Role of Atypical Pathogens and the Antibiotic Prescription Pattern in Acute Bronchitis: A Multicenter Study in Korea
The role of atypical bacteria and the effect of antibiotic treatments in acute bronchitis are still not clear. This study was conducted at 22 hospitals (17 primary care clinics and 5 university hospitals) in Korea. Outpatients (aged ≥ 18 yr) who had an acute illness with a new cough and sputum (≤ 30...
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| Published in | Journal of Korean medical science Vol. 30; no. 10; pp. 1446 - 1452 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
The Korean Academy of Medical Sciences
01.10.2015
대한의학회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1011-8934 1598-6357 1598-6357 |
| DOI | 10.3346/jkms.2015.30.10.1446 |
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| Abstract | The role of atypical bacteria and the effect of antibiotic treatments in acute bronchitis are still not clear. This study was conducted at 22 hospitals (17 primary care clinics and 5 university hospitals) in Korea. Outpatients (aged ≥ 18 yr) who had an acute illness with a new cough and sputum (≤ 30 days) were enrolled in 2013. Multiplex real-time polymerase chain reaction (RT-PCR) was used to detect five atypical bacteria. A total of 435 patients were diagnosed as having acute bronchitis (vs. probable pneumonia, n = 75), and 1.8% (n = 8) were positive for atypical pathogens (Bordetella pertussis, n = 3; B. parapertussis, n = 0; Mycoplasma pneumoniae, n = 1; Chlamydophila pneumoniae, n = 3; Legionella pneumophila, n = 1). Among clinical symptoms and signs, only post-tussive vomiting was more frequent in patients with atypical pathogens than those without (P = 0.024). In all, 72.2% of the enrolled patients received antibiotic treatment at their first visits, and β-lactams (29.4%) and quinolones (20.5%) were the most commonly prescribed agents. In conclusion, our study demonstrates that the incidence of atypical pathogens is low in patients with acute bronchitis, and the rate of antibiotic prescriptions is high. |
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| AbstractList | The role of atypical bacteria and the effect of antibiotic treatments in acute bronchitis are still not clear. This study was conducted at 22 hospitals (17 primary care clinics and 5 university hospitals) in Korea. Outpatients (aged ≥ 18 yr) who had an acute illness with a new cough and sputum (≤ 30 days) were enrolled in 2013. Multiplex real-time polymerase chain reaction (RT-PCR) was used to detect five atypical bacteria. A total of 435 patients were diagnosed as having acute bronchitis (vs. probable pneumonia, n = 75), and 1.8% (n = 8) were positive for atypical pathogens (Bordetella pertussis, n = 3; B. parapertussis, n = 0; Mycoplasma pneumoniae, n = 1; Chlamydophila pneumoniae, n = 3; Legionella pneumophila, n = 1). Among clinical symptoms and signs, only post-tussive vomiting was more frequent in patients with atypical pathogens than those without (P = 0.024). In all, 72.2% of the enrolled patients received antibiotic treatment at their first visits, and β-lactams (29.4%) and quinolones (20.5%) were the most commonly prescribed agents. In conclusion, our study demonstrates that the incidence of atypical pathogens is low in patients with acute bronchitis, and the rate of antibiotic prescriptions is high.The role of atypical bacteria and the effect of antibiotic treatments in acute bronchitis are still not clear. This study was conducted at 22 hospitals (17 primary care clinics and 5 university hospitals) in Korea. Outpatients (aged ≥ 18 yr) who had an acute illness with a new cough and sputum (≤ 30 days) were enrolled in 2013. Multiplex real-time polymerase chain reaction (RT-PCR) was used to detect five atypical bacteria. A total of 435 