Strategies to reduce antibiotic overuse in adults with acute bronchitis

Strategy	Specific examples
Align expectations	Carefully review the expected time course for symptomatic recovery so patient expectations are realistic
Make a follow-up plan	Offer a follow-up visit (in-person or telemedicine)
Offer symptomatic treatment	Address all patient concerns and offer suggestions/treatments for symptom management
Review potential antibiotic adverse effects	Review that antibiotics do not hasten the recovery of acute bronchitis and may have adverse effects such as: Diarrhea (including Clostridioides difficile) Hypersensitivity (including allergic) reactions Development of bacterial resistance Disruption of the normal microbiome

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