Clinical Connection: Common Misconceptions about Antibiotics and Bronchitis
December 2nd, 2015 | Archiveby Robert J. Fortuna, MD, MPH
As we prepare for cold and flu season, it is important to reflect on our use of antibiotics. Antibiotics play an important role in several conditions, but bronchitis is not one of them. The vast majority of bronchitis is caused by a viral infection and numerous studies have failed to demonstrate a benefit with antibiotics.
As a community, a relatively large number of cases of bronchitis are treated with antibiotics. At the same time, over 90% of bronchitis is secondary to a viral infection. Unfortunately, this has real implications for our patients, antibiotic resistance, and for our quality metrics as a community.
Over the years, many myths have arisen among patients in the community about bronchitis.
Myth: Bronchitis is an indication for antibiotics
Fact: Over 90% of bronchitis is secondary to a viral infection
Myth: Smokers with bronchitis warrant an antibiotic
Fact: Antibiotics are no more effective in smokers than nonsmokers
Myth: Yellow or dark sputum indicates the presence of a bacterial infection
Fact: The color of sputum does not indicate the presence of bacterial infection
Our goal is promote an increased awareness about national standards and lead the region in the appropriate prescribing of antibiotics. Click here to download additional information about bronchitis and antibiotics.
