Acute bronchitis: Difference between revisions
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In about half of instances of acute bronchitis a bacterial or viral pathogen is identified. <ref name="pmid11209098">{{cite journal |author=Macfarlane J, Holmes W, Gard P, ''et al'' |title=Prospective study of the incidence, aetiology and outcome of adult lower respiratory tract illness in the community |journal=Thorax |volume=56 |issue=2 |pages=109–14 |year=2001 |pmid=11209098 |doi=}}</ref> Typical viruses include [[Human respiratory syncytial virus|respiratory syncytial virus]], [[rhinovirus]], [[influenza]], and others.<ref name="pmid15260036">{{cite journal |author=Freymuth F, Vabret A, Gouarin S, ''et al'' |title=[Epidemiology and diagnosis of respiratory syncitial virus in adults] |language=French |journal=Revue des maladies respiratoires |volume=21 |issue=1 |pages=35–42 |year=2004 |pmid=15260036 |doi=}}</ref> | In about half of instances of acute bronchitis a bacterial or viral pathogen is identified. <ref name="pmid11209098">{{cite journal |author=Macfarlane J, Holmes W, Gard P, ''et al'' |title=Prospective study of the incidence, aetiology and outcome of adult lower respiratory tract illness in the community |journal=Thorax |volume=56 |issue=2 |pages=109–14 |year=2001 |pmid=11209098 |doi=}}</ref> Typical viruses include [[Human respiratory syncytial virus|respiratory syncytial virus]], [[rhinovirus]], [[influenza]], and others.<ref name="pmid15260036">{{cite journal |author=Freymuth F, Vabret A, Gouarin S, ''et al'' |title=[Epidemiology and diagnosis of respiratory syncitial virus in adults] |language=French |journal=Revue des maladies respiratoires |volume=21 |issue=1 |pages=35–42 |year=2004 |pmid=15260036 |doi=}}</ref> | ||
13% to 32% of adolescents and adults with a cough lasting six days or more may have ''B. pertussis''.<ref name="pmid15788498">{{cite journal |author=Hewlett EL, Edwards KM |title=Clinical practice. Pertussis--not just for kids |journal=N. Engl. J. Med. |volume=352 |issue=12 |pages=1215–22 |year=2005 |pmid=15788498 |doi=10.1056/NEJMcp041025}}</ref> | 13% to 32% of adolescents and adults with a cough lasting six days or more may have ''B. pertussis''.<ref name="pmid15788498">{{cite journal |author=Hewlett EL, Edwards KM |title=Clinical practice. Pertussis--not just for kids |journal=N. Engl. J. Med. |volume=352 |issue=12 |pages=1215–22 |year=2005 |pmid=15788498 |doi=10.1056/NEJMcp041025}}</ref><ref name="pmid17914045">{{cite journal |author=Cornia PB, Lipsky BA, Saint S, Gonzales R |title=Clinical problem-solving. Nothing to cough at--a 73-year-old man presented to the emergency department with a 4-day history of nonproductive cough that worsened at night |journal=N. Engl. J. Med. |volume=357 |issue=14 |pages=1432–7 |year=2007 |pmid=17914045 |doi=10.1056/NEJMcps062357}}</ref> | ||
==Signs and symptoms== | ==Signs and symptoms== | ||
Revision as of 12:06, 10 October 2007
Bronchitis is an inflammation of the bronchi (medium-size airways) in the lungs. Acute bronchitis is usually caused by viruses or bacteria and may last several days or weeks.[1]
Symptoms include cough and sputum (phlegm) production and sometimes symptoms related to the obstruction of the airways by the inflamed airways and the phlegm, such as shortness of breath and wheezing. Diagnosis is by clinical examination and sometimes microbiological examination of the phlegm. Treatment may be with antibiotics (if a bacterial infection is suspected), bronchodilators (to relieve breathlessness) and other treatments.
Cause/Etiology
In about half of instances of acute bronchitis a bacterial or viral pathogen is identified. [2] Typical viruses include respiratory syncytial virus, rhinovirus, influenza, and others.[3]
13% to 32% of adolescents and adults with a cough lasting six days or more may have B. pertussis.[4][5]
Signs and symptoms
Bronchitis may be indicated by an expectorating cough, shortness of breath (dyspnea) and wheezing. Occasionally chest pains, fever, and fatigue or malaise may also occur. Bronchitis caused by Adenoviridae may causes systemic and gastroentestinal symptoms.[6]
Diagnosis
A physical examination may be normal or may reveal wheezing or rhonchi, and if airway obstruction is present, may reveal decreased intensity of breath sounds and prolonged expiration.
Treatment
Antibiotics
A meta-analysis found that antibiotics may reduce symptoms by one-half day.[7]
Bronchodilators
Smoking cessation
References
- ↑ Wenzel RP, Fowler AA (2006). "Clinical practice. Acute bronchitis". N. Engl. J. Med. 355 (20): 2125–30. DOI:10.1056/NEJMcp061493. PMID 17108344. Research Blogging.
- ↑ Macfarlane J, Holmes W, Gard P, et al (2001). "Prospective study of the incidence, aetiology and outcome of adult lower respiratory tract illness in the community". Thorax 56 (2): 109–14. PMID 11209098. [e]
- ↑ Freymuth F, Vabret A, Gouarin S, et al (2004). "[Epidemiology and diagnosis of respiratory syncitial virus in adults]" (in French). Revue des maladies respiratoires 21 (1): 35–42. PMID 15260036. [e]
- ↑ Hewlett EL, Edwards KM (2005). "Clinical practice. Pertussis--not just for kids". N. Engl. J. Med. 352 (12): 1215–22. DOI:10.1056/NEJMcp041025. PMID 15788498. Research Blogging.
- ↑ Cornia PB, Lipsky BA, Saint S, Gonzales R (2007). "Clinical problem-solving. Nothing to cough at--a 73-year-old man presented to the emergency department with a 4-day history of nonproductive cough that worsened at night". N. Engl. J. Med. 357 (14): 1432–7. DOI:10.1056/NEJMcps062357. PMID 17914045. Research Blogging.
- ↑ Civilian Outbreak of Adenovirus Acute Respiratory Disease -- South Dakota, 1997. Retrieved on 2007-10-08.
- ↑ Bent S, Saint S, Vittinghoff E, Grady D (1999). "Antibiotics in acute bronchitis: a meta-analysis". Am. J. Med. 107 (1): 62–7. PMID 10403354. [e]