Primary care implications of the British Thoracic Society Guidelines for bronchiectasis in adults 2019.

Gruffydd-Jones, Kevin and Keeley, Duncan and Knowles, Vikki and Recabarren, Ximena and Woodward, Alex and Sullivan, Anita L and Loebinger, Michael R and Payne, Karen and Harvey, Alex and Grillo, Lizzie and Welham, Sally A and Hill, Adam T (2019) Primary care implications of the British Thoracic Society Guidelines for bronchiectasis in adults 2019. NPJ primary care respiratory medicine, 29 (1). p. 24. ISSN 2055-1010.

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Official URL: https://www.nature.com/articles/s41533-019-0136-8

Abstract

The British Thoracic Society (BTS) Guidelines for Bronchiectasis in adults were published in January 2019, and comprise recommendations for treatment from primary to tertiary care. Here, we outline the practical implications of these guidelines for primary care practitioners. A diagnosis of bronchiectasis should be considered when a patient presents with a recurrent or persistent (>8 weeks) productive cough. A definitive diagnosis is made by using thin-section chest computed tomography (CT). Once diagnosed, patients should be initially assessed by a specialist respiratory team and a shared management plan formulated with the patient, the specialist and primary care teams. The cornerstone of primary care management is physiotherapy to improve airway sputum clearance and maximise exercise capacity, with prompt treatment of acute exacerbations with antibiotics.

Item Type: Article
Subjects: WF Respiratory system. Respiratory medicine
WG Cardiovascular system. Cardiology
Divisions: Planned IP Care > Respiratory Medicine
Planned IP Care > Thoracic Surgery
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Depositing User: Mr Philip O'Reilly
Date Deposited: 05 Jul 2019 15:06
Last Modified: 05 Jul 2019 15:06
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/2216

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