Skip to main content

Bronchiectasis

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Bronchiectasis is an irreversible dilatation of ≥1 airways accompanied by recurrent transmural bronchial infection/inflammation and chronic mucopurulent sputum production.

  • Generally c...

DIAGNOSIS

  • Typical symptoms include chronic productive cough, wheezing, and dyspnea.

  • Symptoms are often accompanied by repeated respiratory infections.

  • Once diagnosed, investigate etiology.

HISTORY

  • Any pre...

TREATMENT

  • Treat underlying conditions.

  • Recognize an acute exacerbation with four out of nine criteria.

    • Change in sputum production

    • Increased dyspnea

    • Increased cough

    • Fever

    • Increased wheezing

    • Malaise, fatigu...

ONGOING CARE

Long-term outpatient treatment recommendations for bronchiectasis in children and adults (3): 
  • Children and adults with CF and non–CF-related bronchiectasis should be treated by comprehens...

REFERENCES

1
1 Weycker D, Edelsberg J, Oster G, et al. Prevalence and economic burden of bronchiectasis. Clin Pulm Med.  2005;12(4):205–209.
2
2 Wurzel D, Marchant JM, Yerkovich ST, et al. Short cou...

CODES

ICD10

  • J47.9 Bronchiectasis, uncomplicated

  • J47.1 Bronchiectasis with (acute) exacerbation

  • J47.0 Bronchiectasis with acute lower respiratory infection

  • Q33.4 Congenital bronchiectasis

ICD9

  • 494.0 Bronchie...

CLINICAL PEARLS

  • Symptoms of bronchiectasis include chronic productive cough, wheezing, and dyspnea often accompanied by repeated respiratory infections.

  • A chest x-ray has poor sensitivity and specifici...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×