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Lower respiratory
infections
Bronchitis
Dr. Muhannad Al Rabaty
DEFINITION OF BRONCHITIS
 Bronchitis is a infection and inflammation
of the bronchial tubes (bronchi), the air
passages between the nose and the lungs.
 Bronchitis is caused by viruses, bacteria,
and other particles that irritate the
bronchial tubes.
TYPES OF BRONCHITIS
1. Acute bronchitis
2. Chronic bronchitis
TYPES OF BRONCHITIS
1. Acute bronchitis
Acute bronchitis is a shorter illness
that commonly follows a cold or viral
infection, such as the flu season
Acute bronchitis usually lasts a few
days or weeks
2. Chronic bronchitis
Chronic bronchitis is a long term,
irreversible respiratory illness.
Chronic bronchitis have a daily
mucus product cough at last 3
months a year.
Etiology & risk factors
⚫Infection – Bacteria and virus
⚫Smoking
⚫tobacco
⚫weakness of immune systems
⚫Genetics causes
Contd…
⚫Gastroesophageal reflux disease
(GERD)
⚫ Air pollution
⚫Influenza A and B virus
⚫Mycoplasma pneumonia bacteria
⚫Inflammation or swelling of the bronchi
⚫Coughing
⚫Production of clear, white, yellow, grey, or
green mucus (sputum)
⚫Shortness of breath
⚫Wheezing
⚫Fatigue
⚫Fever and chills
⚫Chest pain or discomfort
⚫runny nose
⚫Sore throat
⚫Vomiting and diarrhea
⚫Cyanosis
Pathophysiology
Smoke or another environment pollutant irritates airway
Hyper secretion of mucus and inflammation
Bronchial walls become thickened, the bronchial lumen is
narrowed and mucus may plug airway
so altered function of Alveoli cells
Respiratory infection
Emphysema and Bronchiectasis
Diagnostic evaluation
HISTORY
TAKING
CLINICAL
FEATURES
PHYSICAL
EXAMINATION
SPUTUM
CULTURE
CHEST
X-RAY
BLOOD TEST (CBC,
HB)
PULMONARY FUNCTION
TEST (PFT)
Pharmacologic management
⚫Antibiotics -
azithromycin, ceftriaxone, cefixime
⚫Cough medicine -
Noscapine, Dextromethorphan
⚫Bronchodilators –
salbutamol, Terbutaline
Contd…
 Nasal decongestants :
Phenylephrine, Oxymetazoline,
 Anti-inflammatory drugs:
Ibuprofen
 Antiviral medicine:
Acyclovir
 Corticosteroids drugs:
Beclomethasone, dexamethasone
 Pulmonary rehabilitation program : this includes work
with a respiratory therapist to help breathing.
🞂 Avoiding tobacco smoke and exposure to
second hand smoke
🞂 Avoiding people who are sick with
colds or the flu
🞂 Getting a yearly flu vaccine
🞂 Getting a pneumonia vaccine
🞂 Washing hands regularly
🞂 Avoiding cold, damp locations or
areas with a lot of air pollution
🞂 Wearing a mask around people who
are coughing and sneezing
HEALTH EDUCATION
COMPLICATIONS
⚫Asthma
⚫Bronchiectasis
⚫Tuberculosis
⚫Sinusitis
lower respiratory infections (bronchitis)

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lower respiratory infections (bronchitis)