview of empyema thoracis, outlining how pleural infections progress and why rapid diagnosis and intervention are vital. It covers a UK‑aligned assessment approach—including ultrasound use, pleural fluid interpretation, and indications for drainage—and reviews key management strategies such as antibiotics, small‑bore drains, tPA/DNase therapy, and early surgical involvement.

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Infections in Cystic Fibrosis and Non-CF – Bronchiectasis

In this presentation, Dr Naveen Saradhi, Consultant in Paediatric Pulmonology at Rainbow Children’s Hospitals, Hyderabad, India, This video explains how infections especially with Pseudomonas aeruginosa-drive worsening disease in cystic fibrosis (CF) and non CF bronchiectasis. It highlights the “vicious cycle” of infection and inflammation, the growing recognition of viral and fungal triggers, and the importance of early pathogen detection and targeted treatment to prevent lung damage and improve long term outcomes.

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Infectious Cavitatory Lung Disease

In this talk, Professor Uma Sekar, Vice Chancellor of Sri Ramachandra University and Professor of Microbiology at the Sri Ramachandra Institute of Medical Sciences, Chennai, India, outlines how pulmonary cavities form, reviews the major infectious and non‑infectious causes, and explains how clinical history, local epidemiology, and imaging help narrow the diagnosis. It also highlights key pathogens and the essential tools used to identify the underlying cause.