Treatment Guideline Chart

Chronic bronchitis is an infection of the trachea and bronchi for at least three consecutive months for more than two consecutive years.

The patient experiences symptoms of increase in dyspnea, sputum volume and sputum purulence over baseline on most days.

Diagnosis is basically based on clinical presentation.

Bronchitis%20-%20chronic%20in%20acute%20exacerbation Management


Influenza Vaccine

  • The use of an annual influenza vaccine for all patients with chronic bronchitis is strongly recommended
    • Patients with chronic lung disease have a higher risk of complications from influenza infection
    • Annual influenza vaccination decreases the morbidity and mortality of influenza in the elderly by 50%
  • Please see Influenza disease management chart for further information

Pneumococcal Vaccine

  • It is recommended that pneumococcal vaccine be administered at least once to patients with chronic bronchitis
    • Consider repeating vaccine every 5-10 years in high-risk patients
  • Pneumococcal vaccine is safe and may reduce invasive pneumococcal infection in patients with COPD
Coronavirus Disease 2019 (COVID-19) Vaccine
  • Highly effective against SARS-CoV-2 infection
  • Chronic bronchitis is commonly seen in patients with COPD
  • Patients with underlying medical conditions and smokers are at higher risk for severe COVID-19 outcomes
  • Please see Coronavirus Disease 2019 (COVID-19) disease management chart for further information
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