Summary
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
- duração da tosse <30 dias
- tosse produtiva
- ausência de história de doença respiratória crônica
- exclusão de outras doenças respiratórias e cardíacas como causa dos sintomas
Other diagnostic factors
- febre
- sibilos
- roncos
Risk factors
- exposição à infecção bacteriana atípica ou viral
- tabagismo
- exposição à poluição doméstica
Diagnostic investigations
1st investigations to order
- diagnóstico clínico
Investigations to consider
- teste de função pulmonar
- radiografia torácica
- proteína C-reativa
Emerging tests
- procalcitonina
Treatment algorithm
tosse ≤4 semanas
tosse >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
Disclosures
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.
Acknowledgements
Dr William J. Hueston would like to gratefully acknowledge Dr Ann M. Rodden, a previous contributor to this topic.
Disclosures
AMR declares that she has no competing interests.
Peer reviewers
David L. Hahn, MD
Clinical Professor
School of Medicine and Public Health
University of Wisconsin-Madison
WI
Disclosures
DLH declares that he has no competing interests.
Cristine Radojicic, MD
Staff Physician
Cleveland Clinic
Cleveland
OH
Disclosures
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
Disclosures
PWI declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
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.Full text Abstract
Spurling GK, Del Mar CB, Dooley L, et al. Delayed antibiotic prescriptions for respiratory infections. Cochrane Database Syst Rev. 2017 Sep 7;(9):CD004417.Full text Abstract
Smith SM, Fahey T, Smucny J, et al. Antibiotics for acute bronchitis. Cochrane Database Syst Rev. 2017 Jun 19;(6):CD000245.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Doença do coronavírus 2019 (COVID-19)
- Pneumonia
- Rinite alérgica
More DifferentialsGuidelines
- Acute cough due to acute bronchitis in immunocompetent adult outpatients: CHEST expert panel report
- Cough (acute): antimicrobial prescribing
More GuidelinesPatient information
Bronquite
More Patient information
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