Canadian Guidelines for the Management of Acute Exacerbations of Chronic Bronchitis

Acute exacerbations of chronic bronchitis (AECB) account for over 1.5 million physician visits annually in Canada and are a cause of significant morbidity and mortality. This document represents a joint effort between respirologists, microbiologists, infectious disease specialists and family physici...

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Main Authors: Meyer S Balter, Jacques La Forge, Donald E Low, Lionel Mandell, Ronald F Grossman, the Chronic Bronchitis Working Group
Format: Article
Language:English
Published: Wiley 2003-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2003/486285
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author Meyer S Balter
Jacques La Forge
Donald E Low
Lionel Mandell
Ronald F Grossman
the Chronic Bronchitis Working Group
author_facet Meyer S Balter
Jacques La Forge
Donald E Low
Lionel Mandell
Ronald F Grossman
the Chronic Bronchitis Working Group
author_sort Meyer S Balter
collection DOAJ
description Acute exacerbations of chronic bronchitis (AECB) account for over 1.5 million physician visits annually in Canada and are a cause of significant morbidity and mortality. This document represents a joint effort between respirologists, microbiologists, infectious disease specialists and family physicians to update the Canadian AECB guidelines published in 1994. Treatment recommendations are graded on the strength of evidence in the published literature where possible. The role for oral corticosteroid therapy in preventing treatment failures, speeding up recovery and delaying the time to next exacerbation is discussed. Risk factors for treatment failure were used to stratify patients into risk groups to help guide antibiotic treatment recommendations. The importance of emerging antimicrobial resistance to current antibiotics is reviewed and strategies to prevent future AECB episodes are suggested.
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issn 1198-2241
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publisher Wiley
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series Canadian Respiratory Journal
spelling doaj-art-c53b69aa1dbc4303ab132b304197c01a2025-02-03T01:30:29ZengWileyCanadian Respiratory Journal1198-22412003-01-0110Suppl B3B32B10.1155/2003/486285Canadian Guidelines for the Management of Acute Exacerbations of Chronic BronchitisMeyer S Balter0Jacques La Forge1Donald E Low2Lionel Mandell3Ronald F Grossman4the Chronic Bronchitis Working Group5University of Toronto, Mount Sinai Hospital, Toronto, Ontario, CanadaLaval University, Hôpital Laval, Ste-Foy, Quebec, CanadaUniversity of Toronto, Mount Sinai Hospital, Toronto, Ontario, CanadaMcMaster University, Henderson General Hospital, Hamilton, Ontario, CanadaUniversity of Toronto, Mount Sinai Hospital, Toronto, Ontario, CanadaUniversity of Toronto, Mount Sinai Hospital, Toronto, Ontario, CanadaAcute exacerbations of chronic bronchitis (AECB) account for over 1.5 million physician visits annually in Canada and are a cause of significant morbidity and mortality. This document represents a joint effort between respirologists, microbiologists, infectious disease specialists and family physicians to update the Canadian AECB guidelines published in 1994. Treatment recommendations are graded on the strength of evidence in the published literature where possible. The role for oral corticosteroid therapy in preventing treatment failures, speeding up recovery and delaying the time to next exacerbation is discussed. Risk factors for treatment failure were used to stratify patients into risk groups to help guide antibiotic treatment recommendations. The importance of emerging antimicrobial resistance to current antibiotics is reviewed and strategies to prevent future AECB episodes are suggested.http://dx.doi.org/10.1155/2003/486285
spellingShingle Meyer S Balter
Jacques La Forge
Donald E Low
Lionel Mandell
Ronald F Grossman
the Chronic Bronchitis Working Group
Canadian Guidelines for the Management of Acute Exacerbations of Chronic Bronchitis
Canadian Respiratory Journal
title Canadian Guidelines for the Management of Acute Exacerbations of Chronic Bronchitis
title_full Canadian Guidelines for the Management of Acute Exacerbations of Chronic Bronchitis
title_fullStr Canadian Guidelines for the Management of Acute Exacerbations of Chronic Bronchitis
title_full_unstemmed Canadian Guidelines for the Management of Acute Exacerbations of Chronic Bronchitis
title_short Canadian Guidelines for the Management of Acute Exacerbations of Chronic Bronchitis
title_sort canadian guidelines for the management of acute exacerbations of chronic bronchitis
url http://dx.doi.org/10.1155/2003/486285
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