علاج تفاقم توسع القصبات: تفاقم السعال وحجم البلغم وضيق التنفس أو نفث الدم

References

DOI: 10.1183/13993003.01126-2025

• An exacerbation is defined as a worsening of symptoms that exceeds day-to-day variability and requires a change in management.
• Core symptoms of exacerbation include a change in cough, sputum volume and/or consistency, sputum purulence, dyspnoea and/or exercise intolerance, fatigue or malaise, and haemoptysis.
• Antibiotics should be prescribed for an exacerbation, guided by previous microbiology results, local susceptibility patterns and clinical severity.
• In general, a 14-day antibiotic course is considered standard, especially in severe exacerbations or in patients with P. aeruginosa infection.
• Shorter courses may be appropriate in patients with mild bronchiectasis, those with infection due to pathogens more sensitive to antibiotics (e.g. Streptococcus pneumoniae) or patients with a rapid return to baseline symptoms during treatment.