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For Primary Care| Video

Five Things You Need to Know About Bronchiectasis

Dr Kevin Gruffydd-Jones Highlights Five Things You Need to Know About Bronchiectasis

Bronchiectasis is a chronic condition characterised by symptoms of persistent or recurrent bronchial sepsis caused by irreversible damage to and dilation of the bronchi.[1] The key principles of the diagnosis and management of bronchiectasis were set out in the 2019 British Thoracic Society guideline for bronchiectasis in adults,[2] and subsequently explained in an article aimed at a specialist global primary care audience.[1]

In this short video, Dr Kevin Gruffydd-Jones answers the following five questions related to the investigation and management of bronchiectasis in primary care:

  • When should bronchiectasis be suspected?
  • What does routine review in primary care consist of?
  • Which patients should be referred to secondary care?
  • What are the principles of chronic management of bronchiectasis?
  • How should acute exacerbations be managed in primary care?


Figure 1: Proposed Algorithm for the Diagnostic Pathway in Primary Care of Patients Suspected of Having Bronchiectasis
CT=computed tomography; COPD=chronic obstructive pulmonary disease; IBD=inflammatory bowel disease


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Figure 2: Proposed Algorithm for the Review and Management of Patients With Bronchiectasis in Primary Care
CT=computed tomography; COPD=chronic obstructive pulmonary disease; P. aeruginosa =Pseudomonas aeruginosa; MRSA=methicillin-resistant Staphylococcus aureus; NTM=non-tuberculous mycobacteria; ABPA=allergic bronchopulmonary aspergillosis; IBD=inflammatory bowel disease; PCD=primary ciliary dyskinesia