What is the appropriate management for a 32-year-old man with acute bronchitis who is otherwise healthy?

Acute bronchitis is often caused by viral infections and is characterized primarily by a cough, often accompanied by sputum production. In otherwise healthy individuals, particularly those without underlying health issues or significant risk factors, the primary focus of management is to treat symptoms rather than to use antibiotics.

This approach focuses on the understanding that most cases of acute bronchitis resolve on their own without the need for antimicrobial therapy. Symptomatic treatment may include rest, hydration, and potentially the use of over-the-counter medications to alleviate symptoms like cough and discomfort.

The rationale behind this management strategy is based on evidence showing that antibiotics do not improve outcomes in patients with uncomplicated acute bronchitis, as they are ineffective against viral pathogens. Furthermore, overprescribing antibiotics can contribute to unwanted side effects and the development of antibiotic resistance.

In this context, treating symptoms only is appropriate and recommended, reinforcing a patient-centered approach that prioritizes safety and effective management based on the nature of the illness.