Subject(s)
Pneumothorax/therapy , Practice Guidelines as Topic , Pulmonary Medicine/standards , Adolescent , Adult , Area Under Curve , Chest Tubes , Female , Humans , Male , Middle Aged , Pilot Projects , Pneumothorax/diagnostic imaging , ROC Curve , Radiography , Severity of Illness Index , Societies, Medical , United Kingdom , United States , Young AdultABSTRACT
The British Thoracic Society (BTS) has recently published a guideline for the management of non-cystic fibrosis (non-CF) bronchiectasis in children and adults. This paper summarises the key recommendations applicable to the primary care setting. The key points are: ⢠Think of the diagnosis of bronchiectasis in adults and children who present with a chronic productive cough or unexplained haemoptysis, and in children with asthma which responds poorly to treatment; ⢠High resolution computed tomography (HRCT) scanning is needed to confirm the diagnosis ⢠Sputum culture should be obtained at the start of an exacerbation prior to initiating treatment with antibiotics; Treatment should be started whilst awaiting the sputum result and should be continued for 14 days; ⢠Patients with bronchiectasis have significant morbidity. Management in primary care is aimed at improving morbidity, and includes; patient education, treatment and monitoring, as well as appropriate referral to secondary care including assessment for long term antibiotics.
