Chest infections

Question 1

What is acute bronchitis?

Answer 1

Lower respiratory tract infection which causes inflammation in the bronchial airways

Question 2

What is pneumonia?

Answer 2

Is an infection of the lung tissue which the air sacs in the lungs become filled with microbes

Question 3

What causes acute bronchitis?

Answer 3

Usually caused by a viral infection

Question 4

Is acute bronchitis self-limiting?

Answer 4

Yes

Can you analgesia
Honey
OTC meds guaifenesin
OTC cough suppressant

Question 5

If antibiotics are indicated for acute bronchitis what is first-line for adults?

Answer 5

oral doxycycline: 200 mg on the first day, then 100 mg once a day for 4 days (5-day course in total)

Question 6

What is the alternative first-line for adults for acute bronchitis?

Answer 6

Amoxicillin (preferred in pregnant women) 500 mg three times a day for 5 days
Clarithromycin 250 mg to 500 mg twice a day for 5 days.

Erythromycin (preferred in pregnant women) 250 mg to 500 mg four times a day or 500 mg to 1000 mg twice a day for 5 days.

Question 7

How should an adult with a CRB-65 score of 0,1 or 2 be managed for community-acquired pneumonia?

Answer 7

First choice oral antibiotic is amoxicillin 500 mg three times a day for 5 days

Alternatives

oral doxycycline 200 mg on the first day then 100 mg once a day for 4 days (total course of 5 days), or oral clarithromycin 500 mg twice a day for 5 days, or oral erythromycin (in pregnancy) 500 mg four times a day for 5 days.