patients were diagnosed as having acute bronchitis (vs. probable pneumonia, n = 75), and 1.8% (n = 8) were positive for atypical pathogens (Bordetella pertussis, n = 3; B. parapertussis, n = 0; Mycoplasma pneumoniae, n = 1; Chlamydophila pneumoniae, n = 3; Legionella pneumophila, n = 1). Among clinical symptoms and signs, only post-tussive vomiting was more frequent in patients with atypical pathogens than those without (P = 0.024). In all, 72.2% of the enrolled patients received antibiotic treatment at their first visits, and β-lactams (29.4%) and quinolones (20.5%) were the most commonly prescribed agents. In conclusion, our study demonstrates that the incidence of atypical pathogens is low in patients with acute bronchitis, and the rate of antibiotic prescriptions is high. The role of atypical bacteria and the effect of antibiotic treatments in acute bronchitis are still not clear. This study was conducted at 22 hospitals (17 primary care clinics and 5 university hospitals) in Korea. Outpatients (aged ≥ 18 yr) who had an acute illness with a new cough and sputum (≤ 30 days) were enrolled in 2013. Multiplex real-time polymerase chain reaction (RT-PCR) was used to detect five atypical bacteria. A total of 435 patients were diagnosed as having acute bronchitis (vs. probable pneumonia, n = 75), and 1.8% (n = 8) were positive for atypical pathogens (Bordetella pertussis, n = 3; B. parapertussis, n = 0; Mycoplasma pneumoniae, n = 1; Chlamydophila pneumoniae, n = 3; Legionella pneumophila, n = 1). Among clinical symptoms and signs, only post-tussive vomiting was more frequent in patients with atypical pathogens than those without (P = 0.024). In all, 72.2% of the enrolled patients received antibiotic treatment at their first visits, and β-lactams (29.4%) and quinolones (20.5%) were the most commonly prescribed agents. In conclusion, our study demonstrates that the incidence of atypical pathogens is low in patients with acute bronchitis, and the rate of antibiotic prescriptions is high. KCI Citation Count: 0 The role of atypical bacteria and the effect of antibiotic treatments in acute bronchitis are still not clear. This study was conducted at 22 hospitals (17 primary care clinics and 5 university hospitals) in Korea. Outpatients (aged ≥ 18 yr) who had an acute illness with a new cough and sputum (≤ 30 days) were enrolled in 2013. Multiplex real-time polymerase chain reaction (RT-PCR) was used to detect five atypical bacteria. A total of 435 patients were diagnosed as having acute bronchitis (vs. probable pneumonia, n = 75), and 1.8% (n = 8) were positive for atypical pathogens (Bordetella pertussis, n = 3; B. parapertussis, n = 0; Mycoplasma pneumoniae, n = 1; Chlamydophila pneumoniae, n = 3; Legionella pneumophila, n = 1). Among clinical symptoms and signs, only post-tussive vomiting was more frequent in patients with atypical pathogens than those without (P = 0.024). In all, 72.2% of the enrolled patients received antibiotic treatment at their first visits, and β-lactams (29.4%) and quinolones (20.5%) were the most commonly prescribed agents. In conclusion, our study demonstrates that the incidence of atypical pathogens is low in patients with acute bronchitis, and the rate of antibiotic prescriptions is high. The role of atypical bacteria and the effect of antibiotic treatments in acute bronchitis are still not clear. This study was conducted at 22 hospitals (17 primary care clinics and 5 university hospitals) in Korea. Outpatients (aged ≥ 18 yr) who had an acute illness with a new cough and sputum (≤ 30 days) were enrolled in 2013. Multiplex real-time polymerase chain reaction (RT-PCR) was used to detect five atypical bacteria. A total of 435 patients were diagnosed as having acute bronchitis (vs. probable pneumonia, n = 75), and 1.8% (n = 8) were positive for