Bronquitis aguda
Summary
Definition
History and exam
Key diagnostic factors
- presencia de factores de riesgo
- duración de la tos <30 días
- tos productiva
- sin antecedentes de enfermedad respiratoria crónica
- exclusión de otras enfermedades cardíacas y respiratorias como causantes de los síntomas
Other diagnostic factors
- fiebre
- sibilancias
- roncus
Risk factors
- exposición a infección viral o bacteriana atípica
- tabaquismo
- exposición a la contaminación en el hogar
Diagnostic tests
1st tests to order
- diagnóstico clínico
Tests to consider
- prueba funcional respiratoria
- radiografía de tórax
- proteína C-reactiva
Emerging tests
- procalcitonina
Treatment algorithm
tos ≤4 semanas
tos >4 semanas
Contributors
Authors
William J. Hueston, MD
Senior Associate Dean for Academic Affairs
Professor of Family and Community Medicine
Medical College of Wisconsin
Milwaukee
WI
Declarações
WJH receives compensation from the American Physicians' Institute for the development and presentation of continuing physician education material related to primary care respiratory diseases, including acute bronchitis. WJH has received compensation from the Hong Kong Food and Health Bureau’s Research Fund Secretariat to review research grants for respiratory conditions such as acute bronchitis. He is also the author of a number of references cited in this topic.
Agradecimentos
Dr William J. Hueston would like to gratefully acknowledge Dr Ann M. Rodden, a previous contributor to this topic.
Declarações
AMR declares that she has no competing interests.
Revisores
David L. Hahn, MD
Clinical Professor
School of Medicine and Public Health
University of Wisconsin-Madison
WI
Declarações
DLH declares that he has no competing interests.
Cristine Radojicic, MD
Staff Physician
Cleveland Clinic
Cleveland
OH
Declarações
CR declares that she has no competing interests.
Philip W. Ind, BA (Cantab), MB BChir, MA (Cantab), FRCP
Consultant Physician
Honorary Senior Lecturer
Imperial College Healthcare Trust
Hammersmith Hospital
London
UK
Declarações
PWI declares that he has no competing interests.
Créditos aos pareceristas
Os tópicos do BMJ Best Practice são constantemente atualizados, seguindo os desenvolvimentos das evidências e das diretrizes. Os pareceristas aqui listados revisaram o conteúdo pelo menos uma vez durante a história do tópico.
Declarações
As afiliações e declarações dos pareceristas referem--se ao momento da revisão.
Referências
Principais artigos
Harris AM, Hicks LA, Qaseem A, et al. Appropriate antibiotic use for acute respiratory tract infection in adults: advice for high-value care from the American College of Physicians and the Centers for Disease Control and Prevention. Ann Intern Med. 2016 Mar 15;164(6):425-34.Texto completo Resumo
Spurling GK, Del Mar CB, Dooley L, et al. Delayed antibiotic prescriptions for respiratory infections. Cochrane Database Syst Rev. 2017 Sep 7;(9):CD004417.Texto completo Resumo
Smith SM, Fahey T, Smucny J, et al. Antibiotics for acute bronchitis. Cochrane Database Syst Rev. 2017 Jun 19;(6):CD000245.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Enfermedad de coronavirus 2019 (COVID-19)
- Neumonía
- Rinitis alérgica
Mais Diagnósticos diferenciaisDiretrizes
- Acute cough due to acute bronchitis in immunocompetent adult outpatients: CHEST expert panel report
- Cough (acute): antimicrobial prescribing
Mais DiretrizesFolhetos informativos para os pacientes
Bronquitis
Mais Folhetos informativos para os pacientes
Conectar-se ou assinar para acessar todo o BMJ Best Practice
O uso deste conteúdo está sujeito ao nosso aviso legal