Dilemma:\u00a0 cough, smoker, discoloured sputum,\u00a0 diagnosis: Bronchitis, now: Abx or no Abx<\/p>\n
Efficacy of anti-inflammatory or antibiotic treatment in patients with non-complicated acute bronchitis and discoloured sputum: randomised placebo controlled trial<\/strong><\/p>\n The mean duration of cough was 14.6 (SD 6) days.<\/p>\n 1. The most common symptoms associate with lower respiratory tract infections is COUGH.<\/p>\n 2. An oral anti-inflammatory(Ibuprofen)\u00a0 treatment or an antibiotic( Amoxi-Clav) are not more effective than placebo for shortening the duration of cough in patients with otherwise non-complicated acute bronchitis with discoloured sputum.<\/p>\n <\/p>\n
\nStudy Group: 416 participants were randomized into 3 different groups (136 to ibuprofen, 137 to antibiotic, and 143 to placebo). Their presentation symptoms were\u00a0 associated with respiratory tract infection of 1) less than one week\u2019s duration, 2) with cough as the predominant symptom and 3) discoloured sputum and 4) at least one other criterion of lower respiratory tract infection such as dyspnoea, wheezing, chest discomfort, or chest pain.<\/p>\n