Archive for July, 2008

The Difference between Viral and Bacterial Bronchitis

Saturday, July 12th, 2008

People suffer from illnesses or diseases due to viruses and bacteria; but sometimes, environmental factors also play an important role in triggering such illnesses. When a person becomes ill, his life is naturally affected. And this includes his relationship with his family, colleagues, and friends. That is why, may experts stress the need for a healthy lifestyle in order to prevent these illnesses.

Inflammation of your bronchial tubes is a condition called bronchitis. This illness can be caused by viral infections, bacterial, and allergens. There is a great difference between a viral bronchitis and a bacterial bronchitis. Most people may not be able to distinguish between the two, and only a professional can evaluate and diagnose a person’s condition.

The most common cause of bronchitis is viral infection. If the bronchitis is viral in nature, you may experience several symptoms like wheezing, burning pain, difficulty in breathing, headache and other symptoms. Bronchitis caused by viruses is not that serious, and can disappear without medications. Usually, home remedies are enough to relieve bronchitis symptoms.

If the illness is caused by a virus, you may only have mild fever and you dont feel that sick. You might cough up with little or even no mucus at all. While with bacterial bronchitis, you will have higher fever and cough (with discolored, dark, and thick mucus).

Bronchitis can become serious if you’re suffering from another disease like asthma, cystic fibrosis, or COPD. If this is the case, home treatments are not enough.

Your doctor knows the right treatment suited for your condition. By performing the necessary physical examination and considering your symptom’s history, an accurate diagnosis can be obtained. If you’re only suffering from a mild condition, using the stethoscope is enough to examine your lungs, but with severe or prolonged symptoms, the best way is to have your chest x-rayed.

Treatment of bronchitis also differs between one that is caused by a virus and that of bacteria. Viral bronchitis can be resolved without undergoing any treatment. But this doesnt mean that you will take your condition for granted. You can do simple things like increasing your fluid intake; this helps in reducing congestion especially when you have fever. You must also take a rest and if you feel muscle pains, you can use acetaminophen. If you cant withstand the symptoms, you can purchase cough expectorants and suppressants to thin the mucus. Having a steamy shower can also open your airways thereby allowing mucus expulsion.

If you’re bronchitis is caused by bacteria, your doctor will usually prescribe an antibiotic like erythromycin, tetracycline, and amoxicillin. The antibiotic prescribed is dependent on the type of bacterial infection. You can experience side effects such as nausea, vomiting, abdominal pain, and diarrhea. There are certain bacteria that are resistant to drugs, and just recently, FDA approved a drug suited for these kinds of bacteria. The drug is called gemiflaoxacin mesylate. This is a tablet that needs to be taken orally once a day for five days. If you use this drug, you may experience rashes, diarrhea, and nausea.

Remember that a viral bronchitis can’t be treated with antibiotics because your condition might become worse. Dont just use any medication without consulting first with your doctor to ensure that you’re on the safe side.

It is essential that you rest to make exertion of the mucus easier. Later on, you can do cardio respiratory exercises moderately as this can help regain the normal functions of your lungs, and expel remaining mucus.

A good way to avoid viral and bacterial bronchitis is to have good hygiene. Getting immunizations can also lessen the risk of getting bronchitis. Make sure that you also avoid cigarettes, smoke, fumes, and other environmental factors that might trigger bronchitis. This way, your lungs can filter the pollutants easily.

You can get sick every now and then especially if you have many unhealthy habits and if you live in a polluted environment; and this can happen whether you like or not. This is the sad reality that many people have to bear. Strive to be healthy and while you’re alive and kicking, try to save some money so that in the event you get sick, you can handle the medical costs without worrying.

Treating Acute Bronchitis and the Use of Antibiotics

Wednesday, July 9th, 2008

Around twenty million prescriptions for infections of the respiratory tract are written every year. The common diagnoses include URIs, otitis media, pharyngitis, sinusitis, and acute bronchitis; and take note, this is happening in the US alone. If you try to combine all prescriptions around the world, perhaps it can reach to billions.

Studies have shown that around 70% of adults and children diagnosed with acute bronchitis receive unnecessary antibiotics. Some clinical studies were documented showing primary care physicians prescribing antibiotics though literature suggests non-prescription of antibiotics in the case of acute bronchitis.

At present, there are a growing number of patients developing antibiotic resistance. Experts in the field of infectious disease claim that the scenario is rapidly increasing and that it is because of the unnecessary antibiotic prescriptions made by the physicians. If this kind of approach is duplicated over and over again, the entire world will be gravely affected.

Adult patients with acute bronchitis but with no underlying pathology are very much different from patients having COPD. The latter is usually treated with antibiotics. Since most cases of acute bronchitis are caused by viral infections, antibiotic therapy is not recommended. Viral bronchitis is characterized by purulent sputum which definitely indicates that there is no bacterial infection. With the right supportive care, acute bronchitis will disappear in a maximum period of seven days. If symptoms worsen after seven days, this is still considered as a non-viral course of action, but the patient can already use antibiotics.

Most patients with acute bronchitis complain about their non-productive and annoying cough. Physicians usually give aerosolized bronchodilators to reduce coughing. Normal patients are allowed to use bronchodilators for a couple of days.

Not all patients need antibiotics, especially in the case of bronchitis. There are however, certain exceptions to the use of antibiotics. Here are some of the situations:

1. Ten days of protracted cough only a small number of patients having viral bronchitis develop protracted cough; and if a 48 hour trial using bronchodilator does not show cough relief, the prescription of an antibiotic is quite reasonable. The pathogens causing the protracted cough can include mycoplasma pneumoniae, bordetella pertussis, and Chlamydia pneumoniae. The pathogens mentioned are vulnerable to antibiotics such as macrolide. The most commonly prescribed antibiotic is azithromycin because it only has few side effects compared to erythromycin. You will be prescribed to continue with azithromycin for at least five days which can cost around $38.

