Acute bronchitis medical therapy: Difference between revisions
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There is no need for medical therapy in most of acute bronchitis patients and they only need reassurance and symptomatic therapy. 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>. | There is no need for medical therapy in most of acute bronchitis patients and they only need reassurance and symptomatic therapy. 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>. | ||
==Medical Therapy== | ==Medical Therapy== | ||
Many of patients may benefit from NSAIDS such as; aspirin | Many of patients may benefit from NSAIDS such as; aspirin or acetaminophen to relief the constitutional symptoms and albuterol if the cough is disturbing<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>. | |year=2006 |pmid=16428698 |doi=10.1378/chest.129.1_suppl.95S |url=}}</ref>. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
There is no need for medical therapy in most of acute bronchitis patients and they only need reassurance and symptomatic therapy. Antibiotics should not be prescribed routinely for patients with acute bronchitis[1][2][3][4].
Medical Therapy
Many of patients may benefit from NSAIDS such as; aspirin or acetaminophen to relief the constitutional symptoms and albuterol if the cough is disturbing[3].
- Medications:
The major concern is about prescribing antibiotics for acute bronchitis, current consensus in this regard, recommends DO NOT prescribe antibiotics unless there is strong evidence of bacterial infection especially in comorbid conditions such as:chronic heart or lung diseases, immunocompromised or neuromuscular diseases.
References
- ↑ 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.
- ↑ 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 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.
- ↑ Wenzel RP, Fowler AA (2006). "Clinical practice. Acute bronchitis". N. Engl. J. Med. 355 (20): 2125–30. doi:10.1056/NEJMcp061493. PMID 17108344.