patients who require follow up in secondary care

Last edited 04/2023 and last reviewed 05/2023

Regular follow up in secondary care is recommended in patients:

• all children
• chronic colonization with P aeruginosa, opportunist mycobacteria or methicillin-resistant S aureus
• worsening bronchiectasis with declining lung function
• 3 or more exacerbations per year
• who are on oral or nebulised prophylactic antibiotic therapy
• with concomitant conditions such as rheumatoid arthritis, immune deficiency, inflammatory bowel disease, primary ciliary dyskinesia (PCD) or allergic bronchopulmonary aspergillosis (ABPA)
• with advanced disease and those who are considered for transplantation.

Reference:

1. Hill AT, Sullivan AL, Chalmers JD, et al British Thoracic Society guideline for bronchiectasis in adults. BMJ Open Respiratory Research 2018;5:e000348. doi: 10.1136/bmjresp-2018-000348
2. Pasteur MC et al. British Thoracic Society guideline for non-CF bronchiectasis. Thorax. 2010;65 Suppl 1:i1-58