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A Traditional Chinese Medicine Characteristic Therapy for Bronchial Asthma: Moxibustion

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Acute Bronchitis.

Scott Kinkade¹, Natalie A Long¹

¹University of Missouri School of Medicine, Columbia, MO, USA.

American Family Physician

|December 9, 2016

Summary

This summary is machine-generated.

Most coughs are from acute bronchitis, usually viral, and don't need antibiotics. Focus on symptom relief and patient education to avoid unnecessary antibiotic prescriptions for this common respiratory illness.

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Area of Science:

Internal Medicine
Pulmonology
Infectious Diseases

Background:

Cough is a primary reason for ambulatory care visits in the US.
Acute bronchitis involves airway inflammation without pneumonia, often viral.
Distinguishing bronchitis from pneumonia and pertussis is crucial for appropriate management.

Purpose of the Study:

To outline the diagnosis and management of acute bronchitis.
To emphasize the viral etiology and self-limiting nature of acute bronchitis.
To advocate for reduced unnecessary antibiotic prescribing for acute cough.

Main Methods:

Clinical diagnosis of acute bronchitis.
Differential diagnosis including pneumonia and pertussis.
Review of antibiotic efficacy and adverse effects.

Main Results:

Acute bronchitis cough typically resolves within 2-3 weeks.
Antibiotics offer minimal benefit (approx. 0.5 days shorter illness) and carry risks.
Viral infections are the predominant cause of acute bronchitis.

Conclusions:

Acute bronchitis is usually viral and self-limiting, not requiring antibiotics.
Patient education on the natural course and symptomatic treatment is key.
Strategies like delayed prescriptions and clear communication can reduce inappropriate antibiotic use.