【资料】最新英文版急性支气管炎（加拿大08更新版）

Guideline for The Management of Acute Bronchitis Administered by the Alberta Medical Association 2008 Update。
This clinical practice guideline was developed by an Alberta
Clinical Practice Guideline Working Group. This guideline
does not apply to the following:
• any patient with underlying lung disease
• immunocompromised patients or those with
    signifcant  underlying  systemic  disease
DEFINITION
♦   Acute bronchitis: acute infammation of the
bronchial tree
ISSUES
♦   Acute bronchitis in adults and children (and
bronchiolitis in infants) is almost exclusively
viral in etiology
♦   Meta-analyses have shown no benefit of
antibiotics in patients with acute bronchitis
♦ The inappropriate use of antibiotics in acute
bronchitis has led to increasing antimicrobia
resistance
♦   Pertussis may mimic acute bronchitis and is
under-diagnosed in adults and children
GOALS
♦   To avoid the unnecessary use of antibiotics i
the treatment of acute bronchitis
♦   To avoid the unnecessary use of laboratory
and diagnostic imaging services in the manage
ment of acute bronchitis
PREVENTION
♦ Limit the spread of viral infections
(e.g., hand washing)
♦ Smoking cessation and avoidance of
environmental tobacco smoke
翻译：
急性支气管炎管理指南
该指南来源于加大拿临床实践指南事务委员会，该指南不适用于下列情况：
存在潜在肺部疾病的病人；
免疫缺陷病人或者是有严重系统性疾病的病人。
定义：急性支气管炎：支气管的急性炎症
议点：
不管是成人或儿童的急性支气管炎几乎均是病毒引起的
荟萃分析显示：对于急性支气管炎的病人应用抗生素是无益的
在急性支气管炎的治疗中，不适宜应用抗生素已经导致抗菌剂耐药性的增加
百日咳可能和支气管炎很相似，且在成人与儿童诊断率较低
目标：
避免不必要的抗生素应用
避免不必要的化验及放射学检查
预防：
限制病毒感染的播散
戒烟或避免被动吸烟