atypical pathogens ( Bordetella pertussis , n = 3; B. parapertussis , n = 0; Mycoplasma pneumoniae , n = 1; Chlamydophila pneumoniae , n = 3; Legionella pneumophila , n = 1). Among clinical symptoms and signs, only post-tussive vomiting was more frequent in patients with atypical pathogens than those without ( P = 0.024). In all, 72.2% of the enrolled patients received antibiotic treatment at their first visits, and β-lactams (29.4%) and quinolones (20.5%) were the most commonly prescribed agents. In conclusion, our study demonstrates that the incidence of atypical pathogens is low in patients with acute bronchitis, and the rate of antibiotic prescriptions is high. |
| Author | Lee, Myung Goo Kim, Do Il Cha, Hyung Gun Lee, Won Jun Lee, Jae-Myung Kim, Yee Hyung Oh, Kil Chan Jung, Ki-Suck Yun, Jang Uk Kim, Hyun Su Yoo, Kwang Ha Kim, Ki-Seong Lee, Young Ju Song, Kyu-Tae Shim, Yun Su Seo, Jung San Park, Sunghoon |
| AuthorAffiliation | 11 Division of Pulmonary, Allergy and Critical Care Medicine, Kyung Hee University, Seoul, Korea 4 Neulpurun Clinic of Otolaryngology, Anyang, Korea 16 Seojungsan Clinic of Internal Medicine, Seoul, Korea 8 Division of Pulmonary, Allergy and Critical Care Medicine, Chuncheon Sacred Heart Hospital, Chuncheon, Korea 10 Hanyang Clinic of Internal Medicine, Seoul, Korea 15 Leejaemyung Clinic of Internal Medicine, Anyang, Korea 2 Myeongmun Clinic of Internal Medicine, Yongin, Korea 3 Joeun Clinic of Internal Medicine, Dangjin, Korea 7 Pyeongchon-Family Clinic of Internal Medicine, Anyang, Korea 5 Division of Pulmonary, Allergy and Critical Care Medicine, Konkuk University Hospital, Seoul, Korea 13 Rapha Clinic of Otolaryngology, Anyang, Korea 9 Haengbok-Dream Clinic of Internal Medicine, Daegu, Korea 6 Division of Pulmonary, Allergy and Critical Care Medicine, Kangnam Sacred Heart Hospital, Seoul, Korea 1 Division of Pulmonary, Allergy and Critical Care Medicine, Hallym University Sacred Heart Hospital, |
| AuthorAffiliation_xml | – name: 7 Pyeongchon-Family Clinic of Internal Medicine, Anyang, Korea – name: 16 Seojungsan Clinic of Internal Medicine, Seoul, Korea – name: 5 Division of Pulmonary, Allergy and Critical Care Medicine, Konkuk University Hospital, Seoul, Korea – name: 6 Division of Pulmonary, Allergy and Critical Care Medicine, Kangnam Sacred Heart Hospital, Seoul, Korea – name: 11 Division of Pulmonary, Allergy and Critical Care Medicine, Kyung Hee University, Seoul, Korea – name: 2 Myeongmun Clinic of Internal Medicine, Yongin, Korea – name: 4 Neulpurun Clinic of Otolaryngology, Anyang, Korea – name: 8 Division of Pulmonary, Allergy and Critical Care Medicine, Chuncheon Sacred Heart Hospital, Chuncheon, Korea – name: 3 Joeun Clinic of Internal Medicine, Dangjin, Korea – name: 13 Rapha Clinic of Otolaryngology, Anyang, Korea – name: 14 Chahyunggun Clinic of Otolaryngology, Anyang, Korea – name: 10 Hanyang Clinic of Internal Medicine, Seoul, Korea – name: 12 Hongjunggon Clinic of Internal Medicine, Anyang, Korea – name: 1 Division of Pulmonary, Allergy and Critical Care Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea – name: 9 Haengbok-Dream Clinic of Internal Medicine, Daegu, Korea – name: 15 Leejaemyung Clinic of Internal Medicine, Anyang, Korea |
| Author_xml | – sequence: 1 givenname: Sunghoon orcidid: 0000-0001-7004-6985 surname: Park fullname: Park, Sunghoon organization: Division of Pulmonary, Allergy and Critical Care Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea – sequence: 2 givenname: Kil Chan surname: Oh fullname: Oh, Kil Chan organization: Myeongmun Clinic of Internal Medicine, Yongin, Korea – sequence: 3 givenname: Ki-Seong surname: Kim fullname: Kim, Ki-Seong organization: Joeun Clinic of Internal Medicine, Dangjin, Korea – sequence: 4 givenname: Kyu-Tae surname: Song fullname: Song, Kyu-Tae