Bronchiectasis primary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy, M.D.
Overview
Primary prevention of bronchiectasis is aimed at preventing future development by monitoring potential bronchiectasis-inducing infections, avoiding harmful substances, vaccinations, maintaining a healthy Body Mass Index (BMI), and practicing physiologic strategies.
Bronchiectasis Primary Prevention
- An x-ray of the chest should be taken after any severe attack of acute respiratory infections during childhood
- Avoid toxic fumes, gases, smoke, and other harmful substances
- While smoking has not been found to be a direct cause of bronchiectasis, it can be an irritant that all patients should avoid[1]
- A healthy Body Mass Index, vaccination (especially against pneumonia and influenza), and regular doctor visits may have beneficial effects[2]
- Physiotherapy strategies
- Airway clearance
- Postural Drainage
- Autogenic Drainage
- Active Cycle of Breathing Techniques
- Positive Expiratory Pressure (PEP)
- Oscillatory PEP devices
- High-frequency chest wall percussion
- 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
- ↑ Crofton J (1966). "Diagnosis and Treatment of Bronchiectasis: II. Treatment and Prevention". Br Med J. 1 (5490): 783–785.
- ↑ Onen ZP, Eris Gulbay B, Sen E, Akkoca Yildiz O, Saryal S, Acican T, Karabiyikoglu G (2007). "Analysis of the factors related to mortality in patients with bronchiectasis". Respir Med. 101 (7): 1390–97. PMID 17374480.