• Main
  • Useful links
  • Information for Contributors
  • About
  • Editorial board

  • Article
    Bereznyakov I.G., Imanova N.I., Bereznyakov V.I., Lebedynska M.N., Levadna I.V., Shepitko K.V.


    About the author: Bereznyakov I.G., Imanova N.I., Bereznyakov V.I., Lebedynska M.N., Levadna I.V., Shepitko K.V.
    Type of article Scentific article
    Annotation Physicians’ mistakes in diagnostics and treatment of acute bronchitis (AB) lead to unnecessary drug costs and can negatively influence on spread of antimicrobial resistance. The purpose of the study was to identify and explain common misconceptions regarding the diagnosis and treatment of patients with AB by interviewing internists and family physicians of Ukraine and Kazakhstan. There were 8 questions formulated to physician’s inquiry with 5 variants of responses to each of them. Surveys were carried out from December 2017 to November 2018 at medical conferences and courses of postgraduate education for physicians. Among the common physicians’ misconceptions in both countries we can highlight 1) the widespread use of aminopenicillins (including ones with β-lactamase inhibitors), which are not active against main pathogens of АB, 2) predominant appointment of mucolytics and / or mucokinetics, and expectorants, with quite modest evidence of their effectiveness in AB, 3) preference herbal medicines with limited proven effectiveness.
    Tags acute bronchitis, inquiry, internists, family physicians, Ukraine, Kazakhstan
    • Bereznyakov IG. Kashel: ot diagnoza k lecheniyu. Kyiv: OOO «Vistka»; 2017. 204 s. [in Russian]
    • Bereznyakov IG. Kratkiy spravochnik po empiricheskomu ispolzovaniyu antibiotikov s lechebnoy i profilakticheskoy tselyu. Izdaniye 2. Kyiv: TOV NVP Interservis; 2018. 224 s. [in Russian]
    • Barnett ML, Linder JA. Antibiotic prescribing for adults with acute bronchitis in the United States, 1996-2010. JAMA. 2014; 311 (19): 2020-2.
    • Kardos P. Phytotherapy in acute bronchitis: what is the evidence? Clin. Phytoscience. 2015; 1:2.
    • Kinkade S, Long NA. Acute Bronchitis. Am. Fam. Physician. 2016; 94 (7): 560-565.
    • Matthys H, Lehmacher W, Zimmermann A. EPs 7630 in acute respiratory tract infections –a systematic review and meta-analysis of randomized clinical trials. J. Lung Pulm. Respir. Res. 2016; 3 (1): 00068.
    • National Institute for Health and Clinical Excellence. Respiratory tract infections (self-limiting): prescribing antibiotics. NICE guideline [CG69]. 2008.
    • Smith SM, Fahey T, Smucny J, Becker LA. Antibiotics for acute bronchitis. Cochrane Database of Systematic Reviews.2017; 6: CD000245.
    • Smith SM, Schroeder K, Fahey T. Over-the-counter (OTC) medications for acute cough in children and adults in community settings. Cochrane Database of Systematic Reviews. 2014; 11: CD001831.
    • Woodhead M, Blasi F, Ewig S. Joint Taskforce of the European Respiratory Society and European Society for Clinical Microbiology and Infectious Diseases. Guidelines for the management of adult lower respiratory tract infections. Summary. Clin. Microbiol. Infect. 2011; 17 (6): 1–24.
    Publication of the article «World of Medicine and Biology» №3(69), 2019 year, 014-018 pages, index UDK 616.233-002.1-07-085(049.3)
    DOI 10.26724/2079-8334-2019-3-69-14-18