Acute bronchitis medical therapy: Difference between revisions
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{{Acute bronchitis}} | {{Acute bronchitis}} | ||
{{CMG}} | {{CMG}}{{AE}}{{MehdiP}}; {{NRM}} | ||
==Overview== | ==Overview== | ||
Acute bronchitis may | There is no need for medical therapy in most of acute bronchitis patients; reassurance and symptomatic therapy are usually sufficient. Antibiotics should '''''not''''' be prescribed routinely for patients with acute bronchitis<ref name="pmid15972565">{{cite journal |vauthors=Little P, Rumsby K, Kelly J, Watson L, Moore M, Warner G, Fahey T, Williamson I |title=Information leaflet and antibiotic prescribing strategies for acute lower respiratory tract infection: a randomized controlled trial |journal=JAMA |volume=293 |issue=24 |pages=3029–35 |year=2005 |pmid=15972565 |doi=10.1001/jama.293.24.3029 |url=}}</ref><ref name="pmid24585130">{{cite journal |vauthors=Smith SM, Fahey T, Smucny J, Becker LA |title=Antibiotics for acute bronchitis |journal=Cochrane Database Syst Rev |volume= |issue=3 |pages=CD000245 |year=2014 |pmid=24585130 |doi=10.1002/14651858.CD000245.pub3 |url=}}</ref><ref name="pmid16428698">{{cite journal |vauthors=Braman SS |title=Chronic cough due to acute bronchitis: ACCP evidence-based clinical practice guidelines |journal=Chest |volume=129 |issue=1 Suppl |pages=95S–103S |year=2006 |pmid=16428698 |doi=10.1378/chest.129.1_suppl.95S |url=}}</ref><ref name="pmid17108344">{{cite journal |vauthors=Wenzel RP, Fowler AA |title=Clinical practice. Acute bronchitis |journal=N. Engl. J. Med. |volume=355 |issue=20 |pages=2125–30 |year=2006 |pmid=17108344 |doi=10.1056/NEJMcp061493 |url=}}</ref><ref name="pmid17002029">{{cite journal |vauthors=Wong DM, Blumberg DA, Lowe LG |title=Guidelines for the use of antibiotics in acute upper respiratory tract infections |journal=Am Fam Physician |volume=74 |issue=6 |pages=956–66 |year=2006 |pmid=17002029 |doi= |url=}}</ref> | ||
==Medical Therapy== | |||
Majority of patients may benefit from [[NSAIDs]], such as [[aspirin]] or [[acetaminophen]], to relieve constitutional symptoms and [[albuterol]] if the [[cough]] is disruptive.<ref name="pmid16428698">{{cite journal |vauthors=Braman SS |title=Chronic cough due to acute bronchitis: ACCP evidence-based clinical practice guidelines |journal=Chest |volume=129 |issue=1 Suppl |pages=95S–103S | |||
|year=2006 |pmid=16428698 |doi=10.1378/chest.129.1_suppl.95S |url=}}</ref> | |||
== | === Medications === | ||
*[[Albuterol]]: alleviation of wheezing and symptoms of airway obstruction | |||
*[[Antitussive|Antitussives]]: [[codeine]] or [[dextromethorphan]] for <ref name="pmid16428698">{{cite journal |vauthors=Braman SS |title=Chronic cough due to acute bronchitis: ACCP evidence-based clinical practice guidelines |journal=Chest |volume=129 |issue=1 Suppl |pages=95S–103S |year=2006 |pmid=16428698 |doi=10.1378/chest.129.1_suppl.95S |url=}}</ref> | |||
*[[NSAIDs]]: alleviation of constitutional symptoms, such as [[myalgia]] and [[fever]] | |||
Antibiotics '''''SHOULD NOT''''' be prescribed unless there is strong evidence of bacterial infection, especially in [[Comorbidity|comorbid]] conditions, such as chronic [[Heart disease|heart]] or [[lung diseases]] and [[immunocompromised]] or [[Neuromuscular disease|neuromuscular diseases]].