In the first of a new series of videos, Dr Kevin Gruffydd-Jones highlights five things you need to know about bronchiectasis

Bronchiectasis is a chronic condition characterised by symptoms of persistent or recurrent bronchial sepsis caused by irreversible damage to and dilation of the bronchi.1 The key principles of the diagnosis and management of bronchiectasis were set out in the 2019 British Thoracic Society guideline for bronchiectasis in adults,2 and subsequently explained in an article aimed at a specialist global primary care audience.1

In this short video, Dr Kevin Gruffydd-Jones answers the following five questions related to the investigation and management of bronchiectasis in primary care:

  • When should bronchiectasis be suspected?
  • What does routine review in primary care consist of?
  • Which patients should be referred to secondary care?
  • What are the principles of chronic management of bronchiectasis?
  • How should acute exacerbations be managed in primary care?

Resources

Figure 1: Proposed algorithm for the diagnostic pathway in primary care of patients suspected of having bronchiectasis1

Five things you need to know about... bronchiectasis—Figure 1

CT=computed tomography; COPD=chronic obstructive pulmonary disease; IBD=inflammatory bowel disease

Figure 2: Proposed algorithm for the review and management of patients with bronchiectasis in primary care1

Five things you need to know about... bronchiectasis—Figure 2

CT=computed tomography; COPD=chronic obstructive pulmonary disease; P. aeruginosa =Pseudomonas aeruginosa; MRSA=methicillin-resistant Staphylococcus aureus; NTM=non-tuberculous mycobacteria; ABPA=allergic bronchopulmonary aspergillosis; IBD=inflammatory bowel disease; PCD=primary ciliary dyskinesia

References

  1. Gruffydd-Jones K, Keely D, Knowles V et al. Primary care implications of the British Thoracic Society Guidelines for bronchiectasis in adults 2019. NPJ Prim Care Respir Med 2019; 29: 24.
  2. Hill A, Sullivan A, Chalmers J et al. British Thoracic Society guideline for bronchiectasis in adults.Thorax 2019; 74 (Suppl 1): 1–69.

 

Keen to learn more?

Read Dr Gruffydd-Jones’ key learning points article to understand how to recognise, investigate, and manage bronchiectasis in primary care, co-existing conditions that increase the risk of bronchiectasis, and key points for primary care on the routine review of patients with bronchiectasis.

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Key learning points: managing bronchiectasis in adults

Dr Kevin Gruffydd-Jones explains the implications of the British Thoracic Society guideline on bronchiectasis for primary care practice