Obstetricians and gynecologists are increasingly involved in primary care. While acute bronchitis is primarily caused by viruses, antibiotics are prescribed to 50-70% of patients, despite their limited effectiveness due to bacterial resistance, high cost, and potential side effects. Additionally, inhaled bronchodilators, which can provide symptomatic relief, are underutilized. It is important to improve physician awareness of appropriate management for acute bronchitis in order to reduce unnecessary antibiotic use. Prescribing antibiotics is often driven by patient satisfaction, but satisfaction should be focused on patient education rather than antibiotic prescription. This review focuses on the diagnosis, differential diagnosis, and management of acute bronchitis.