Practical tips in bronchiectasis for Primary Care

NPJ Prim Care Respir Med. 2022 Sep 8;32(1):33. doi: 10.1038/s41533-022-00297-5.

Abstract

Bronchiectasis is the third most common chronic inflammatory airway disease, after chronic obstructive pulmonary disease (COPD) and asthma with a prevalence clearly underestimated probably because of its clinical similitudes with other chronic airway diseases. Bronchiectasis can be caused by a dozen of pulmonary and extra-pulmonary diseases and a variable number and severity of exacerbations can appear throughout its natural history, usually with an infectious profile. The dilation of the airway and the inflammation/infection is their radiological and pathophysiological hallmarks. Primary Care should play an important play in many aspects of the bronchiectasis assessment. In this article, we will try to offer a series of important concepts and practical tips on some key aspects of the diagnosis and management of bronchiectasis in Primary Care: clinical suspicion, diagnostic methods, severity assessment, overlap with asthma and COPD and microbiological and therapeutic aspects.

Publication types

  • Review

MeSH terms

  • Asthma* / therapy
  • Bronchiectasis* / diagnosis
  • Bronchiectasis* / therapy
  • Chronic Disease
  • Humans
  • Primary Health Care
  • Pulmonary Disease, Chronic Obstructive* / diagnosis
  • Pulmonary Disease, Chronic Obstructive* / therapy

Supplementary concepts

  • Pulmonary Disease, Chronic Obstructive, Severe Early-Onset