By ULY CLINIC

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Bronchiectasis

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Introduction

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Bronchiectasis is characterized by inflamed and easily collapsible airways, obstruction to airflow, and frequent hospital visits and admissions.  

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Diagnostic Criteria

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The diagnosis is usually established clinically on the basis of chronic daily cough with viscid sputum production, and radiographically by the presence of bronchial wall thickening and luminal dilatation on chest x-rays. 

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Non-Pharmacological Treatment

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• Physiotherapy and postural drainage

• Avoid smoking

• Respiratory care during childhood measles helps prevent the development of bronchiectasis in children 

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Pharmacological Treatment

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Acute exacerbation

 

Adults:

• Ciprofloxacin 500mg (PO) 12 hourly for 10 days 

AND

• Metronidazole 400mg (PO) 8 hourly for 10 days

Children: 

• Amoxicillin 40mg/kg (PO) in 2 divided doses for 7 days 

AND 

• Metronidazole 7.5 mg/kg 8 hourly for 5–7 days 

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Prevention of infection

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• Ciprofloxacin 500mg (PO) once daily for 7–14 days/month  

OR

• Erythromycin (PO) once 250–500mg for 7–14 days/month

 

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Updated on, 2.11.2020

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References

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1. STG