2. Bronchitis patients with aggravating symptoms. If this is the case, the patient must be re-evaluated for possible bacterial infection. Remember that acute bronchitis is a viral infection that disappears after five to seven days; and if you observe that the symptoms are getting worse, you must tell your doctor immediately.

3. Patients with underlying cystic fibrosis and COPD. Patients having cystic fibrosis tend to have staphylococcus aureus, otherwise known as gram-negative infections. Patients with COPD often need antibiotic to treat haemophilus influenzae and streptococcus pneumoniae.

4. A viral influenza outbreak can complicate how acute bronchitis is treated. This is important when the flu season begins. During this season, bacterial complications are common among adults. And if your acute bronchitis worsens after seven to ten days, you might be given an antibiotic.

These are four special cases when acute bronchitis can be given antibiotics, but under normal conditions, the prescription of these drugs must not be made.

Educating the patient is a very important matter. They often have misconceptions as to the use of antibiotics. Physicians and doctors should show their expertise and since they are the ones equipped with the right knowledge, they must educate their patients in the proper use of antibiotics. Try to tell them that not all illnesses or diseases require the use of antibiotics. Once your patients are aware of this important fact, they may not ask for any antibiotic, not unless the situation calls for its use.

As patients, you should not expect an antibiotic prescription every time you visit the doctor. Be thankful if antibiotics are not required because you can cut your medicine costs. Instead, you can use the money to buy vitamins that will make your body strong and healthy to avoid diseases such as acute bronchitis.

Tracheal Bronchitis and the New Bacteria

Sunday, July 6th, 2008

Sometimes, it can be very confusing to distinguish one illness from another. The symptoms are similar and oftentimes, misdiagnosis can occur. This is the reason why medical practitioners must be very careful in their chosen field so that they can give an accurate diagnosis, coupled with the right medication or treatment.

Bronchitis is defined as a condition characterized by the irritation and inflammation of the bronchial tubes and this is divided into different classifications, namely: acute tracheal bronchitis, chronic bronchitis (simple to complicated), and bronchiectasis.

This condition still remains to be a major threat to the health of millions of people. In the US, bronchitis ranks fourth as a leading death cause. Controlling the illness recently got complicated because of the new transformations in the illness’ nature.
A new and nasty bacteria emerged that can resist or tolerate conventional antibiotics. These bacteria are forcing doctors and physicians to re-evaluate and re-examine their practices and methods pertaining to bronchitis and pneumonia.

The researches conducted by disease specialists are not that valuable since the cultured data or bacteria are already dead by the time it is to be tested. Therefore, the specific etiology and preferred treatment course are not determined. That is why doctors and physicians are forced to focus more on their knowledge and skill about the illness. What they usually do is to conduct a physical examination that is largely based on the things that they observe or see, and they would give the proper treatment. The diagnosis made by these doctors and physicians are empiric and intuitive; but a scientific and systematic approach is still important to design an antimicrobial therapy.

Antibiotics must satisfy certain criteria such as efficacy in the treatment of bronchitis, safety, and convenience and cost-effectiveness. The ideal antibiotic for bronchitis and other respiratory disorders are those that:

- offer action against principal respiratory organisms
- pharmacokinetic
- optimal pharmacologic
- pharmacodynamic profiles
- experimental response rates are high
- tissue penetration is good
- profiles of drug-interaction
- side effects are low
- bacterial resistance is developed slowly

Amoxicillin, macrolides and cephalosporins are considered as traditional antibiotics and are greatly used in antimicrobial therapy. Their usefulness varies, as well as incidence of resistance among bacteria.

Last 1999, gatifloxacin and moxifloxacin were released and these medications offered better options for the treatment of respiratory diseases. Since new ones are introduced, some drugs are pulled out from circulation because of their hazardous side effects.

In managing tracheal bronchitis and other respiratory illnesses, the doctors and physicians must have a great understanding of all organisms involved in the infection, and a thorough awareness of potential therapies that are quite effective. In treating tracheal bronchitis, there are various strategies being utilized.

Today, physicians are having a controversy as to what course of medication and treatment is required if the patient has symptoms of tracheal bronchitis. Generally, the patients are treated quickly. The patients are expecting that once they paid for a consultation, they are already entitled to get an antibiotic. The doctor must educate his patients and tell them that if they have a cough for a day or two, they should not rush into the doctor’s clinic. They have to wait about five to seven days. Viral infections disappear, but if your bronchitis is caused by bacteria, the coughing will continue. Then, that is the time that they should go the doctor.

In fact, most specialists recommend non-treatment if the cough doesnt persist for at least five days. The time allows development and elimination of the viral infection that will disappear even without using antibiotics. If after such time the cough persists, then the doctor can now prescribe an antibiotic. If the patient has tracheal bronchitis and coughs (with sputum) for several days, but with no fever or pneumonia, COPD, or emphysema, it is customary for physicians and doctors to give antibiotics.

With further studies underway, perhaps new antibiotics will be developed to treat tracheal bronchitis and other classifications of bronchitis. Patients can look forward for a much better line of antibiotics to treat their condition. Let’s just hope that before those nasty bacteria settle into the bronchial tubes, new antibiotics are already available to combat them. For the mean time, prevention is the best way to combat the illness.