Acute Cough Bronchitis

Acute cough bronchitis

CKS

NICE 69

Antibiotic little benefit if no co-morbidity.

Consider 7d delayed antibiotic with advice.

Symptom resolution can take 3 weeks.

Consider immediate antibiotics if > 80yr and ONE of: hospitalisation in past year, oral steroids, diabetic, congestive heart failure OR > 65yrs with 2 of above.

Consider CRP test if antibiotic being considered. If CRP<20mg/L no antibiotics, 20-100mg/L delayed, CRP >100mg immediate antibiotics.

Amoxicillin

500mg TDS  

5 days

or doxycycline

200mg stat then 100mg OD

5 days