Antibiotic prescribing for acute bronchitis
Research output: Contribution to journal › Review › peer-review
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Antibiotic prescribing for acute bronchitis. / Llor, Carl; Bjerrum, Lars.
In: Expert Review of Anti-infective Therapy, Vol. 14, No. 7, 07.2016, p. 633-642.Research output: Contribution to journal › Review › peer-review
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TY - JOUR
T1 - Antibiotic prescribing for acute bronchitis
AU - Llor, Carl
AU - Bjerrum, Lars
PY - 2016/7
Y1 - 2016/7
N2 - INTRODUCTION: Acute bronchitis is a self-limiting infectious disease characterized by acute cough with or without sputum but without signs of pneumonia. About 90% of cases are caused by viruses.AREAS COVERED: Antibiotics for acute bronchitis have been associated with an approximately half-day reduction in duration of cough. However, at follow-up there are no significant differences in overall clinical improvement inpatients treated with antibiotics compared with those receiving placebo. Despite this, antibiotics are administered to approximately two thirds of these patients. This review discusses the reason for this antibiotic overprescription. Other therapies targeted to control symptoms have also demonstrated a marginal or no effect. EXPERT COMMENTARY: Clinicians should be aware of the marginal effectiveness of antibiotic therapy. Some strategies like the use of rapid tests, delayed prescribing of antibiotics and the use of leaflets for patients have been associated with a reduction of their unnecessary utilization.
AB - INTRODUCTION: Acute bronchitis is a self-limiting infectious disease characterized by acute cough with or without sputum but without signs of pneumonia. About 90% of cases are caused by viruses.AREAS COVERED: Antibiotics for acute bronchitis have been associated with an approximately half-day reduction in duration of cough. However, at follow-up there are no significant differences in overall clinical improvement inpatients treated with antibiotics compared with those receiving placebo. Despite this, antibiotics are administered to approximately two thirds of these patients. This review discusses the reason for this antibiotic overprescription. Other therapies targeted to control symptoms have also demonstrated a marginal or no effect. EXPERT COMMENTARY: Clinicians should be aware of the marginal effectiveness of antibiotic therapy. Some strategies like the use of rapid tests, delayed prescribing of antibiotics and the use of leaflets for patients have been associated with a reduction of their unnecessary utilization.
KW - Journal Article
U2 - 10.1080/14787210.2016.1193435
DO - 10.1080/14787210.2016.1193435
M3 - Review
C2 - 27219826
VL - 14
SP - 633
EP - 642
JO - Expert Review of Anti-Infective Therapy
JF - Expert Review of Anti-Infective Therapy
SN - 1478-7210
IS - 7
ER -
ID: 165878369