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Bronchiectasis airway clearance — SCE Respiratory MCQ

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ModerateRespiratory InfectionsBronchiectasis airway clearanceSCE Respiratory

A 48-year-old man with bronchiectasis has daily sputum and two infective exacerbations each year. He has never been taught an airway-clearance technique. Sputum culture grows Haemophilus influenzae. What is the most appropriate management?

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Correct answer: D — Refer for respiratory physiotherapy and airway-clearance training

Airway-clearance training by respiratory physiotherapy is core bronchiectasis management and should be offered to patients with chronic sputum production. Surgery is reserved for selected localised disease after specialist assessment. Steroids, LTOT and pleurodesis do not address retained infected secretions.

Reference: BTS Bronchiectasis Guideline 2019