Infection - Bronchiectasis Flashcards
1
Q
What is bronchiectasis?
A
Chronic dilatation of one or more bronchi
Bronchi exhibit poor mucus clearance
Predisposes to infection
2
Q
What is the gold standard diagnostic test for bronchiectasis?
A
High resolution CT
3
Q
Name some causes for bronchiectasis
A
Post infective: whooping cough, TB
Immune deficiency: Hypogammaglobulinaemia
Genetic/mucociliary defects: CF, youngs, kartageners
obstruction
toxic insult
allergic bronchopulmonary aspergillosis
secondary immune deficiency eg hiv, malignancy
RA
associated with IBD
4
Q
What is Youngs syndrome?
A
Triad of bronchiectasis, sinusitis and reduced fertility
5
Q
What is Kartageners syndrome?
A
Triad of bronchiectasis, sinusitis and situs inverses
6
Q
What are some common causative organisms of bronchiectasis?
A
Haemophilus influenzae Pseudomonas aeruginosa Moraxella catarrhalis Stenotrophomonas maltophilia Fungi - aspergillus, candida Non tuberculous mycobacteria Less commonly staph aureus (CF)
7
Q
How is bronchiectasis managed?
A
Treat underlying cause Physio for mucus clearance Antibiotics Supportive measures e.g. flu vaccine, bronchodilators Pulmonary rehab
