What is acute bronchitis
A self limiting viral inflammation bronchitis
Feature acute bronchitis
Cough
Low grade fever
+/- sputum
Investigations acute bronchitis
02 sats and general obs
CRP if concern
Manage acute bronchitis conservative
Analgesia and fluids
When give antibiotics in acute bronchitis
Systemically very unwell
Major coordinates eg immunosuppressed, kidney, heart, lung CF etc
CRP> 100 (20-100=delayed prescription)
If over 65 years and two of following:
-Diabetes
-congestive HF
-hospital admission in prev year
-oral corticosteroid course taking currently
What antibiotics give in complex acute bronchitis
Doxycycline for 5 days (200mg day 1, 100mg others)
What give if pregnant or child antibiotics acute bronchitis
Amoxicillin if pregnant or child