[Diagnosis and treatment of bronchiectasis. Spanish Society of Pneumology and Thoracic Surgery].

Abstract:

:Bronchiectasis is the end result of several different diseases that share principles of management. The clinical course usually involves chronic bronchial infection and inflammation, which are associated with progression. The cause of bronchiectasis should always be investigated, particularly when it can be treated. We recommend evaluating etiology, symptoms, bronchial colonization and infection, respiratory function, inflammation, structural damage, nutritional status, and quality of life in order to assess severity and to monitor clinical course. Care should be supervised by specialized units, at least in cases of chronic bronchial infection, recurrent exacerbations, or when there is a cause that is likely to respond to treatment. Improving symptoms and halting progression are the goals of management, which is based on treatment of the underlying cause and of acute or chronic infections and on the drainage of secretions. Complications that arise must also be treated. Antibiotic prescription is guided by how well infection is being controlled, and this is indicated by the color of sputum and a reduction in the number of exacerbations. We recommend inhaled antibiotics in cases of chronic bronchial infection that does not respond to oral antibiotics, when these cause side effects, or when the cause is Pseudomonas species or other bacteria resistant to oral antibiotics. Inhaled administration is also advisable to treat initial colonization by Pseudomonas species.

journal_name

Arch Bronconeumol

authors

Vendrell M,de Gracia J,Olveira C,Martinez-Garcia MA,Girón R,Máiz L,Cantón R,Coll R,Escribano A,Solé A

doi

10.1157/13128330

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

629-40

issue

11

eissn

0300-2896

issn

1579-2129

pii

13128330

journal_volume

44

pub_type

杂志文章,实务指引
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  • [Diagnostic value of quantitative cultures of endotracheal aspirate in ventilator-associated pneumonia: a multicenter study].

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