Kronisk bronkit
Senast reviderad:
Sakkunnig:Remy Waardenburg
Definition:
Produktiv hosta de flesta dagarna under en månad i minst 3 månader under 2 på varandra följande år.
Förekomst:
Prevalensen i Sverige är cirka 7 %.
Symtom:
Långvarig slemhosta utan annan förklaring.
Kliniska fynd:
Typiska kliniska fynd saknas.
Diagnostik:
Diagnosen baseras på anamnes och kliniska fynd men spirometri, bilddiagnostik och blodprover kan användas för att utesluta andra orsaker.
Behandling:
Undvika exponering. Eventuellt kan vissa läkemedel prövas.
- Axelsson M, Ekerljung L, Eriksson J, et al. Chronic bronchitis in West Sweden - a matter of smoking and social class. Eur Clin Respir J. 2016;3:30319. Published 2016 Jul 13. PMID:27421832. PubMed
- Halbert RJ, Natoli JL, Gano A, et al. Global burden of COPD: systematic review and meta-analysis. Eur Respir J. 2006 Sep;28(3):523-32. PMID: 16611654. PubMed
- Cerveri I, Accordini S, Verlato G, et al. Variations in the prevalence across countries of chronic bronchitis and smoking habits in young adults. Eur Respir J. 2001 Jul;18(1):85-92. PMID: 11510810. PubMed
- Lindstrom M, Kotaniemi J, Jonsson E, Lundback B. Smoking, respiratory symptoms, and diseases : a comparative study between northern Sweden and northern Finland: report from the FinEsS study. Chest. 2001 Mar;119(3):852-61. PMID: 11243968. PubMed
- Pelkonen MK, Notkola IL, Laatikainen TK, Koskela HO. Twenty-five year trends in prevalence of chronic bronchitis and the trends in relation to smoking. Respir Med. 2014;108(11):1633-1640. PMID:25195139. PubMed
- Kim V, Criner GJ. Chronic bronchitis and chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2013; 187(3): 228-37. pmid:23204254 PubMed
- Ferre A, Fuhrman C, Zureik M, et al. Chronic bronchitis in the general population: influence of age, gender and socio-economic conditions. Respir Med. 2012 Mar;106(3):467-71. PMID: 22197577. PubMed
- Martinez CH, Kim V, Chen Y, et al. The clinical impact of non-obstructive chronic bronchitis in current and former smokers. Respir Med. 2014;108(3):491-499. PMID:24280543. PubMed
- Eduard W, Pearce N, Douwes J. Chronic bronchitis, COPD, and lung function in farmers: the role of biological agents. Chest. 2009 Sep;136(3):716-25. PMID: 19318669. PubMed
- Lindgren A, Stroh E, Montnemery P, et al. Traffic-related air pollution associated with prevalence of asthma and COPD/chronic bronchitis. A cross-sectional study in Southern Sweden. Int J Health Geogr. 2009 Jan 20;8:2. PMID: 19154599. PubMed
- Hallberg J, Dominicus A, Eriksson UK, Gerhardsson de Verdier M, Pedersen NL, Dahlback M, et al. Interaction between smoking and genetic factors in the development of chronic bronchitis. Am J Respir Crit Care Med. 2008 Mar 1;177(5):486-90. PMID: 18048810. PubMed
- Widysanto A, Mathew G. Chronic Bronchitis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 23, 2020. PMID:29494044. PubMed
- Poole P, Sathananthan K, Fortescue R. Mucolytic agents versus placebo for chronic bronchitis or chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2019 May 20;5(5):CD001287. DOI: 10.1002/14651858.CD001287.pub6. The Cochrane Library
- Song DJ, Song WJ, Kwon JW, et al. KAAACI Evidence-Based Clinical Practice Guidelines for Chronic Cough in Adults and Children in Korea. Allergy Asthma Immunol Res. 2018;10(6):591-613. PMID:30306744. PubMed
- Allinson JP, Hardy R, Donaldson GC, Shaheen SO, Kuh D, Wedzicha JA. The Presence of Chronic Mucus Hypersecretion across Adult Life in Relation to Chronic Obstructive Pulmonary Disease Development. Am J Respir Crit Care Med. 2016;193(6):662-672. PMID:26695373. PubMed
- 2020 Global strategy for prevention, diagnosis and management of COPD. (Hämtad 2020-10-06). goldcopd.org
- Guerra S, Sherrill DL, Venker C, et al. Chronic bronchitis before age 50 years predicts incident airflow limitation and mortality risk. Thorax. 2009 Oct;64(10):894-900. PMID: 19581277. PubMed
- Ekberg-Aronsson M, Pehrsson K, Nilsson JA, Nilsson PM, Lofdahl CG. Mortality in GOLD stages of COPD and its dependence on symptoms of chronic bronchitis. Respir Res. 2005;6:98. PMID: 16120227. PubMed
- Remy Waardenburg, specialist i allmänmedicin, medicinsk redaktör Medibas
Tidigare sakkunniga
- Kjell Larsson, professor och specialistläkare, Enheten för lung- och luftvägsforskning, Institutet för miljömedicin (IMM), Karolinska institutet