Chronic bronchitis medical therapy: Difference between revisions

Jump to navigation Jump to search
Line 1: Line 1:
{{CMG}}
#REDIRECT [[Chronic obstructive pulmonary disease medical therapy]]
{{Chronic bronchitis}}
 
==Overview==
 
==Treatment==
 
===Antibiotics===
For acute exacerbations of chronic bronchitis, if antibiotics are used a [[meta-analysis]] found that "amoxicillin/clavulanic acid, macrolides, second-generation or third-generation cephalosporins, and quinolones" may be more effective.<ref name="pmid17573508">{{cite journal |author=Dimopoulos G, Siempos II, Korbila IP, Manta KG, Falagas ME |title=Comparison of first-line with second-line antibiotics for acute exacerbations of chronic bronchitis: a metaanalysis of randomized controlled trials to Joe Fo Sho |journal=Chest |volume=132 |issue=2 |pages=447-55 |year=2007 |pmid=17573508 |doi=10.1378/chest.07-0149}}</ref>
 
===Bronchodilators===
For acute exacerbations of chronic bronchitis, a [[clinical practice guideline]] by the [[American College of Physicians]] found that [[bronchodilator]]s may help.<ref name="pmid11281745">{{cite journal |author=Bach PB, Brown C, Gelfand SE, McCrory DC |title=Management of acute exacerbations of chronic obstructive pulmonary disease: a summary and appraisal of published evidence |journal=Ann. Intern. Med. |volume=134 |issue=7 |pages=600–20 |year=2001 |pmid=11281745 |doi=}}</ref>
 
===Corticosteroids===
For acute exacerbations of chronic bronchitis, a [[clinical practice guideline]] by the [[American College of Physicians]] found that [[corticosteroid]]s may help.<ref name="pmid11281745"/>
 
===Smoking cessation===
{{main|smoking cessation}}
 
==Acute exacerbations==
{{Main|Acute exacerbations of chronic bronchitis}}
''Acute exacerbations of chronic bronchitis'' (AECB) are episodes of difficulty in breathing in a person with chronic bronchitis.<ref name=medbroadcast>[http://www.medbroadcast.com/condition_info_details.asp?disease_id=285&next_page=y medbroadcast.com > Acute Exacerbations of Chronic Bronchitis] Retrieved on Mars 13, 2010</ref>
 
During AECB, breathing becomes much more difficult because of further narrowing of the airways, in addition to increased secretion of mucus, which often is thicker than usual.<ref name=medbroadcast/>
 
Treatment of AECB may include:
* [[Cough suppressants]]<ref name=medbroadcast/>
* Inhaled [[bronchodilator]]s<ref name=medbroadcast/><ref name="pmid11281745">{{cite journal |author=Bach PB, Brown C, Gelfand SE, McCrory DC |title=Management of acute exacerbations of chronic obstructive pulmonary disease: a summary and appraisal of published evidence |journal=Ann. Intern. Med. |volume=134 |issue=7 |pages=600–20 |year=2001 |pmid=11281745 |doi=}}</ref>
* [[Antibiotics]] are used if a bacterial infection is the suspected cause.<ref name=medbroadcast/>  However, antibiotics will not treat exacerbations caused by viruses.<ref name=medbroadcast/>
* [[Corticosteroid]]s<ref name=medbroadcast/><ref name="pmid11281745"/>
* [[Theophylline]]<ref name=medbroadcast/>
* [[Oxygen therapy]]<ref name=medbroadcast/>
 
==References==
{{Reflist|2}}

Revision as of 20:28, 30 March 2012