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Related Experiment Video

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Author Spotlight: Advancing Pathogen Detection and Disease Assessment in Real-Time Using M-ROSE
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Acute Bronchitis: Rapid Evidence Review.

Elie Mulhem1, Erwin Patalinghug1, Hany Eraqi1

  • 1Oakland University William Beaumont School of Medicine, Rochester, Michigan.

American Family Physician
|March 19, 2025
PubMed
Summary

Acute bronchitis is a common, self-limiting illness. Treatment focuses on symptom relief and patient education, as medications and antibiotics offer minimal benefit for this chest cold.

Area of Science:

  • General Medicine
  • Infectious Diseases

Background:

  • Acute bronchitis is a frequent diagnosis in outpatient settings, with over 3 million annual visits in the U.S.
  • Differential diagnosis includes asthma, COPD, heart failure, pertussis, COVID-19, influenza, and community-acquired pneumonia.
  • Acute cough can occur with or without sputum production.

Purpose of the Study:

  • To review the diagnosis and management of acute bronchitis.
  • To evaluate the efficacy of various treatments for acute bronchitis.

Main Methods:

  • Literature review of existing evidence on acute bronchitis diagnosis and treatment.
  • Analysis of diagnostic testing indications and treatment recommendations.

Main Results:

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  • Diagnostic testing is generally not indicated unless other conditions are suspected.
  • Evidence does not support the use of antitussives, honey, antihistamines, anticholinergics, NSAIDs, or corticosteroids.
  • Antibiotics offer minimal benefit (approx. 0.5 days shorter cough duration) and carry risks of adverse effects.

    • Conclusions:

    • Acute bronchitis is a self-limiting condition managed effectively with symptom relief and patient education.
    • Recommended management includes patient counseling on expected cough duration (2-3 weeks).
    • Strategies like delayed antibiotic prescriptions and framing it as a 'chest cold' can reduce unnecessary antibiotic use.