|
|
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}}
| |