organization: Neulpurun Clinic of Otolaryngology, Anyang, Korea – sequence: 5 givenname: Kwang Ha orcidid: 0000-0001-9969-2657 surname: Yoo fullname: Yoo, Kwang Ha organization: Division of Pulmonary, Allergy and Critical Care Medicine, Konkuk University Hospital, Seoul, Korea – sequence: 6 givenname: Yun Su surname: Shim fullname: Shim, Yun Su organization: Division of Pulmonary, Allergy and Critical Care Medicine, Kangnam Sacred Heart Hospital, Seoul, Korea – sequence: 7 givenname: Young Ju surname: Lee fullname: Lee, Young Ju organization: Pyeongchon-Family Clinic of Internal Medicine, Anyang, Korea – sequence: 8 givenname: Myung Goo surname: Lee fullname: Lee, Myung Goo organization: Division of Pulmonary, Allergy and Critical Care Medicine, Chuncheon Sacred Heart Hospital, Chuncheon, Korea – sequence: 9 givenname: Jang Uk surname: Yun fullname: Yun, Jang Uk organization: Haengbok-Dream Clinic of Internal Medicine, Daegu, Korea – sequence: 10 givenname: Hyun Su surname: Kim fullname: Kim, Hyun Su organization: Hanyang Clinic of Internal Medicine, Seoul, Korea – sequence: 11 givenname: Yee Hyung surname: Kim fullname: Kim, Yee Hyung organization: Division of Pulmonary, Allergy and Critical Care Medicine, Kyung Hee University, Seoul, Korea – sequence: 12 givenname: Won Jun surname: Lee fullname: Lee, Won Jun organization: Hongjunggon Clinic of Internal Medicine, Anyang, Korea – sequence: 13 givenname: Do Il orcidid: 0000-0001-9046-3970 surname: Kim fullname: Kim, Do Il organization: Rapha Clinic of Otolaryngology, Anyang, Korea – sequence: 14 givenname: Hyung Gun surname: Cha fullname: Cha, Hyung Gun organization: Chahyunggun Clinic of Otolaryngology, Anyang, Korea – sequence: 15 givenname: Jae-Myung orcidid: 0000-0002-6241-6349 surname: Lee fullname: Lee, Jae-Myung organization: Leejaemyung Clinic of Internal Medicine, Anyang, Korea – sequence: 16 givenname: Jung San surname: Seo fullname: Seo, Jung San organization: Seojungsan Clinic of Internal Medicine, Seoul, Korea – sequence: 17 givenname: Ki-Suck orcidid: 0000-0002-6878-6543 surname: Jung fullname: Jung, Ki-Suck organization: Division of Pulmonary, Allergy and Critical Care Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea |
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| CitedBy_id | crossref_primary_10_3904_kjim_2018_181 crossref_primary_10_5145_ACM_2017_20_4_97 crossref_primary_10_1186_s42506_018_0003_4 crossref_primary_10_1080_21645515_2020_1844505 crossref_primary_10_1080_03007995_2024_2362273 crossref_primary_10_3892_etm_2017_4992 crossref_primary_10_1371_journal_pone_0165553 crossref_primary_10_4168_aair_2023_15_5_673 |
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| Snippet | The role of atypical bacteria and the effect of antibiotic treatments in acute bronchitis are still not clear. This study was conducted at 22 hospitals (17... |
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| SubjectTerms | Anti-Bacterial Agents - therapeutic use Bordetella parapertussis - genetics Bordetella parapertussis - isolation & purification Bordetella pertussis - genetics Bordetella pertussis - isolation & purification Bronchitis - drug therapy Bronchitis - microbiology Chlamydophila pneumoniae - genetics Chlamydophila pneumoniae - isolation & purification Community-Acquired Infections - microbiology Female Humans Hypertension - complications Legionella pneumophila - genetics Legionella pneumophila - isolation & purification Male Middle Aged Mycoplasma pneumoniae - genetics Mycoplasma pneumoniae - isolation & purification Original Real-Time Polymerase Chain Reaction Republic of Korea Sputum - microbiology 의학일반 |
| Title | Role of Atypical Pathogens and the Antibiotic Prescription Pattern in Acute Bronchitis: A Multicenter Study in Korea |
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