Acute Cough/Bronchitis

Antibiotic little benefit if no co-morbidity.

Consider 7 day delayed antibiotic and give symptomatic advice - see Non-Prescription Pads

Symptom resolution can take 3 weeks.   Patient Information Leaflet

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/L immediate antibiotics.

Amoxicillin

500mg three times daily

5 days

or doxycycline

200mg stat then 100mg once daily

5 days