General treatment with drugs related to suppressing cough, resolving phlegm and calming asthma. Expectorants can be applied when the amount of sputum is large or sticky. Most patients with acute bronchitis do not need antimicrobial drug therapy, unless there is a clear bacterial infection when the use of antibacterial drugs. When systemic symptoms are present, rest and warmth, fluid replacement and antipyretic drugs should be applied. During influenza epidemics, the application of anti-influenza therapeutic measures may be considered if there are manifestations of acute bronchitis.

General treatment

More rest, drink more water and avoid exertion.

To maintain indoor air circulation, open airways and adequate nutritional support.

Quit smoking and avoid inhalation of harmful gases and harmful particles.

Strengthen your body and prevent colds.

Medication

Acute bronchitis

Cough suppressants

Apply to patients with cough without sputum.

Cough suppressants such as dextromethorphan, pentoxyverine, or phenprocoumon may be applied as appropriate.

But for patients with sputum should not be given codeine and other strong cough suppressants, so as not to affect the discharge of sputum. If the cough continues to be unrelieved, the application of inhaled glucocorticosteroids can be considered to relieve the symptoms.

Expectorant drugs

Applicable to patients with coughing phlegm that is not easy to cough up.

Ambroxol hydrochloride, bromhexine, myrtle oil can be used to resolve phlegm, or nebulized expectorant; can also be used to take into account both cough and phlegm compound licorice combination, or other proprietary Chinese medicines to suppress cough expectorant.

When bronchospasm occurs, we can use asthma medicines such as theophylline, β2 agonists, anticholinergics and so on.

Antispasmodic, antiallergic drugs

Applicable to patients who develop bronchospasm.

Antispasmodic and antiallergic drugs may be given, such as the bronchodilators aminophylline, salbutamol, and chlorpheniramine maleate.

Antimicrobial drugs

are indicated in patients in whom the disease has been identified as the result of a bacterial infection.

Antibacterial drug treatment is selected according to the pathogen of infection and drug sensitivity test, which can choose new macrolides (erythromycin, erythromycin, azithromycin and so on) or penicillins, and can also choose cephalosporins or quinolones and other drugs.

Most patients can take antibiotics orally, and those with severe symptoms can be injected intramuscularly or intravenously.

Antiviral drugs

Apply to patients with viral infections.

For patients who develop acute bronchitis during influenza outbreaks, anti-influenza drugs such as oseltamivir and zanamivir should be used. If the pathogen is Mycoplasma pneumoniae, erythromycin or acetylspiramycin can be used.

For infants, frail children or suspected complications of pneumonia and other infections, sulfonamides or intramuscular injection of penicillin, or other broad-spectrum antibiotics.

Chronic bronchitis

Antimicrobial drugs

Mostly based on the location of patients with common pathogens empirical selection of antimicrobial drugs for anti-infective treatment, generally oral, serious condition of intravenous drug. Such as levofloxacin, roxithromycin, cefuroxime, compound sulfamethoxazole tablets.

If the causative organisms can be cultured, antimicrobial drugs can be selected according to the drug sensitivity test.

Note that antibacterial drugs may cause allergic reactions, toxic reactions and other adverse reactions, patients who are allergic to some antibacterial drugs should be carefully selected.

Cough suppressants and expectorants

Compound licorice combination, compound ammonium chloride combination, bromhexine, aminoglutethimide hydrochloride or myrtle oil can be used.

Dry cough is the main use of cough suppressants, such as dextromethorphan or its combination.

For old age frailty and weakness.