ACUTE BRONCHITIS, DIAGNOSTICS AND TREATMENT
- Authors: Brodskaya O.N1
-
Affiliations:
- FSBEI HE RNSMU n. a. N.I. Pirogov of RMH
- Issue: No 14 (2017)
- Pages: 7-11
- Section: Articles
- URL: https://journals.eco-vector.com/2073-4034/article/view/289956
- ID: 289956
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Abstract
Acute bronchitis (OB) is a clinical diagnosis characterized by the development of dry or productive cough, an infection of the lower respiratory tract in the absence of chronic lung diseases and pneumonia. The most frequent pathogens are rino-, enteroviruses, influenza A and В viruses, parainfluenza, corona, metapneumovirus and respiratory syncytial viruses. Bacteria are responsible for only 1-10% of cases of AB. Since AB is considered a clinical diagnosis, in most cases, the isolation of AB from a complex of acute respiratory viral diseases is meaningless. Additional tests are necessary to exclude pneumonia and specific pathogens of the influenza virus and Bordetella pertussis. In routine management of patients with AB, antibacterial drugs should be avoided. AB in most cases is resolved spontaneously; to alleviate the course of the disease, symptomatic therapy can be applied.
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About the authors
O. N Brodskaya
FSBEI HE RNSMU n. a. N.I. Pirogov of RMH
Email: rropulmo@mail.ru
PhD, Associate Professor at the Department of Hospital Therapy of the Pediatric Faculty
References
- Kinkade S., Lang N. Acute Bronchitis. Am. Fam. Physician. 2016;94(7):560-56.
- File T.M. Acute bronchitis in adults. http://www. uptodate.com/contents/acute-bronchitis-in-adults
- Llor C., Bjerrum L. Antibiotic prescribing for acute bronchitis. Expert Rev. Anti-infective Therapy. 2016; 14(7):633-42.
- Kardos P., Malek F.A. Common Cold an Umbrella Term for Acute Infections. Published online: 2016. Pneumologie© Georg Thieme Verlag KG. http://dx.doi.Org/10.1055/s-0042-116112.
- Hueston W.J., Mainous A.G. 3rd, Dacus E.N., Hopper J.E. Does acute bronchitis really exist? A reconceptualization of acute viral respiratory infections. J. Fam. Pract. 2000;49(5):401-6.
- Игнатова Г.Л., Белевский A.C. Важные особенности лечения острого бронхита. Практич. пульмонология. 2016;2:80-4.
- Pratter M R. Cough and the common cold: АССР evidence-based clinical practice guidelines. Chest. 2006;129(Suppl. 00:72-4.
- US Centers for Disease Control and Prevention. Guidance for clinicians on the use of rapid influenza diagnostic tests, http://www.cdc.gov/ flu/professionals/diagnosis/clinician_guidance_ ridt.htm (Accessed on April 04, 2012).
- Centers for Disease Control and Prevention. Pertussis (Whooping Cough). Available at: http:// www.cdc.gov/pertussis/clinical/diagnostic-testing/diagnosis-confirmation.html.
- Приказ № 951 от 29 декабря 2014 года Министерства здравоохранения РФ. 06 утверждении методических рекомендаций по совершенствованию диагностики и лечения туберкулеза органов дыхания.
- Smith S.M., Fahey Т., Smucny J., Becker L.A. Antibiotics foracutebronchitis. Cochrane Database of Systematic Reviews. 2017;6:CD000245.
- Petersen I., Johnson A.M., Islam A., Duckworth G., Livermore D.M., Hayward A.C. Protective effect of antibiotics against serious complications of common respiratory tract infections: retrospective cohort study with the UK General Practice Research Database. BMJ. 2007,335:982.
- Oduwole O., Meremikwu M.M., Oyo-lta A., Udoh E.E. Honey for acute cough in children (Review). Cochrane Library. 2014:12.
- Smith S.M., Schroeder K., Fahey T. Over-the-counter (OTC) medications for acute cough in children and adults in community settings. Cochrane Database Syst. Rev. 2014; 11.CD001831.
- Becker L.A., Horn J., Villasis-Keever M., vanderWouden J.C. Beta2-agonistsfo-racutecoughoraclinical diagnosis of acute bronchitis. Cochrane Database System. Rev. 2015;9:CD001726.
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