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Chronic cough due to bronchiectasis: ACCP evidence-based clinical practice guidelines
Chest
|January 24, 2006
Summary
Bronchiectasis diagnosis is best achieved with high-resolution CT scans. Management involves antibiotics for exacerbations and physiotherapy, with surgery for severe localized cases.
Area of Science:
- Pulmonology
- Radiology
Background:
- Bronchiectasis involves permanent bronchial dilation and wall destruction, often stemming from infection.
- Chronic productive cough is the hallmark symptom of bronchiectasis.
Purpose of the Study:
- To review diagnostic methods and treatment strategies for bronchiectasis.
Main Methods:
- A systematic literature search was conducted using Ovid MEDLINE and the Cochrane Library.
- Articles were reviewed from 1966 through 2003.
Main Results:
- High-resolution CT scanning is the gold standard for diagnosing bronchiectasis.
- Underlying disorders like cystic fibrosis and immunodeficiencies are increasingly recognized as predisposing factors.
- Treatments including antibiotics, physiotherapy, and surgery show variable efficacy.
Conclusions:
- Early diagnosis via HRCT is crucial.
- Management requires addressing underlying conditions and preventing exacerbations.
- Antibiotics are key for exacerbations, while surgery is an option for select localized cases.
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