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Correspondence
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Volume 344:1097-1098 April 5, 2001 Number 14
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The Diagnosis and Treatment of Cough

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To the Editor: We share the concern of Irwin and Madison (Dec. 7 issue)1 about the unnecessary treatment of acute cough with antibiotics, which recent meta-analyses have shown has no clinically significant benefit.2,3,4 However, we disagree with the authors' terminology. Irwin and Madison avoid the diagnosis of bronchitis for patients with cough and production of phlegm, but there are compelling reasons to retain the term. "Acute bronchitis" is common in the medical literature and is familiar to patients and physicians alike. Unfortunately, the diagnosis of acute bronchitis has traditionally been used as justification for the administration of antibiotics and has . . . [Full Text of this Article]

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