Chronic bronchitis is an infection of the trachea and bronchi for at least 3 consecutive months for more than 2 consecutive years.
The patient experiences symptoms of increase in dyspnea, sputum volume and sputum purulence over baseline on most days.
Diagnosis is basically based on clinical presentation.
Bronchitis - Chronic in Acute Exacerbation References
Balter MS, La Forge J, Low DE, et al. Canadian guidelines for the management of acute exacerbations of chronic bronchitis. Can Respir J. 2003 Aug;10(Suppl B):3B-32B. doi: 10.1155/2003/486285. PMID: 12944998
Dever LL, Shashikumar K, Johanson WG Jr. Antibiotics in the treatment of acute exacerbations of chronic bronchitis. Expert Opin Investig Drugs. 2002 Jul;11(7):911-925. doi: 10.1517/135437184.108.40.2061. PMID: 12084002
Grossman RF. Guidelines for the treatment of acute exacerbations of chronic bronchitis. Chest. 1997 Dec;112(Suppl 6):310S-313S. doi: 10.1378/chest.112.6_supplement.310s. PMID: 9400894
Guthrie R. Community-acquired lower respiratory tract infections: etiology and treatment. Chest. 2001 Dec;120(6):2021-2034. doi: 10.1378/chest.120.6.2021. PMID: 11742937
Palm KH, Decker WW. Acute exacerbations of chronic obstructive pulmonary disease. Emerg Med Clin North Am. 2003 May;21(2):331-352. PMID: 12793617
McCrory DC, Brown C, Gelfand SE, et al. Management of acute exacerbations of COPD: a summary and appraisal of published evidence. Chest. 2001 Apr;119(4):1190-1209. doi: 10.1378/chest.119.4.1190. PMID: 11296189
Stoller JK. Acute exacerbations of chronic obstructive pulmonary disease. N Engl J Med. 2002 Mar;346(13):988-994. doi: 10.1056/NEJMcp012477. PMID: 11919309
Snow V, Lascher S, Mottur-Pilson C; Joint Expert Panel on COPD of the American College of Chest Physicians and the American College of Physicians-Amercian Society of Internal Medicine. The evidence base for management of acute exacerbations of COPD: clinical practice guideline, part 1. Chest. 2001 Apr;119(4):1185-1189. doi: 10.1378/chest.119.4.1185. PMID: 11296188
Gilbert DN, Moellering RC, Eliopoulos GM, et al. The Sanford guide to antimicrobial therapy. 35th. Hyde Park (VT): Antimicrobial Therapy Inc; 2005.
Reynolds HY. Chronic bronchitis and acute infectious exacerbations. In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. 5th. Philadelphia: Elsevier Churchill Livingstone, Inc; 2000.
Scottish Intercollegiate Guidelines Network. Community management of lower respiratory tract infections in adults: a national clinical guideline. SIGN. http://www.sign.ac.uk. 2002.
Ministry of Health Singapore. Clinical Practice Guidelines: use of antibiotics in adults. MOH (Singapore). http://www.moh.gov.sg/. Jan 2002.
Alberta Medical Association. Guideline for the management of acute exacerbation of chronic bronchitis. Alberta Medical Association. http://www.albertadoctors.com/. Nov 2001.
Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Global Initiative for Chronic Obstructive Lung Disease. http://www.goldcopd.org/. 2010. Accessed 09 Sep 2011.
Brunton S, Carmichael BP, Colgan R, et al. Acute exacerbation of chronic bronchitis: a primary care consensus guideline. Am J Manag Care. 2004 Oct;10(10):689-696. PMID: 15521160
Ministry of Health Malaysia. National antibiotic guideline 2014, 2nd edition. Pharmaceutical Services Divisions, Ministry of Health Malaysia. http://www.pharmacy.gov.my. Dec 2014. Accessed 16 Jul 2015.
Auwaerter PG, Bartlett JG. Chronic bronchitis, acute exacerbations. Johns Hopkins Guide. http://www.hopkinsguides.com. Jun 2017. Accessed 5 Nov 2018.