<ref name="pmid15972565">{{cite journal |vauthors=Little P, Rumsby K, Kelly J, Watson L, Moore M, Warner G, Fahey T, Williamson I |title=Information leaflet and antibiotic prescribing strategies for acute lower respiratory tract infection: a randomized controlled trial |journal=JAMA |volume=293 |issue=24 |pages=3029–35 |year=2005 |pmid=15972565 |doi=10.1001/jama.293.24.3029 |url=}}</ref><ref name="pmid24585130">{{cite journal |vauthors=Smith SM, Fahey T, Smucny J, Becker LA |title=Antibiotics for acute bronchitis |journal=Cochrane Database Syst Rev |volume= |issue=3 |pages=CD000245 |year=2014 |pmid=24585130 |doi=10.1002/14651858.CD000245.pub3 |url=}}</ref><ref name="pmid16428698">{{cite journal |vauthors=Braman SS |title=Chronic cough due to acute bronchitis: ACCP evidence-based clinical practice guidelines |journal=Chest |volume=129 |issue=1 Suppl |pages=95S–103S |year=2006 |pmid=16428698 |doi=10.1378/chest.129.1_suppl.95S |url=}}</ref><ref name="pmid17108344">{{cite journal |vauthors=Wenzel RP, Fowler AA |title=Clinical practice. Acute bronchitis |journal=N. Engl. J. Med. |volume=355 |issue=20 |pages=2125–30 |year=2006 |pmid=17108344 |doi=10.1056/NEJMcp061493 |url=}}</ref><ref name="pmid17002029">{{cite journal |vauthors=Wong DM, Blumberg DA, Lowe LG |title=Guidelines for the use of antibiotics in acute upper respiratory tract infections |journal=Am Fam Physician |volume=74 |issue=6 |pages=956–66 |year=2006 |pmid=17002029 |doi= |url=}}</ref> | |||
==References== | ==References== | ||
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{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category: | [[Category:Surgery]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Infectious disease]] | |||
Latest revision as of 20:15, 29 July 2020
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Acute bronchitis Microchapters |
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Acute bronchitis medical therapy On the Web |
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American Roentgen Ray Society Images of Acute bronchitis medical therapy |
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Risk calculators and risk factors for Acute bronchitis medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]; Nate Michalak, B.A.
Overview
There is no need for medical therapy in most of acute bronchitis patients; reassurance and symptomatic therapy are usually sufficient. Antibiotics should not be prescribed routinely for patients with acute bronchitis[1][2][3][4][5]
Medical Therapy
Majority of patients may benefit from NSAIDs, such as aspirin or acetaminophen, to relieve constitutional symptoms and albuterol if the cough is disruptive.[3]
Medications
- Albuterol: alleviation of wheezing and symptoms of airway obstruction
- Antitussives: codeine or dextromethorphan for [3]
- NSAIDs: alleviation of constitutional symptoms, such as myalgia and fever
Antibiotics SHOULD NOT be prescribed unless there is strong evidence of bacterial infection, especially in comorbid conditions, such as chronic heart or lung diseases and immunocompromised or neuromuscular diseases.[1][2][3][4][5]
References
- ↑ 1.0 1.1 Little P, Rumsby K, Kelly J, Watson L, Moore M, Warner G, Fahey T, Williamson I (2005). "Information leaflet and antibiotic prescribing strategies for acute lower respiratory tract infection: a randomized controlled trial". JAMA. 293 (24): 3029–35. doi:10.1001/jama.293.24.3029. PMID 15972565.
- ↑ 2.0 2.1 Smith SM, Fahey T, Smucny J, Becker LA (2014). "Antibiotics for acute bronchitis". Cochrane Database Syst Rev (3): CD000245. doi:10.1002/14651858.CD000245.pub3. PMID 24585130.
- ↑ 3.0 3.1 3.2 3.3 Braman SS (2006). "Chronic cough due to acute bronchitis: ACCP evidence-based clinical practice guidelines". Chest. 129 (1 Suppl): 95S–103S. doi:10.1378/chest.129.1_suppl.95S. PMID 16428698.
- ↑ 4.0 4.1 Wenzel RP, Fowler AA (2006). "Clinical practice. Acute bronchitis". N. Engl. J. Med. 355 (20): 2125–30. doi:10.1056/NEJMcp061493. PMID 17108344.
- ↑ 5.0 5.1 Wong DM, Blumberg DA, Lowe LG (2006). "Guidelines for the use of antibiotics in acute upper respiratory tract infections". Am Fam Physician. 74 (6): 956–66. PMID 17002029.