Chronic suppurative lung disease and bronchiectasis in children and adults in Australia and New Zealand Thoracic Society of Australia and New Zealand guidelines.

نویسندگان

  • Anne B Chang
  • Scott C Bell
  • Paul J Torzillo
  • Paul T King
  • Graeme P Maguire
  • Catherine A Byrnes
  • Anne E Holland
  • Peter O'Mara
  • Keith Grimwood
چکیده

Consensus recommendations for managing chronic suppurative lung disease (CSLD) and bronchiectasis, based on systematic reviews, were developed for Australian and New Zealand children and adults during a multidisciplinary workshop. The diagnosis of bronchiectasis requires a high-resolution computed tomography scan of the chest. People with symptoms of bronchiectasis, but non-diagnostic scans, have CSLD, which may progress to radiological bronchiectasis. CSLD/bronchiectasis is suspected when chronic wet cough persists beyond 8 weeks. Initial assessment requires specialist expertise. Specialist referral is also required for children who have either two or more episodes of chronic (> 4 weeks) wet cough per year that respond to antibiotics, or chest radiographic abnormalities persisting for at least 6 weeks after appropriate therapy. Intensive treatment seeks to improve symptom control, reduce frequency of acute pulmonary exacerbations, preserve lung function, and maintain a good quality of life. Antibiotic selection for acute infective episodes is based on results of lower airway culture, local antibiotic susceptibility patterns, clinical severity and patient tolerance. Patients whose condition does not respond promptly or adequately to oral antibiotics are hospitalised for more intensive treatments, including intravenous antibiotics. Ongoing treatment requires regular and coordinated primary health care and specialist review, including monitoring for complications and comorbidities. Chest physiotherapy and regular exercise should be encouraged, nutrition optimised, environmental pollutants (including tobacco smoke) avoided, and vaccines administered according to national immunisation schedules. Individualised long-term use of oral or nebulised antibiotics, corticosteroids, bronchodilators and mucoactive agents may provide a benefit, but are not recommended routinely.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Updated protocol and guest participant results from the ACCeRT clinical study

Introduction: Cancer cachexia is a condition often seen at diagnosis, throughout chemotherapeutic treatments and in end stage Non-Small Cell Lung Cancer patients. These patients often experience a shorter life-expectancy and deterioration in performance status and reduced quality of life. New multi˗targeted regimens are required to be tested in this population to address these issues. Material...

متن کامل

Azithromycin for Indigenous children with bronchiectasis: study protocol for a multi-centre randomized controlled trial

BACKGROUND The prevalence of chronic suppurative lung disease (CSLD) and bronchiectasis unrelated to cystic fibrosis (CF) among Indigenous children in Australia, New Zealand and Alaska is very high. Antibiotics are a major component of treatment and are used both on a short or long-term basis. One aim of long-term or maintenance antibiotics is to reduce the frequency of acute pulmonary exacerba...

متن کامل

Indigenous Accounts of Environmental Stewardship in Light of the Theory and Language of Maharishi Vedic Science

The principles and practice of sustainability have gained momentum in the last 15 years and now form a central part of conversations around social praxis and the future. It has been proposed that the theories driving sustainability science are embedded in Indigenous history, and it has been shown that many ancient traditions always concerned themselves with sustainable and ethical living. Among...

متن کامل

Chronic Cough in Children: An Overview

According to guidelines from the Thoracic Society of Australia and New Zealand and the American College of Chest Physicians, cough is considered chronic in children if it lasts longer than 4 weeks1,2; in guidelines from the British Thoracic Society, cough is considered chronic if it lasts 8 weeks.3 In adults, cough that lasts longer than 8 weeks is considered chronic. The pediatric guidelines a...

متن کامل

The Question of Re-Presentation In EFL Course Books: Are Learners of English Taught about New Zealand?

Increasingly intercultural dimension of communication in the 21st century has brought about challenging aims in EFL (English as a Foreign Language) pedagogy, such as ascertaining the enhancement of the learners' intercultural awareness and promoting their ability to communicate in intercultural settings. Taking the disadvantage of EFL environment in terms of intercultural input into ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Medical journal of Australia

دوره 202 1  شماره 

صفحات  -

تاریخ انتشار 2010