ACUTE BRONCHITIS: ETIOLOGY, CLINICAL PICTURE, ALGORITHM FOR DIAGNOSIS, AND ISSUES OF THERAPY
- Authors: Leshchenko I.V1
-
Affiliations:
- Ural State Medical University
- Issue: No 3 (2018)
- Pages: 5-10
- Section: Articles
- URL: https://journals.eco-vector.com/2073-4034/article/view/294810
- ID: 294810
Cite item
Open Access
Access granted
Abstract
The article is devoted to acute bronchitis (AB), and considers the issues of etiology, and discusses the clinical and epidemiological features of the disease depending on the AB etiologic factor. Possible causes of prolonged cough in patients with various diseases are presented, which are extremely important in the diagnosis of AB, taking into account that AB is the diagnosis of exclusion. In this connection, the algorithm for diagnosis of AB will be useful for the practicing physician. The final part of the article reflects issues of non-pharmacological and drug therapy. It is emphasized that antibacterial therapy is necessary only for signs of bacterial infection, in this case the leading place is occupied by macrolides, in particular azithromycin.
Keywords
Full Text
About the authors
I. V Leshchenko
Ural State Medical University
Email: leshchenkoiv@mail.ru
MD, Prof. at the Department of Phthisiology and Pulmonology
References
- Пульмонология. Национальное руководство. Краткое издание/ Под ред. А.Г. Чучалина. М., 2013.
- Falsey A.R., Griddle M.M., Kolassa J.E., McCann R.M., Brower C.A., Hall W.J. Evaluation of a handwashing intervention to reduce respiratory illness rates in senior day-care centers. Infect. Control Hosp. Epidemiol. 1999;20:200-2.
- Govaert T.M., Sprenger M.J., Dinant G.J., Aretz K., Masurel N., Knottnerus J.A. Immune response to influenza vaccination of elderly people. A randomized double-blind placebo-controlled trial. Vaccine. 1994;12:1185-89.
- Govaert T.M., Thijs C.T., Masurel N., Sprenger M.J., Dinant G.J., Knottnerus J.A. The efficacy of influenza vaccination in elderly individuals. A randomized double-blind placebo-controlled trial. JAMA. 1994;272:1661-65.
- Monto A.S. Zanamivir in the prevention of influenza among healthy adults: a randomized controlled trial. JAMA. 1999;282:31-5.
- Irwin R.S., Curly F.J., French C.l. Chronic cough. The spectrum and frequency of causes, key components of diagnostic evaluation, and outcome of specific therapy. Am. Rev. Respir. Dis. 1999;141:640-47.
- Lambert J., Mobassaleh M., Grand R.J. Efficacy of cimetidine for gastric acid suppression in pediatric patients. J. Pediatr. 1999;120:474-78.
- Smucny J.J. Are beta-2-agonists effective treatments for acute bronchitis or acute cough in patients without underlying pulmonary disease? J. Farm. Pract. 2001;50: 945-51.
- Quackenboss J.J., Lebowitz M.D., Kryzanowski M. The normal range of diurnal changes in peak expiratory flow rates. Relationship to symptoms and respiratory disease. Am. Rev. Respir. Dis. 1999;143:323-30.
- Nakagawa N.K., Macchione M., Petrolino H.M., Guimarães E.T., King M., Saldiva P.H., Lorenzi-Filho G. Effects of a heat and moisture exchange and a heated humidifier on res-piratory mucus in patients undergoing mechanical ventilation. Crit. Care Med. 2000;28:312-17.
- Gonzales R., Steiner J.F., Lum A., Barrett P.H. Decreasing antibiotic use in ambulatory practice: impact of a multidimensional intervention on the treatment of uncomplicated acute bronchitis in adults. JAMA. 1999;281: 1512.
- Синопальников А.И., Козлов Р.С. Внебольничные инфекции дыхательных путей. Руководство для врачей. М., 2007. 352 с.
- Odenholt-Tornqvist I., Lowdin E., Cars О. Postantibiotic effects and postantibiotic sub-MIC effects of roxithromycin, clarithromycin, and azithromycin on respiratory tract pathogens. Antimicrob. Agents Chemother. 1995; 39:221-26.
Supplementary files
