La bronchite sans broncher

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Mots-clés :  Bronchite, bronches

13/12/2012

Chaque année, 10 millions de personnes sont atteintes de bronchite aiguë. Banale, cette inflammation des bronches disparaît souvent spontanément sans traitement spécifique. Prudence toutefois chez les petits asthmatiques ou les enfants sujets aux maladies pulmonaires.

Une bronchite, c’est quoi ?

La bronchite aiguë est une inflammation ou une irritation des bronches, qui survient fréquemment à l'automne. Banale et souvent bénigne, la bronchite aiguë est dans 90 % des cas d’origine virale. Elle est souvent associée ou précédée d’une rhinite, d’une pharyngite ou d’une laryngite.

Bronchite ou pas ?

La bronchite aiguë survient souvent de façon brusque, d’où son nom par opposition à la bronchite chronique. Elle se manifeste par une toux importante, persistante, majorée la nuit, en position couchée. La toux est d’abord sèche et devient grasse en 2 à 3 jours. Votre enfant peut se plaindre d’une sensation de brûlure dans la poitrine notamment lorsqu’il respire ou lorsqu’il tousse. D’autres signes peuvent être associés : fièvre modérée (moins de 38°5) et variable au cours de la journée, courbatures, maux de tête, maux de gorge.

Antibiotiques : oui ou non ?

Dans la majorité des cas, les bronchites aiguës guérissent spontanément en 5 à 10 jours. Votre médecin cherchera alors à soulager votre enfant en atténuant les symptômes : médicaments contre la toux, antipyrétiques et/ou antalgiques pour lutter contre la fièvre et/ou la douleur, lavage de nez… Inutile donc de passer par la case d’antibiotiques, car le plus souvent la bronchite est virale ! Toutefois, selon la persistance ou l’aggravation des signes cliniques ou face à un enfant fragile (asthme, maladies respiratoires), votre médecin pourra vous prescrire un antibiotique afin d’éviter toute surinfection bactérienne.

 

Bien être et sante: 
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