Acute bronchitis

Bronchitis
Inflammation process on trachea &
brochi
Self limiting disease usually resolve
in 2 weeks
May coexsist with other respiratory
tract conditions
 Etiology
Virus:
Most common etiology
Rhinovirus, RSV, Influenza virus, Parainfluenza
virus, Adenovirus, Robeola, Paramyxovirus
Bacteria:
Less common etiology
Staphylococcus aureus, Streptococcus
pneumoniae, Haemophilus influenzae,
Mycoplasma pneumoniae, Chlamydia sp.
Unimunized children: Bordetella pertussis,
Corynebacterium diptheriae.
 Clinical Manifestations
Preceeded by non spesific upper
respiratory infection rhinitis &
pharyngitis
Cough
3-4 days following rhinitis
Dry, hacking cough productive
cough purulent sputum (due to
leucocyte migration, not necessaarily
bacterial infection) gradually thins
Vomiting
Chest pain older children
 Management
Viral supportive :
Rest
Sufficient fluid intake
Acetaminophen (if necessary)
Antibiotics only for bacterial
etiology
Chlamydia erythromycin,
tetracyclin (>9 years old)