Acute Cough Bronchitis (Antimicrobial) | Right Decisions

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TAM (Treatments and Medicines) NHS Highland
ADULT THERAPEUTIC GUIDELINES
ANTIMICROBIAL GUIDANCE
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Respiratory tract (Lower) (Antimicrobial)
Acute Cough Bronchitis (Antimicrobial)

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Acute cough bronchitis

Antibiotic little benefit if no co-morbidity.

Consider 7 day delayed antibiotic prescription with advice.

Symptom resolution can take 3 weeks.

Consider immediate antibiotics if >80yr and ONE of: hospitalisation in past year, oral steroids, diabetic, congestive heart failure OR >65yrs with 2 of above.

Consider CRP test if antibiotics being considered.

No antibiotics if CRP less than 20mg/l and symptoms for more than 24 hours; delayed antibiotics if CRP 20 to 100mg/l; immediate antibiotics if CRP greater than 100mg/l.

For glossary of terms see Glossary.

Drug details

Amoxicillin 1g three times daily

5 days

OR Doxycycline 200mg stat then 100mg once daily

5 days

Last reviewed: 25/08/2022

Next review date: 25/08/2025

Author(s): Antimicrobial Management Team.

Version: 2

Approved By: TAM Subgroup of ADTC

Reviewer name(s): Alison Macdonald, Area Antimicrobial Pharmacist.

Document Id: AMT155