Acute bronchitis - Revision history

Rossdonaldson1 at 20:38, 24 April 2024

2024-04-24T20:38:28Z

← Older revision		Revision as of 20:38, 24 April 2024
Line 1:		Line 1:
	==Background==		==Background==
			[[File:Blausen 0865 TracheaAnatomy.png\|thumb\|Trachobronchial anatomy.]]
	[[File:Bronchial anatomy with description.png\|thumb\| A - Alveoli		[[File:Bronchial anatomy with description.png\|thumb\| A - Alveoli
	AS - Septum alveolare		AS - Septum alveolare

Rossdonaldson1: /* Evaluation */

2024-04-24T17:35:02Z

Evaluation

← Older revision		Revision as of 17:35, 24 April 2024
Line 37:		Line 37:

	==Evaluation==		==Evaluation==
			[[File:MildPerihilarairwaycuffing.png\|thumb\|Mild peri hilar cuffing as seen in a viral bronchitis. [[CXR]] may alternatively be negative and is not required for diagnosis.]]
	*Clinical diagnosis		*Clinical diagnosis
	*[[CXR]] only indicated in elderly or suspicion for [[pneumonia]]		*[[CXR]] only indicated in elderly or suspicion for [[pneumonia]]

Rossdonaldson1: /* Background */

2024-04-24T17:32:47Z

Background

@@ Line 1: / Line 1: @@
 ==Background==
 *Inflammation of large airways of the lung
 *[[Pneumonia]] must be excluded by clinical evaluation or by CXR

Rossdonaldson1: /* Clinical Features */

2024-04-24T17:31:14Z

Clinical Features

← Older revision		Revision as of 17:31, 24 April 2024
Line 17:		Line 17:
	==Clinical Features==		==Clinical Features==
	[[File:Depiction of a person suffering from Bronchitis.png\|thumb\|]]		[[File:Depiction of a person suffering from Bronchitis.png\|thumb\|]]
	*[[Cough]], with or without sputum, without evidence of [[pneumonia]], common cold, or [[~~Asthma~~]]		*[[Cough]], with or without sputum, without evidence of [[pneumonia]], common cold, or [[asthma]]
	**Cough >5d is more suggestive of bronchitis than common cold		**Cough >5d is more suggestive of bronchitis than common cold
	**Cough may persist for 10-20d		**Cough may persist for 10-20d

Rossdonaldson1: /* Clinical Features */

2024-04-24T16:20:18Z

Clinical Features

← Older revision		Revision as of 16:20, 24 April 2024
Line 16:		Line 16:

	==Clinical Features==		==Clinical Features==
			[[File:Depiction of a person suffering from Bronchitis.png\|thumb\|]]
	*[[Cough]], with or without sputum, without evidence of [[pneumonia]], common cold, or [[Asthma]]		*[[Cough]], with or without sputum, without evidence of [[pneumonia]], common cold, or [[Asthma]]
	**Cough >5d is more suggestive of bronchitis than common cold		**Cough >5d is more suggestive of bronchitis than common cold

Zbuchwald: /* Management */

2023-12-04T07:00:04Z

Management

← Older revision		Revision as of 07:00, 4 December 2023
Line 44:		Line 44:
	;Despite the recommendations for no antibiotics in the non complicated course of acute bronchitis, patients continue to receive antibiotic prescriptions<ref>Barnett, Michael. Jeffrey A. Linder. Antibiotic Prescribing for Adults With Acute Bronchitis in the United States, 1996-2010. May 21, 2014, 311(19)</ref>		;Despite the recommendations for no antibiotics in the non complicated course of acute bronchitis, patients continue to receive antibiotic prescriptions<ref>Barnett, Michael. Jeffrey A. Linder. Antibiotic Prescribing for Adults With Acute Bronchitis in the United States, 1996-2010. May 21, 2014, 311(19)</ref>

	Oral Steroids do not reduce duration or severity of symptoms in patients with acute bronchitis <ref>Hay, AD et al. Effect of oral prednisolone on symptom duration and severity in nonasthmatic adults with acute lower respiratory tract infection: a randomized clinical trial. 2017 Aug 22;318(8)</ref>		*Oral Steroids do not reduce duration or severity of symptoms in patients with acute bronchitis <ref>Hay, AD et al. Effect of oral prednisolone on symptom duration and severity in nonasthmatic adults with acute lower respiratory tract infection: a randomized clinical trial. 2017 Aug 22;318(8)</ref>

	==Disposition==		==Disposition==

Zbuchwald: /* Management */

2023-12-04T06:54:47Z

Management

← Older revision		Revision as of 06:54, 4 December 2023
Line 43:		Line 43:

	;Despite the recommendations for no antibiotics in the non complicated course of acute bronchitis, patients continue to receive antibiotic prescriptions<ref>Barnett, Michael. Jeffrey A. Linder. Antibiotic Prescribing for Adults With Acute Bronchitis in the United States, 1996-2010. May 21, 2014, 311(19)</ref>		;Despite the recommendations for no antibiotics in the non complicated course of acute bronchitis, patients continue to receive antibiotic prescriptions<ref>Barnett, Michael. Jeffrey A. Linder. Antibiotic Prescribing for Adults With Acute Bronchitis in the United States, 1996-2010. May 21, 2014, 311(19)</ref>

