Published 19-09-2021
Keywords
- Bronchiectasis,
- Investigation,
- Aetiology,
- Management
Copyright (c) 2021 The Planet
This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
Abstract
Background: Although infection plays a main role in bronchiectasis there are many other causes. It is difficult to find out aetiology always but aetiology finding makes it easy to treat.
Materials & Method: Fifty cases of bronchiectasis were selected from outdoor& indoor of the department of pulmonary medicine & Internal medicine of SSMCH in this observational & prospective study for one year. Verbal & written consent was taken from each patient. Clinical history & examination was done thoroughly. All investigations were done properly. Diagnosis of Bronchiectasis was confirmed by HRCT of chest. Dry Bronchiectasis & ILD were excluded. All data were analyzed with SPSS version 20.0.
Results mean age of patients 41.3 years, M:F= 0.85:1. Bacterial Infection was the common cause (30%), tuberculosis (26%). No definitive aetiological diagnosis was established in 54% of the patients. H.influenzae (56%), Pneumococcus(18%), Stph.aureus (14%), P.auriginosa (12%) were found in sputum culture.
Conclusion: If Bronchoscopy, sweet test,genetic test for CF can be done then proper etiology will be found for better management. Sputum for C/S should be done in follow-up visit to improve the management
References
- Le Roux BT,Mohala ML,Odell JA,Whiton ID (1986).Suppurative diseases of the lung & pleuralspaces.PartII.Bronchiectasos.CurrPr obl Surg 23,94.
- Pande JN,Jian BP,Gupta RG,Culeria JS (1971)Pulmonary ventilation &gas exchange in bronchiectasis.Thorax 26,727
- Wynn-Williams N (1953)Bronchiectasis: Astudy centered in Bedfordand its environs. Br Med J1,1194
- Chief medical officer,s report (1947 & 1957)Ministry of health,HMSO,London.
- Streete BG,Salyer JM (1960) Bronchiectasis. An analysis of 240 casestreated by pulmonary resection.J Thorac Cadiovasc surg 40,383
- Field CE (1949) Bronchiectasis in childhood. Pediatrics4, par1,p 21,part2p231,part3 p 3555
- Maeve P. Smith, MB ChB MD (2017), Diagnosis and management of
- bronchiectasis, CMAJ. 2017 Jun 19; 189(24): E828–E835. doi: 10.1503/cmaj.160830
- Pande JN,Jain BP,Gupta RG,Guleria JS(1971) Pulmonary ventilation &gas exchangeinbronchiectasis.Thorax26,727.
- Cherniac NS,Cartyon RW(1966).Factors accociated wiyh respiratory insufficiency in bronchiectasis.Am J Med41,562
- Roberts DE (1983), Microbiological investigation of sputum.In stratesies for management ofchronic Bronchial sepsis(ed.Davies RJ)Medical publications foundation, Oxford.
