Abstract
Bronchiectasis is a permanent and irreversible increase in the bronchial tubes whose functions are altered in areas more or less extensive. The occurrence of bronchiectasis involves a combination of environmental factors including infectious. The aim of our work is to determine the bacteriological profile of bronchiectasis. This is a retrospective study of 100 patients hospitalized in between January 2010 and July 2013. The average age was 48 years with a slight female predominance in 58% of cases. Symptomatology was dominated by a bronchial syndrome in 90% of cases. Pleuropulmonary examination was normal in 25% of cases. Chest X-ray CT scan specified by the confirmed diagnosis of bronchiectasis in all cases. Bacteriological examination was used to isolate the organism in 35% of cases. Through the examination of sputum cytology in 27% of cases, the liquid bronchial aspiration in 5% of cases. Direct examination of sputum in search of Mycobacterium tuberculosis in 3% of cases. Germs isolated were: Streptococcus (pyogenes group A and pneumoniae) in 11 cases, Pseudomonas aeruginosa in 10 cases; Klebsiellapneumoniae, gram-negative bacillus and Mycobacterium tuberculosis in 3 cases each; Moraxecella catarrhalis, Haemophilus influenzae, Escherichia coli, Citrobacter and Staphylococcus aureus in an in each case. All patients received empirical antibiotic therapy and adapted for radio-clinical development, antibiogram and chest physiotherapy. Through this work, the authors emphasize that Streptococcus pneumoniae and Pseudomonas aeruginosa are the most germs isolated from patients. It is necessary to systematically achieve a balance infectious and repeat during bronchiectasis.
- © 2014 ERS
