Treatment Plan

Treatment Plan

Acute Bronchitis:

• Conservative: rest, fluids, simple analgesia
• Antibiotics if: high CRP, systemically unwell, high-risk patients
• Age 12-17: Amoxicillin(1^st line), Doxycycline(2^nd line)
• Age >18: doxycycline (1^st line), Amoxicillin (2^nd line, ok in pregnancy)
• Alternatives: Clarithromycin, erythromycin (ok in pregnancy)

Pneumonia:

Based on CURB-65 score:

Score 0: oral antibiotics (amoxicillin first line)

Score 1-2: Consider admission

• Score ≥3: admission for IV antibiotics Alternatives:
• Doxycycline
• Erythromycin (pregnancy)

Prognosis

Acute Bronchitis:

• Self-limiting
• Most recover without residual symptoms
• Cough may persist for 6 months (post-bronchitis syndrome)

Pneumonia:

Complications if untreated:

• Sepsis
• Pleural effusions
• Death