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

  1. Crofton J (1966). "Diagnosis and Treatment of Bronchiectasis: II. Treatment and Prevention". Br Med J. 1 (5490): 783–785.
  2. 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.

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