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Острый бронхит

Last reviewed: 13 Sep 2025
Last updated: 13 May 2022

Summary

Definition

History and exam

Key diagnostic factors

  • наличие факторов риска
  • продолжительность кашля <30 дней
  • продуктивный кашель
  • отсутствие хронического респираторного заболевания в анамнезе
  • исключение любого другого респираторного или кардиального заболевания, которое могло бы служить причиной симптомов
Full details

Other diagnostic factors

  • лихорадка
  • свистящее дыхание
  • сухие хрипы
Full details

Risk factors

  • контакт с вирусной или атипичной бактериальной инфекцией
  • табакокурение
  • воздействие бытового загрязнения
Full details

Diagnostic investigations

1st investigations to order

  • клинический диагноз
Full details

Investigations to consider

  • исследование функции легких
  • рентгенография органов грудной клетки
  • СРБ
Full details

Emerging tests

  • прокальцитонин

Treatment algorithm

ACUTE

кашель ≤4 недель

ONGOING

кашель >4 недель

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

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

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.
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