About this condition
Acute bronchitis is inflammation of the bronchi that often occurs during or after a respiratory infection. Its main feature is a dry cough or a cough producing mucus. Changes in mucus colour or prolonged coughing alone do not prove bacterial infection.
Why other illnesses must be considered
Pneumonia, asthma and other conditions can cause similar symptoms. The clinician considers fever, breathing rate, general condition, wheezing and how symptoms develop. Infants and children with chronic illnesses need particularly careful assessment.
How treatment decisions are made
Uncomplicated acute bronchitis usually does not need antibiotics. Advice on fluids, rest, monitoring and symptom relief is tailored to the child’s age and condition. A sudden deterioration calls for reassessment rather than adding medicines without guidance.
Signs and symptoms
- Cough starting during a cold or shortly afterwards.
- Possible mild fever and general discomfort.
- Sometimes wheezing or discomfort in the chest.
- Cough continuing after other acute infection symptoms have resolved.
Diagnosis and tests
Diagnosis usually rests on examination and listening to the chest. Extra investigations are not necessary for everyone; they are considered when pneumonia is suspected or the illness is severe, unusual or accompanied by chronic breathing symptoms.
Care and treatment approaches
Antibiotics are not routinely needed for uncomplicated acute bronchitis. Taking antibiotics, bronchodilators or steroids without an indication may cause harm. The clinician explains which warning signs require another assessment.
When to seek urgent care
When emergency care is needed: if a child struggles to breathe, has blue lips, pronounced chest retractions, pauses in breathing, altered consciousness or severe exhaustion, call 103 in Ukraine. Do not wait for a routine appointment.
Frequently asked questions
Are antibiotics always needed for bronchitis?
No. Acute bronchitis is often viral, and antibiotics without a specific indication usually do not improve recovery.
How long can the cough last?
A cough may last several weeks. If it worsens or fails to improve, a repeat examination is appropriate.
When should pneumonia be considered?
A child with marked fever, rapid or laboured breathing or a worsening general condition needs urgent clinical assessment.
Important information
A medical consultation is needed for diagnosis and treatment recommendations.
Self-treatment can be harmful to your health.
