PMID: 8601212Feb 1, 1996Paper

Current management of acute bronchitis in ambulatory care: The use of antibiotics and bronchodilators

Archives of Family Medicine
A G MainousW J Hueston

Abstract

To examine the treatment regimens for acute bronchitis in adults in a Medicaid population seen in ambulatory care settings. Cross-sectional sample of Kentucky Medicaid claims (July 1, 1993, through June 30, 1994). Individuals 18 years old or older seen in an ambulatory setting for acute bronchitis. Anyone with a primary diagnosis of asthma or chronic obstructive pulmonary disease within the time frame was excluded. Twelve hundred ninety-four individuals accounted for 1635 separate outpatient and emergency department encounters for acute bronchitis. Outpatient visits accounted for 89% (n=1448) of the encounters. In 22% (n=358) of the encounters, no medication was prescribed; in 61% (n=997), antibiotics alone were prescribed, in 3% (n=43), bronchodilators alone were prescribed; and in 14% (n=237), both antibiotics and bronchodilators were prescribed. Some type of medication was more likely to be prescribed in emergency departments than in outpatient settings (P=.04), and antibiotic/bronchodilator combination therapy was more likely to be prescribed in rural practices than in urban practices (P<.001). Broad-spectrum were more likely than narrow-spectrum antibiotics to be used in combination with a bronchodilator (P=.001). Penicill...Continue Reading

Citations

Jul 14, 1999·The American Journal of Medicine·S BentD Grady
Jun 6, 2002·American Family Physician·Doug Knutson, Chad Braun
Jun 17, 2003·Journal of the American Medical Directors Association·Sally K RiglerMelissa Webb
Apr 23, 2014·Emerging Infectious Diseases·Pengxiang LiJalpa A Doshi
Apr 4, 2002·Journal of General Internal Medicine·Jeffrey A Linder, Ida Sim
Nov 6, 2003·American Journal of Public Health·Arch G MainousWilliam S Pearson
Sep 12, 1998·Journal of General Internal Medicine·R GonzalesJ F Steiner
Nov 13, 2002·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·Peter DaveyA Hayes
Jul 12, 2005·Clinics in Sports Medicine·James S Pope, Steven M Koenig
Jun 21, 2005·Clinica Chimica Acta; International Journal of Clinical Chemistry·Yuzuru TakemuraMorimitsu Kure
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Jun 20, 2017·The Cochrane Database of Systematic Reviews·Susan M SmithLorne A Becker
Sep 4, 2015·The Cochrane Database of Systematic Reviews·Lorne A BeckerJohannes C van der Wouden

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