Acute bronchitis Flashcards

1
Q

Features

A

Cough and sputum (main symptoms)

Wheeze and dyspnoea (fever or haemoptysis uncommon)

Usually viral infection

Can complicate chronic bronchitis usu. due to;

  • Haemophilus influenzae
  • Streptococcus pneumoniae

Scattered wheezes on auscultation ± fever or haemoptysis (uncommon)

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2
Q

Outcome

A

Improves spontaneously in 4–8 d in healthy patients.

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3
Q

Treatment

A

Symptomatic treatment

Inhaled bronchodilators for airflow limitation

Antibiotics usually not needed, esp. if previously healthy

Use antibiotics if evidence of acute bacterial infection with;

  • fever
  • purulent sputum

Amoxycillin 500 mg tds for 5 d;

Doxycycline 200 mg stat, then 100 mg/d for 5 d if mycoplasma suspected

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4
Q
A
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