LYCOS RETRIEVER 
Bronchitis: Antibiotics
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Sulphur: This remedy can be indicated when a person has had many bouts of bronchitis (sometimes the resistance has been weakened by taking antibiotics too often for minor complaints). The cough feels irritating, burning, and painful; yellow or greenish mucus may be produced. Problems can be worse if the person gets too warm in bed, and breathing problems at night may wake the person up. Redness of the eyes and mucous membranes, and foul-smelling breath and perspiration are often seen when a person needs this remedy.
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Frequently, antibiotics are prescribed primarily to meet patient expectations.25 While physicians may understand that antibiotics are not effective for acute bronchitis, they prescribe them anyway, fearing that failure to do so will leave patients less satisfied. However, one study26 found that patient satisfaction with care did not depend on the receipt of an antibiotic prescription. As long as physicians explained the rationale for treatment, patients who expected antibiotics and did not get them were just as satisfied as those who were given antibiotics.
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Remember, childhood bronchitis is almost always caused by a virus. That means antibiotics -- which kill only bacteria -- aren't likely to work against your child's illness. If... your child has chronic bronchitis and there's a sudden change in the color or amount of mucus, she probably does have a bacterial infection that could be cleared up with antibiotics.
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Sulphur is to be prescribed in recurring cases of bronchitis, where overuse of antibiotics may have seriously hampered the body’s ability to defend itself. There is present a rough, and burningly painful cough with a discharge of yellow or green mucus, and such symptoms may be aggravated when such persons become too warm in bed, other symptoms may be difficulty in respiration while asleep. The symptoms may be varied but this type of recurrence of bronchitis happens only in cases where, a previous attack was ineffectively treated. Other tell tale signs are the redness in the eye’s and irritation in the mucous membranes, the patient may develop bad breath and will often sweat profusely at night. Only persons who fulfill all these peculiar symptoms are to be prescribed with this particular supplement.
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In patients with acute exacerbations of chronic bronchitis, the use of antibiotics is recommended. Patients with severe exacerbations and those with more severe airflow obstruction at baseline are the most likely to benefit. In stable patients with chronic bronchitis, long-term prophylactic therapy with antibiotics is not indicated.
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Methods: A retrospective chart review was performed in an academic family medicine training center that had previously instituted a quality-improvement project to reduce antibiotic prescribing for acute bronchitis. Patients who had acute bronchitis diagnosed during an 18-month period and who had no other secondary diagnosis for respiratory distress or a condition that would justify antibiotics were selected from a computerized-record database and included in the study (n = 135). Charts were reviewed to document patient symptoms, physical findings, provider and patient characteristics, and treatment.
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