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. 2023 Aug 3;29(2):10.7196/AJTCCM.2023.v29i2.647.
doi: 10.7196/AJTCCM.2023.v29i2.647. eCollection 2023.

South African Thoracic Society position statement on the management of non-cystic fibrosis bronchiectasis in adults: 2023

A Goolam Mahomed  1 , S D Maasdorp  2 , R Barnes  3 , H van Aswegen  4 , A Lupton-Smith  5 , B Allwood  6 , G Calligaro  7 , C Feldman  8 , I S Kalla  8
Affiliations

South African Thoracic Society position statement on the management of non-cystic fibrosis bronchiectasis in adults: 2023

A Goolam Mahomed et al. Afr J Thorac Crit Care Med. .

Abstract

Background: Bronchiectasis is a chronic lung disorder that affects the lives of many South Africans. Post-tuberculosis (TB) bronchiectasis is an important complication of previous pulmonary TB and a common cause of bronchiectasis in South Africa (SA). No previous statements on the management of bronchiectasis in SA have been published.

Objectives: To provide a position statement that will act as a template for the management of adult patients with bronchiectasis in SA.

Methods: The South African Thoracic Society appointed an editorial committee to compile a position statement on the management of adult non-cystic fibrosis (CF) bronchiectasis in SA.

Results: A position statement addressing the management of non-CF bronchiectasis in adults in SA was compiled. This position statement covers the epidemiology, aetiology, diagnosis, investigations and various aspects of management of adult patients with non-CF bronchiectasis in SA.

Conclusion: Bronchiectasis has largely been a neglected lung condition, but new research has improved the outlook for patients. Collaboration between interprofessional team members in patient management is important. In SA, more research into the epidemiology of bronchiectasis, especially post-TB bronchiectasis and HIV-associated bronchiectasis, is required.

Abstract: The South African Thoracic Society mandated a multidisciplinary team of healthcare providers to compile a position statement on the management of non-cystic fibrosis bronchiectasis in South Africa (SA). International guidelines on the management of bronchiectasis were reviewed and used as a basis from which the current position statement was compiled. This is the first position statement on the management of adult non-cystic fibrosis bronchiectasis in SA. A description of the epidemiology and aetiology of bronchiectasis is provided, as well as guidance on its diagnosis and management. The position statement provides guidance on the management of bronchiectasis to healthcare providers, policymakers and regulatory authorities.

Keywords: Bronchiectasis; management; non-cystic fibrosis.

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Conflict of interest statement

Conflicts of interest: None.

Figures

Fig. 1
Fig. 1
Pathogenesis of bronchiectasis
Fig. 2
Fig. 2
Bronchiectasis management HRCT = high-resolution computed tomography TB = tuberculosis NTM = non-tuberculous mycobacteria FACED = forced expiratory volume in 1 second, age, colonisation with Pseudomonas aeruginosa, numbers of pulmonary lobes affected and dyspnoea BSI = Bronchiectasis Severity Index
Fig. 3
Fig. 3
Algorithmic approach to bronchiectasis (CT = computed tomography FBC = full blood count U&E = urea and electrolytes LFTs = liver function tests MCS = microscopy, culture and sensitivity TB = tuberculosis IgG = immunoglobulin G IgM = immunoglobulin M IgA = immunoglobulin A IgE = immunoglobulin E
See this image and copyright information in PMC

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