CC March 2016 Acute bronchitis

echoecho's version from 2016-05-29 17:06


Question Answer
Define?inflammation of the large airwyas
Characteristics?cough (usually a self-limited conditions averaging 10-21 days), but it may be difficult to distinguish from other causes of acute cough like URI, asthma, pneumonia and postnasal drip
Fever, if present, is suggestive of what?flu or pneumonia
The causative agent is only identified in _____ of cases?1/3
As many as ____% of acute bronchitis episodes are viral in origin?90
Why is routine serological testing to identify the specific viral cause not recommended?becasue the clinical course and treatment are similiar and definitive results from viral cultures are few
Testing for flu during seasonal outbreaks or when the prevalence in population is significnat should follow what?recommendations from the CDC (http://www.cdc.gove/flu/professionals/diagnosis/rapidlab.htm)
Testing for what micoorganism may be considered in unvaccinated patients, those whose vaccine-induced protection may have waned or those known to have exposure to pertussis?Bordetella pertussis
Despite the overwhelming prepondernace of viral infections, studies have shown that as many as ____ of patients with acute bronchitis receive antibiotics?2/3
Meta-analysis of the effectiveness of antibiotics didn't show any improvement in _____ of cough in patients described discolored sputum with otherwise uncomplicated acute bronchitis when compared to patients who did not receive antibiotics?duration
The CDC "Get Smart About Antibiotics" campaign is aimed at what?reducing the inappropraite use of antibiotics (
Antibiotics are indicated for the treatment of acute bronchitis due to ______, as it reduces the transmission of the disease?pertussis
The duration of the cough in pertussis, may not be shortened despite _______ treatment?antibiotic
Treatment of acute bronchitis?trial of antitussive medication (but in those < 6 ears of age, antitussives are contraindicated
Expectorant treatment in bronchitis?no evidence supports use of this
*** What may be beneficial in patients who have wheezing associated with acute bronchitis. In these patients, there may be some benefit to using high-dose, but not low-dose _______ acutely?1) inhaled beta-agonists 2) inhaled corticosteroids
The evidence supporting the use of alternative therapies such as ____ and _____ is inconcsistent but suggests a moderate benefit?1) echinacea 2) pelargonium
In 2013, more than 400 patients between ages of 18-70 years with acute bronchitis were randomized to receive Augmentin, Ibuprofen or placebo for 10 days. What were the conclusions?no significant differences were seen among the group with respect to cough resoluation, adverse events were more commonly seen in the antibiotic group
*** SUMMARY = ____% of acute bronchitis episodes are viral in origin?90
*** SUMMARY = Are routine use of antibiotics for acute bronchitis recommended?no (studies have not found benefit)
*** SUMMARY = What medication can be used in adults, although there is no consistent evidence to support their use?antitussives
*** SUMMARY = The American Academy of Pediatrics recommends what regarding use of antitussives in children < 6 years of age?recommends against the use of of antitussives