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Risk factors

By Mayo Clinic staff

Factors that increase your risk of bronchitis include:

  • Cigarette smoke. People who smoke or who live with a smoker are at greatest risk of both acute bronchitis and chronic bronchitis. Children in households where someone smokes also are susceptible to bronchitis, as well as to asthma, pneumonia, colds and middle ear infections (otitis media).
  • Low resistance. This may result from another acute illness, such as a cold, or from a chronic condition that compromises your immune system. Older adults, infants and young children have greater vulnerability to infection.
  • Gastroesophageal reflux disease (GERD). Stomach acids that persistently back up into your esophagus may cause a chronic cough.
  • Exposure to irritants on the job. You run the risk of developing occupational bronchitis if you work around certain lung irritants, such as grains or textiles, or are exposed to chemical fumes from ammonia, strong acids, chlorine, hydrogen sulfide, sulfur dioxide or bromine. The cough associated with occupational bronchitis may be dry (nonproductive). Occupational bronchitis usually clears up when you're no longer exposed to these substances. This type of bronchitis isn't related to any infectious agent, but the irritation of the airways makes you more susceptible to getting an infection.
References
  1. What is bronchitis? National Heart, Lung, and Blood Institute. www.nhlbi.nih.gov/health/dci/Diseases/brnchi/brnchi_whatis.html. Accessed Feb. 11, 2009.
  2. Acute bronchitis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec05/ch051/ch051a.html. Accessed Feb. 11, 2009.
  3. Pneumococcal polysaccharide vaccine. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-ppv.pdf. Accessed Feb. 25, 2009.
  4. Chronic bronchitis. American Lung Association. http://www.lungusa.org/site/apps/nlnet/content3.aspx?c=dvLUK9O0E&b=2058829&content_id={C79758B1-B58D-45C4-851D-2FD12958D1E3}¬oc=1. Accessed Feb. 25, 2009.
  5. Wei J, et al. Chinese medicinal herbs for acute bronchitis (review). Cochrane Database of Systemic Reviews. 2008:CD004560.
  6. Agbabiaka T, et al. Pelargonium sidoides for acute bronchitis: A systematic review and meta-analysis. Phytomedicine 2008;15:378.
  7. Long MD, et al. Extra-esophageal GERD: Clinical dilemma of epidemiology versus clinical practice. Current Gastroenterology Reports. 2007;9:195.
  8. Pneumococcal conjugate vaccine. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-PneumoConjugate.pdf. Accessed Jan. 25, 2009.

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April 21, 2009

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