Follow-up
Deterrence/Prevention
- Patients with underlying cardiopulmonary disease should receive annual influenza vaccinations.
- In certain locations, such as in nursing homes, amantadine or rimantadine have been administered when an index case is found until the vaccine has had a chance to take effect. However, because of increasing resistance, their routine use has been discouraged by the CDC beginning in 2005 in favor of neuraminidase inhibitors.
- Influenza vaccination of healthy patients may reduce absenteeism.
Complications
- Fewer than 5% of patients with bronchitis develop pneumonia. Incidence of subsequent pneumonia, however, remains unaffected by the use of antibiotics.
Prognosis
- For the vast majority of patients, the prognosis is excellent.
Patient Education
- For excellent patient education resources, visit eMedicine's Lung and Airway Center and Allergy Center. Also, see eMedicine's patient education articles, Bronchitis and Coughs.
More on Bronchitis |
| Overview: Bronchitis |
| Differential Diagnoses & Workup: Bronchitis |
| Treatment & Medication: Bronchitis |
Follow-up: Bronchitis |
| References |
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References
National Center for Health Statistics. Current estimates from the national health interview survey: United States, 1994. Vital health statistics. 1995;10. [Medline].
Black S. Epidemiology of pertussis. Pediatr Infect Dis J. Apr 1997;16(4 Suppl):S85-9. [Medline].
Braman SS. Chronic cough due to acute bronchitis: ACCP evidence-based clinical practice guidelines. Chest. Jan 2006;129(1 Suppl):95S-103S. [Medline].
Gonzales R, Steiner JF, Sande MA. Antibiotic prescribing for adults with colds, upper respiratory tract infections, and bronchitis by ambulatory care physicians. JAMA. Sep 17 1997;278(11):901-4. [Medline].
Franks P, Gleiner JA. The treatment of acute bronchitis with trimethoprim and sulfamethoxazole. J Fam Pract. Aug 1984;19(2):185-90. [Medline].
Mossad SB, Macknin ML, Medendorp SV, Mason P. Zinc gluconate lozenges for treating the common cold. A randomized, double-blind, placebo-controlled study. Ann Intern Med. Jul 15 1996;125(2):81-8. [Medline].
American Academy of Pediatrics. Committee on Drugs. Use of codeine- and dextromethorphan-containing cough remedies in children. American Academy of Pediatrics. Committee on Drugs. Pediatrics. Jun 1997;99(6):918-20. [Medline].
Brickfield FX, Carter WH, Johnson RE. Erythromycin in the treatment of acute bronchitis in a community practice. J Fam Pract. Aug 1986;23(2):119-22. [Medline].
Croughan-Minihane MS, Petitti DB, Rodnick JE. Clinical trial examining effectiveness of three cough syrups. J Am Board Fam Pract. Mar-Apr 1993;6(2):109-15. [Medline].
Dunlay J, Reinhardt R, Roi LD. A placebo-controlled, double-blind trial of erythromycin in adults with acute bronchitis. J Fam Pract. Aug 1987;25(2):137-41. [Medline].
Gonzales R, Bartlett JG, Besser RE. Principles of appropriate antibiotic use for treatment of uncomplicated acute bronchitis: background. Ann Emerg Med. Jun 2001;37(6):720-7. [Medline].
Gonzales R, Wilson A, Crane LA, Barrett PH. What's in a name? Public knowledge, attitudes, and experiences with antibiotic use for acute bronchitis. Am J Med. Jan 2000;108(1):83-5. [Medline].
Huchon GJ, Gialdroni-Grassi G, Leophonte P, et al. Initial antibiotic therapy for lower respiratory tract infection in the community: a European survey. Eur Respir J. Aug 1996;9(8):1590-5. [Medline].
Hueston WJ. A comparison of albuterol and erythromycin for the treatment of acute bronchitis. J Fam Pract. Nov 1991;33(5):476-80. [Medline].
Hueston WJ. Albuterol delivered by metered-dose inhaler to treat acute bronchitis. J Fam Pract. Nov 1994;39(5):437-40. [Medline].
King DE, Williams WC, Bishop L. Effectiveness of erythromycin in the treatment of acute bronchitis. J Fam Pract. Jun 1996;42(6):601-5. [Medline].
Meza RA, Bridges-Webb C, Sayer GP, et al. The management of acute bronchitis in general practice: results from the Australian Morbidity and Treatment Survey, 1990-1991. Aust Fam Physician. Aug 1994;23(8):1550-3. [Medline].
Molfino NA. Genetics of COPD. Chest. May 2004;125(5):1929-40. [Medline].
Palmer DA, Bauchner H. Parents' and physicians' views on antibiotics. Pediatrics. Jun 1997;99(6):E6. [Medline].
Siegel D, Sande MA. Patterns of antibiotic use in a busy metropolitan emergency room: analysis of efficacy and cost-appropriateness. West J Med. May 1983;138(5):737-41. [Medline].
Smith NM, Bresee JS, Shay DK. Prevention and Control of Influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. Jul 28 2006;55(RR-10):1-42. [Medline].
Smucny J, Fahey T, Becker L, Glazier R. Antibiotics for acute bronchitis. Cochrane Database Syst Rev. 2004;CD000245. [Medline].
Snyder LD, Eisner MD. Obstructive lung disease among the urban homeless. Chest. May 2004;125(5):1719-25. [Medline].
Stott NC, West RR. Randomised controlled trial of antibiotics in patients with cough and purulent sputum. Br Med J. Sep 4 1976;2(6035):556-9. [Medline].
Taylor JA, Novack AH, Almquist JR. Efficacy of cough suppressants in children. J Pediatr. May 1993;122(5 Pt 1):799-802. [Medline].
Williamson HA. A randomized, controlled trial of doxycycline in the treatment of acute bronchitis. J Fam Pract. Oct 1984;19(4):481-6. [Medline].
Further Reading
Keywords
tracheobronchitis, chronic obstructive lung disease, COLD, obstructive airway disease, OAD, chronic obstructive pulmonary disease, COPD, respiratory tract infection, asthma, viralrespiratory tract infection, bacterial respiratory tract infection, chronic bronchitis, CB, acute bronchitis, cough, viral infection
adenovirus, influenza, parainfluenza, respiratory syncytial virus, RSV, rhinovirus, coxsackievirus, herpes simplex virus, HSV, Streptococcus pneumoniae, Moraxella catarrhalis, Haemophilus influenzae, Chlamydia pneumoniae, Mycoplasma species
airpollution, air pollutants, smoking, second-hand smoke, allergies, chronic aspiration, gastroesophagealreflux, GER, fungal infection
Follow-up: Bronchitis