Chronic Bronchial Sepsis Flashcards
1
Q
Affected individuals
A
Younger women in childcare & older patients with COPD or Airway disease.
2
Q
Chronic Bronchial sepsis
A
Bronchiectasis without radiological findings.
3
Q
Investigations
A
HRCT & Sputum
4
Q
HRCT
A
No bronchiectasis
5
Q
Sputum
A
Positive
6
Q
General treatments
A
Smoking cessation.
7
Q
Prevention
A
Flu & pneumococcal vaccine
8
Q
Treatment
A
Antibiotics for most recent positive culture
9
Q
Treatment of colonised persistent bacteria
A
- Oral macrolide antibiotic.
- Nebulised gentamicin or colomycin.
- Pulsed IV Abx.
- Alternating oral antibiotics.
10
Q
Treatment of acute Exacerbations
A
- Two weeks antibiotics.
- Alter antibiotics if sputum showing resistant organisms.
11
Q
What bacteria must be eradicated?
A
Pseudomonas Aeriginosa
