Mx for Bronchiectasis

Question 1

3 main methods of management

Answer 1

1. Chest physio - for airway clearance techniques
2. Long acting bronchodilators / steroids
3. Influenza/pnemococcal vaccine

Question 2

How are infective exacerbation of Bronchiectasis managed?

Answer 2

1. send sputum sample

2. Ciprofloxacin for 7 - 10 days

Question 3

Which Abx is used to manage ‘Pseudomonas’ infection?

Answer 3

Ciprofloxacin 7 - 10 days

Question 4

Mx if > 3 infective exacerbations a year?

Answer 4

Azithromycin (250mg x3 a week)

Question 5

Name 2 SE of Azithromycin?

Answer 5

1. prolonged QT and cardiac arrythmia

2. hearing loss (reversible)