			Oral Steroids do not reduce duration or severity of symptoms in patients with acute bronchitis <ref>Hay, AD et al. Effect of oral prednisolone on symptom duration and severity in nonasthmatic adults with acute lower respiratory tract infection: a randomized clinical trial. 2017 Aug 22;318(8)</ref>

	==Disposition==		==Disposition==

ClaireLewis at 15:24, 11 October 2019

2019-10-11T15:24:17Z

← Older revision		Revision as of 15:24, 11 October 2019
Line 11:		Line 11:
	===Epidemiology===		===Epidemiology===
	*Viruses are most common cause		*Viruses are most common cause
	**[[Influenza]], paraflu, [[RSV]], [[coronavirus]], [[adenovirus]], [[~~rhino~~]]		**[[Influenza]], paraflu, [[RSV]], [[coronavirus]], [[adenovirus]], [[rhinovirus]]
	*Bacterial cause occurs in <10% of cases		*Bacterial cause occurs in <10% of cases
	**[[Mycoplasma]], [[C. pneumoniae]], [[pertussis]] (1% of bronchitis cases)		**[[Mycoplasma]], [[C. pneumoniae]], [[pertussis]] (1% of bronchitis cases)
Line 53:		Line 53:

	[[Category:Pulmonary]]		[[Category:Pulmonary]]
			[[Category:ID]]

ClaireLewis at 15:23, 11 October 2019

2019-10-11T15:23:58Z

← Older revision		Revision as of 15:23, 11 October 2019
Line 11:		Line 11:
	===Epidemiology===		===Epidemiology===
	*Viruses are most common cause		*Viruses are most common cause
	**[[Influenza]], paraflu, RSV, ~~corona~~, ~~adeno~~, rhino		**[[Influenza]], paraflu, [[RSV]], [[coronavirus]], [[adenovirus]], [[rhino]]
	*Bacterial cause occurs in <10% of cases		*Bacterial cause occurs in <10% of cases
	**[[Mycoplasma]], [[C. pneumoniae]], [[pertussis]] (1% of bronchitis cases)		**[[Mycoplasma]], [[C. pneumoniae]], [[pertussis]] (1% of bronchitis cases)
Line 19:		Line 19:
	**Cough >5d is more suggestive of bronchitis than common cold		**Cough >5d is more suggestive of bronchitis than common cold
	**Cough may persist for 10-20d		**Cough may persist for 10-20d
	**Cough >3wk suggests asthma, [[COPD]], pertussis, postnasal drip, GERD		**Cough >3wk suggests [[asthma]], [[COPD]], [[pertussis]], postnasal drip, [[GERD]]
	*Often follows [[URI]]		*Often follows [[URI]]

Line 32:		Line 32:
	===American College of Chest Physicians 2006 Guidelines<ref>Braman SS. Chronic cough due to chronic bronchitis: ACCP evidence-based clinical practice guidelines. Chest. Jan 2006;129(1 Suppl):104S-115S.</ref>===		===American College of Chest Physicians 2006 Guidelines<ref>Braman SS. Chronic cough due to chronic bronchitis: ACCP evidence-based clinical practice guidelines. Chest. Jan 2006;129(1 Suppl):104S-115S.</ref>===
	*Routine treatment with antibiotics is NOT necessary		*Routine treatment with antibiotics is NOT necessary
	*Antitussive agents can be useful ([[codeine]], dextromethorphan)		*Antitussive agents can be useful ([[codeine]], [[dextromethorphan]])
	*In individuals without comorbidities antibiotics have NO IMPROVEMENT in symptoms or duration <ref>Aagaard E, Gonzales R. Management of acute bronchitis in healthy adults. Infect Dis Clin North Am. Dec 2004;18(4):919-37</ref>		*In individuals without comorbidities, antibiotics have NO IMPROVEMENT in symptoms or duration <ref>Aagaard E, Gonzales R. Management of acute bronchitis in healthy adults. Infect Dis Clin North Am. Dec 2004;18(4):919-37</ref>
	*Do not treat patients with antibiotics unless:<ref>Tan T, Little P, Stokes T. Antibiotic prescribing for self limiting respiratory tract infections in primary care: summary of NICE guidance. BMJ. Jul 23 2008;337</ref>		*Do not treat patients with antibiotics unless:<ref>Tan T, Little P, Stokes T. Antibiotic prescribing for self limiting respiratory tract infections in primary care: summary of NICE guidance. BMJ. Jul 23 2008;337</ref>
	**older than 65 years		**older than 65 years

Rossdonaldson1: Text replacement - "CXR" to "CXR"

2016-09-09T07:29:57Z

Text replacement - "*CXR" to "*CXR"

← Older revision		Revision as of 07:29, 9 September 2016
Line 27:		Line 27:
	==Evaluation==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
	*CXR only indicated in elderly or suspicion for [[pneumonia]]		*[[CXR]] only indicated in elderly or suspicion for [[pneumonia]]

	==Management==		==Management==

Acute bronchitis - Revision history

Rossdonaldson1 at 20:38, 24 April 2024

Rossdonaldson1: /* Evaluation */

Rossdonaldson1: /* Background */

Rossdonaldson1: /* Clinical Features */

Rossdonaldson1: /* Clinical Features */

Zbuchwald: /* Management */

Zbuchwald: /* Management */

ClaireLewis at 15:24, 11 October 2019

ClaireLewis at 15:23, 11 October 2019

Rossdonaldson1: Text replacement - "*CXR" to "*CXR"

Rossdonaldson1: Text replacement - "CXR" to "CXR"