Principles of appropriate antibiotic use for treatment of uncomplicated acute bronchitis

Background

R. Gonzales, John Bartlett, R. E. Besser, R. J. Cooper, J. M. Hickner, J. R. Hoffman, M. A. Sande

Research output: Contribution to journalArticle

Abstract

The following principles of appropriate antibiotic use for adults with acute bronchitis apply to immunocompetent adults without complicating comorbid conditions, such as chronic lung or heart disease. 1. The evaluation of adults with an acute cough illness or a presumptive diagnosis of uncomplicated acute bronchitis should focus on ruling out serious illness, particularly pneumonia. In healthy, nonelderly adults, pneumonia is uncommon in the absence of vital sign abnormalities or asymmetrical lung sounds, and chest radiography is usually not indicated. In patients with cough lasting 3 weeks or longer, chest radiography may be warranted in the absence of other known causes. 2. Routine antibiotic treatment of uncomplicated acute bronchitis is not recommended, regardless of duration of cough. If pertussis infection is suspected (an unusual circumstance), a diagnostic test should be performed and antimicrobial therapy initiated. 3. Patient satisfaction with care for acute bronchitis depends most on physician-patient communication rather than on antibiotic treatment.

Original languageEnglish (US)
Pages (from-to)521-529
Number of pages9
JournalAnnals of Internal Medicine
Volume134
Issue number6
StatePublished - Mar 20 2001
Externally publishedYes

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Bronchitis
Cough
Anti-Bacterial Agents
Radiography
Pneumonia
Thorax
Vital Signs
Whooping Cough
Respiratory Sounds
Therapeutics
Patient Satisfaction
Routine Diagnostic Tests
Lung Diseases
Heart Diseases
Chronic Disease
Communication
Physicians
Infection

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Gonzales, R., Bartlett, J., Besser, R. E., Cooper, R. J., Hickner, J. M., Hoffman, J. R., & Sande, M. A. (2001). Principles of appropriate antibiotic use for treatment of uncomplicated acute bronchitis: Background. Annals of Internal Medicine, 134(6), 521-529.

Principles of appropriate antibiotic use for treatment of uncomplicated acute bronchitis : Background. / Gonzales, R.; Bartlett, John; Besser, R. E.; Cooper, R. J.; Hickner, J. M.; Hoffman, J. R.; Sande, M. A.

In: Annals of Internal Medicine, Vol. 134, No. 6, 20.03.2001, p. 521-529.

Research output: Contribution to journalArticle

Gonzales, R, Bartlett, J, Besser, RE, Cooper, RJ, Hickner, JM, Hoffman, JR & Sande, MA 2001, 'Principles of appropriate antibiotic use for treatment of uncomplicated acute bronchitis: Background', Annals of Internal Medicine, vol. 134, no. 6, pp. 521-529.
Gonzales R, Bartlett J, Besser RE, Cooper RJ, Hickner JM, Hoffman JR et al. Principles of appropriate antibiotic use for treatment of uncomplicated acute bronchitis: Background. Annals of Internal Medicine. 2001 Mar 20;134(6):521-529.
Gonzales, R. ; Bartlett, John ; Besser, R. E. ; Cooper, R. J. ; Hickner, J. M. ; Hoffman, J. R. ; Sande, M. A. / Principles of appropriate antibiotic use for treatment of uncomplicated acute bronchitis : Background. In: Annals of Internal Medicine. 2001 ; Vol. 134, No. 6. pp. 521-529.
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