Bronchiectasis secondary prevention: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 9: | Line 9: | ||
:*Smoking cessation | :*Smoking cessation | ||
:*Exercise | :*Exercise | ||
:*Maintain a healthy BMI | :*Maintain a healthy BMI | ||
*Use prophylactic treatment if suffering from three or more exacerbations per year<ref name="pmid23728208">{{cite journal| author=McDonnell MJ, Ward C, Lordan JL, Rutherford RM| title=Non-cystic fibrosis bronchiectasis. | journal=QJM | year= 2013 | volume= 106 | issue= 8 | pages= 709-15 | pmid=23728208 | doi=10.1093/qjmed/hct109 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23728208 }} </ref> | *Use prophylactic treatment if suffering from three or more exacerbations per year<ref name="pmid23728208">{{cite journal| author=McDonnell MJ, Ward C, Lordan JL, Rutherford RM| title=Non-cystic fibrosis bronchiectasis. | journal=QJM | year= 2013 | volume= 106 | issue= 8 | pages= 709-15 | pmid=23728208 | doi=10.1093/qjmed/hct109 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23728208 }} </ref> | ||
*Physiotherapy | *Physiotherapy | ||
====Prophylactic Treatment==== | |||
*National guidelines recommend that patients suffering from three or more exacerbations per year, should be considered for long-term antibiotics.<ref name="pmid23728208">{{cite journal| author=McDonnell MJ, Ward C, Lordan JL, Rutherford RM| title=Non-cystic fibrosis bronchiectasis. | journal=QJM | year= 2013 | volume= 106 | issue= 8 | pages= 709-15 | pmid=23728208 | doi=10.1093/qjmed/hct109 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23728208 }} </ref> | |||
*[[Macrolide]] daily or three times weekly | |||
:**[[Macrolides]] exhibit anti-bacterial and [[immunomodulatory]] effects.<ref name="pmid23728208">{{cite journal| author=McDonnell MJ, Ward C, Lordan JL, Rutherford RM| title=Non-cystic fibrosis bronchiectasis. | journal=QJM | year= 2013 | volume= 106 | issue= 8 | pages= 709-15 | pmid=23728208 | doi=10.1093/qjmed/hct109 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23728208 }} </ref> | |||
*[[Amoxicillin]] 500 mg twice daily or doxycycline 100 mg twice daily for patients who are not candidates for long-term macrolide administration | |||
====Vaccination==== | |||
*There has been some evidence to support that the yearly influenza vaccine reduces morbidity, mortality, and healthcare costs with high-risk patients | |||
====Pulmonary Rehabilitation==== | |||
*Exercise training | |||
*Nutritional counseling | |||
*Educationof the patient's disease and how to manage it | |||
*Techniques on how to conserve energy | |||
*Strategies on breathing | |||
*Psychological counseling | |||
==References== | ==References== | ||
Revision as of 13:58, 1 July 2015
|
Bronchiectasis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Bronchiectasis secondary prevention On the Web |
|
American Roentgen Ray Society Images of Bronchiectasis secondary prevention |
|
Risk calculators and risk factors for Bronchiectasis secondary prevention |
Overview
To reduce the impact of the disease, patients should lead a healthy lifestyle, use prophylactic treatment when needed, and do physiotherapy .
Bronchiectasis Secondary Prevention
- Lead a healthy lifestyle
- Smoking cessation
- Exercise
- Maintain a healthy BMI
- Use prophylactic treatment if suffering from three or more exacerbations per year[1]
- Physiotherapy
Prophylactic Treatment
- National guidelines recommend that patients suffering from three or more exacerbations per year, should be considered for long-term antibiotics.[1]
- Macrolide daily or three times weekly
- Macrolides exhibit anti-bacterial and immunomodulatory effects.[1]
- Amoxicillin 500 mg twice daily or doxycycline 100 mg twice daily for patients who are not candidates for long-term macrolide administration
Vaccination
- There has been some evidence to support that the yearly influenza vaccine reduces morbidity, mortality, and healthcare costs with high-risk patients
Pulmonary Rehabilitation
- Exercise training
- Nutritional counseling
- Educationof the patient's disease and how to manage it
- Techniques on how to conserve energy
- Strategies on breathing
- Psychological counseling
References
- ↑ 1.0 1.1 1.2 McDonnell MJ, Ward C, Lordan JL, Rutherford RM (2013). "Non-cystic fibrosis bronchiectasis". QJM. 106 (8): 709–15. doi:10.1093/qjmed/hct109. PMID 23728208.