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