Bronchiectasis secondary prevention: Difference between revisions
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====Physiotherapy Strategies==== | ====Physiotherapy Strategies==== | ||
Airway Clearance | |||
*Postural Drainage | *Postural Drainage | ||
*Autogenic Drainage | *Autogenic Drainage | ||
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*High-frequency chest wall [[percussion]] | *High-frequency chest wall [[percussion]] | ||
Pulmonary Rehabilitation | |||
*Exercise training | *Exercise training | ||
*Nutritional counseling | *Nutritional counseling | ||
Revision as of 14:04, 1 July 2015
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Overview
To reduce the impact of the disease, patients should lead a healthy lifestyle, use prophylactic treatment when needed, do vaccinations, and practice physiotherapy strategies.
Bronchiectasis Secondary Prevention
Healthy Lifestyle
- Smoking cessation
- Exercise
- Maintain a healthy BMI
Prophylactic Treatment
- National guidelines recommend that patients suffering from three or more exacerbations per year, should be considered for long-term antibiotics.[1]
- Macrolide daily or three times weekly
- Macrolides exhibit anti-bacterial and immunomodulatory effects.[1]
- Amoxicillin 500 mg twice daily or doxycycline 100 mg twice daily for patients who are not candidates for long-term macrolide administration
Vaccination
- There has been some evidence to support that the yearly influenza vaccine reduces morbidity, mortality, and healthcare costs with high-risk patients
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
- ↑ 1.0 1.1 McDonnell MJ, Ward C, Lordan JL, Rutherford RM (2013). "Non-cystic fibrosis bronchiectasis". QJM. 106 (8): 709–15. doi:10.1093/qjmed/hct109. PMID 23728208.