Chronic bronchitis medical therapy
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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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.[1]
Bronchodilators
For acute exacerbations of chronic bronchitis, a clinical practice guideline by the American College of Physicians found that bronchodilators may help.[2]
Corticosteroids
For acute exacerbations of chronic bronchitis, a clinical practice guideline by the American College of Physicians found that corticosteroids may help.[2]
Smoking cessation
Acute exacerbations
Acute exacerbations of chronic bronchitis (AECB) are episodes of difficulty in breathing in a person with chronic bronchitis.[3]
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.[3]
Treatment of AECB may include:
- Cough suppressants[3]
- Inhaled bronchodilators[3][2]
- Antibiotics are used if a bacterial infection is the suspected cause.[3] However, antibiotics will not treat exacerbations caused by viruses.[3]
- Corticosteroids[3][2]
- Theophylline[3]
- Oxygen therapy[3]
References
- ↑ Dimopoulos G, Siempos II, Korbila IP, Manta KG, Falagas ME (2007). "Comparison of first-line with second-line antibiotics for acute exacerbations of chronic bronchitis: a metaanalysis of randomized controlled trials to Joe Fo Sho". Chest. 132 (2): 447–55. doi:10.1378/chest.07-0149. PMID 17573508.
- ↑ 2.0 2.1 2.2 2.3 Bach PB, Brown C, Gelfand SE, McCrory DC (2001). "Management of acute exacerbations of chronic obstructive pulmonary disease: a summary and appraisal of published evidence". Ann. Intern. Med. 134 (7): 600–20. PMID 11281745.
- ↑ 3.0 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 medbroadcast.com > Acute Exacerbations of Chronic Bronchitis Retrieved on Mars 13, 2010