Bartlett JG, Sethi S. Evaluation for infection in exacerbations of chronic obstructive pulmonary disease. UpToDate. http://www.uptodate.com. 2 Mar 2018. Accessed 5 Nov 2018.
Bartlett JG, Sethi S. Management of infection in exacerbations of chronic obstructive pulmonary disease. UpToDate. http://www.uptodate.com. 19 Nov 2018.
Dimopoulos G, Siempos II, Korbila IP, et al. Comparison of first-line with second-line antibiotics for acute exacerbations of chronic bronchitis. Chest. 2007 Aug;132(2):447-455. doi: 10.1378/chest.07-0149. Accessed 5 Nov 2018. PMID: 17573508
Evensen AE. Management of COPD exacerbations. Am Fam Physician. 2010 Mar;81(5):607-613. PMID: 20187597
Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease 2018 report. GOLD. http://www.goldcopd.org. 2018.
Han MK, Dransfield MT, Martinez FJ. Chronic obstructive pulmonary disease: definition, clinical manifestations, diagnosis and staging. UpToDate. http://www.uptodate.com. 4 May 2018.
Institute for Clinical Systems Improvement (ICSI). Diagnosis and management of chronic obstructive pulmonary disease (COPD). ICSI. http://www.icsi.org. Jan 2016.
Ministry of Health, Malaysia. Management of chronic obstructive pulmonary disease. http://www.moh.gov.my. Nov 2009.
Miravitlles M, Anzueto A. Antibiotics for acute and chronic respiratory infection in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2013 Nov;188(9):1052-1057. doi: 10.1164/rccm.201302-0289PP. PMID: 23924286
Siempos II, Dimopoulos G, Korbila IP, et al. Macrolides, quinolones and amoxicillin/clavulanate for chronic bronchitis: a meta-analysis. Eur Respir J. 2007 Jun;29(6):1127-1137. doi: 10.1183/09031936.00147806. Accessed 5 Nov 2018. PMID: 17301097
Sohy C, Pilette C, Niederman MS, et al. Acute exacerbation of chronic obstructive pulmonary disease and antibiotics: what studies are still needed?. Eur Respir J. 2002 May;19(5):966-975. doi: 10.1183/09031936.02.00291302. Accessed 5 Nov 2018. PMID: 12030740
Stoller JK. Management of exacerbations of chronic obstructive pulmonary disease. UpToDate. http://www.uptodate.com. 18 Sep 2018.
Toward Optimized Practice (Alberta). Guideline for the management of acute exacerbations of chronic obstructive pulmonary disease (AECOPD). TOP. http://www.topalbertadoctors.org. 2006.
Wedzicha JA, Miravitlles M, Hurst JR, et al. Management of COPD exacerbations: a European Respiratory Society/American Thoracic Society guideline. Eur Respir J. 2017 Mar;49(3). doi: 10.1183/13993003.00791-2016. Accessed 5 Nov 2018. PMID: 28298398
Wilson R, Sethi S, Anzueto A, et al. Antibiotics for treatment and prevention of exacerbations of chronic obstructive pulmonary disease. J Infect. 2013 Dec;67(6):497-515. doi: 10.1016/j.jinf.2013.08.010. PMID: 23973659
Heath Jm, Mongia R. Chronic bronchitis: primary care management. Am Fam Physician. 1998 May;57(10):2365-2372, 2376-2378. PMID: 9614409
Silvestri RC, Weinberger SE. Evaluation of subacute and chronic cough in adults. UptoDate. http://www.uptodate.com/. May 2019.
A large observational study from Denmark has suggested that a repeat SARS-CoV-2 infection is rare following a prior infection. However, older aged individuals may be less protected following a prior SARS-CoV-2 infection than their younger counterparts.
The recurrent waves of the COVID-19 pandemic are having a significant impact on healthcare workers, and Medical Protection has called for more to be done globally to ensure that medical professionals have quick access to mental wellbeing support.