Bronchitis primary prevention: Difference between revisions

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{{CMG}}
{{CMG}}{{AE}}{{MehdiP}}
{{Bronchitis}}
{{Bronchitis}}
==Overview==
Cigarette cessation,hand hygiene,vaccination and decrease occupational exposure are the mainstays to decrease the severity and the risk of bronchitis.
==Primary Prevention==
==Primary Prevention==
 
===Acute bronchitis===
*DO NOT smoke.
Effective measures for the primary prevention of [[acute bronchitis]] include ''environmental measures'',''hand hygiene'',''physical barriers'' and ''vaccination''<ref name="pmid21121518">{{cite journal |vauthors=Albert RH |title=Diagnosis and treatment of acute bronchitis |journal=Am Fam Physician |volume=82 |issue=11 |pages=1345–50 |year=2010 |pmid=21121518 |doi= |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>.
*Get a yearly [[flu vaccine]] and a [[pneumococcal vaccine]] as directed by your doctor.
*'''Environmental control:'''Cigarette smoking, fumes and aerosols can irritate the airways and aggravate the symptoms.
*Reduce your exposure to air pollution.
*'''Hand Hygiene:'''It is effective to reduce the pathogen circulation.
*Wash your [[hands]] (and your children's hands) frequently to avoid spreading [[viruses]] and other[[infections]].
*'''Physical barriers:'''Physical controls such as: masks, gowns, gloves and eye wears will reduce the rate of transmission.
 
*'''Vaccination:'''Vaccination for [[influenza]] and [[pertussis]] will reduce the risk of this particular pathogens.
 
*'''Vitamin A:'''There are evidences that support prescribing Vitamin A will help to reduce the risk of lower respiratory tract infections in children<ref name="pmid18254093">{{cite journal |vauthors=Chen H, Zhuo Q, Yuan W, Wang J, Wu T |title=Vitamin A for preventing acute lower respiratory tract infections in children up to seven years of age |journal=Cochrane Database Syst Rev |volume= |issue=1 |pages=CD006090 |year=2008 |pmid=18254093 |doi=10.1002/14651858.CD006090.pub2 |url=}}</ref>.
===Prevention of bronchitis due to bronchiectasis===
===Chronic bronchitis===
 
To decrease the number and rate of deaths, public health programs should continue efforts to reduce all personal exposure to the following:
 
*Tobacco smoke, including passive smoke exposure.
{| style="border: 2px solid #696969;" align="center"
*Occupational dusts and chemicals.
|+ <SMALL>''Prevention of bronchitis due to bronchiectasis.''/SMALL>
*Other indoor and outdoor air pollutants linked to COPD.
| style="background: #A5B2D6; border: 0px solid #696969; padding: 0 5px; width: 200px"| '''Antimicrobial Agent''' || style="background: #A5B2D6; border: 0px solid #696969; padding: 0 5px; width: 200px" | '''Dosage'''
|-
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5" align=left |&nbsp;▸&nbsp;'''''[[Erythromycin]]''''' || style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | '''''250 mg po bid for 12 months'''''
|-
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5" align=left |&nbsp;▸&nbsp;'''''[[Azithromycin]]''''' || style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | '''''250 mg q 24h  for 12 months'''''
|-
|}





Revision as of 16:23, 15 September 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Bronchitis Main page

Patient Information

Overview

Causes

Classification

Acute bronchitis
Chronic bronchitis

Differential Diagnosis

Overview

Cigarette cessation,hand hygiene,vaccination and decrease occupational exposure are the mainstays to decrease the severity and the risk of bronchitis.

Primary Prevention

Acute bronchitis

Effective measures for the primary prevention of acute bronchitis include environmental measures,hand hygiene,physical barriers and vaccination[1][2].

  • Environmental control:Cigarette smoking, fumes and aerosols can irritate the airways and aggravate the symptoms.
  • Hand Hygiene:It is effective to reduce the pathogen circulation.
  • Physical barriers:Physical controls such as: masks, gowns, gloves and eye wears will reduce the rate of transmission.
  • Vaccination:Vaccination for influenza and pertussis will reduce the risk of this particular pathogens.
  • Vitamin A:There are evidences that support prescribing Vitamin A will help to reduce the risk of lower respiratory tract infections in children[3].

Chronic bronchitis

To decrease the number and rate of deaths, public health programs should continue efforts to reduce all personal exposure to the following:

  • Tobacco smoke, including passive smoke exposure.
  • Occupational dusts and chemicals.
  • Other indoor and outdoor air pollutants linked to COPD.



References

  1. Albert RH (2010). "Diagnosis and treatment of acute bronchitis". Am Fam Physician. 82 (11): 1345–50. PMID 21121518.
  2. 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.
  3. Chen H, Zhuo Q, Yuan W, Wang J, Wu T (2008). "Vitamin A for preventing acute lower respiratory tract infections in children up to seven years of age". Cochrane Database Syst Rev (1): CD006090. doi:10.1002/14651858.CD006090.pub2. PMID 18254093.


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