The Comprehensive Plan for Management and Treatment of Bronchiectasis: A Review
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Aim: The aim of this project is to review latest studies, articles, knowledge of treatment and effect of physiotherapy on the disease prognosis.
Methodology: A total of 6 books have been referred. Various internet databases were used to search articles on the set topic and 11 articles were short listed for review. Also 5 patients diagnosed as cases of bronchiectasis as thoroughly assessed to understand the clinical presentation of disease.
Discussion: Most of the information on long term outcome is from historical data and suggests that antibiotic therapy has had an effect. Nevertheless; this still indicates a significant reduction in life expectancy in patients with bronchiectasis. More recent data suggest a better prognosis, although it is recognised that the general health of patients with bronchiectasis can be poor and certain subsets (particularly those colonised with Pseudomonas aeruginosa) are particularly affected, with continued ill health and progressive deterioration. But early recognition and adequate treatment can help control bronchiectasis and decrease symptoms. Life- long awareness of the need for treatment may allow people with bronchiectasis to minimize complications and maximize life expectancy.
Conclusion: Early recognition and adequate treatment can help control bronchiectasis and decrease symptoms. Life- long awareness of the need for treatment may allow people with bronchiectasis to minimize complications and maximize life expectancy. The outlook depends upon the underlying reason for developing bronchiectasis. Congenital causes of bronchiectasis, like cystic fibrosis, may have a worse prognosis than acquired diseases.
Keywords
- Crofton and Douglas’s Respiratory Disease (Fifth Edition), Vol. 1
- British Thoracic Society Guideline for non-cf bronchiectasis (2010)
- Bronchiectasis- review article, medical progress, Alan F Barker, M.D., N Engl J Med, Vol. 346, No. 18, May 2, 2002 (www.nejm.org)
- Thomson A, Skinner A, Piercy J, Tidy’s Physiotherapy, twelfth edition, chapter- chronic obstructive airway disease, bronchiectasis.
- Chest-1995
- Chest-1981
- (i) Slutzker AD, Kinn R, Said SI. Bronchectasis and respiratory failure following smoke inhalation. Chest 1989;95:1349. (ii) Mahut B, Delacourt C, de Blic J et al. bronchiectasis in a child after acreolin inhalation. Chest 1993; 104:1286. (iii) Dossing M, Khan JH. Nasal or oral oil application on infants: a possible risk factor for adult bronchiectasis. Eur J Epidermiol 1995; 11:141.
- Cochrane Database Syst Rev 2003
- Thorax 2004 Jun; 59(6): 540-1
- Pushpal Kumar Mitra, Handbook of practical chest physiotherapy (First Edition), Jaypee publisher (chapter- functional anatomy of the respiratory mechanism)
- casaburi/petty principles and practice of pulmonary rehabilitation (copyright 1993 by W.B. saunders company), (chapter-controlled breathing techniques and chest physical therapy)
- M C Mazzocco, G R Owens, L H Kirilloff and R M Rogers, Chest 1985;88;360-363, (http:// chestjournal.chestpubs.org/content/88/3/360)
- Cash’s textbook of chest, heart and vascular disorders for physotherapists, 4th edition, jaypee publisher.
- M.D Gardiner, The principles of exercise therapy, 4th edition, reprint in 2004, CBS publication, Delhi, India. 15. Lee et al. BMC Pulmonary Medicine 2010, 10:5, (http://www.biomedcentral.com/1471-2466/ 10/5)
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