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Quality standards for the management of bronchiectasis in Italy: a national audit

Stefano Aliberti, Adam T. Hill, Marco Mantero, Salvatore Battaglia, Stefano Centanni, Salvatore Lo Cicero, Donato Lacedonia, Marina Saetta, James D. Chalmers, Francesco Blasi on behalf of the SIP Bronchiectasis Audit Working Group
European Respiratory Journal 2016 48: 244-248; DOI: 10.1183/13993003.00232-2016
Stefano Aliberti
1School of Medicine and Surgery, University of Milan Bicocca, AO San Gerardo, Monza, Italy
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  • For correspondence: stefano.aliberti@unimib.it
Adam T. Hill
2Dept of Respiratory Medicine, Royal Infirmary and University of Edinburgh, Edinburgh, UK
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Marco Mantero
3Dept of Pathophysiology and Transplantation, Università degli Studi di Milano, IRCCS Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy
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Salvatore Battaglia
4Dipartimento Biomedico di Medicina Interna e Specialistica (DiBiMIS), Sezione di Malattie Cardio-Respiratorie ed Endocrino-Metaboliche, University of Palermo, Palermo, Italy
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  • ORCID record for Salvatore Battaglia
Stefano Centanni
5Respiratory Unit, San Paolo Hospital, Dipartimento Scienze della Salute, Università degli Studi di Milano, Milan, Italy
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Salvatore Lo Cicero
6SC Pneumologia, Grande Ospedale Metropolitano Niguarda, Milan, Italy
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Donato Lacedonia
7Dipartimento di Scienze Mediche e Chirurgiche, Università di Foggia, Foggia, Italy
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Marina Saetta
8Unità Operativa Complessa di Pneumologia, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Azienda Ospedaliera e Università degli Studi di Padova, Padua, Italy
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James D. Chalmers
9College of Medicine, University of Dundee, Dundee, UK
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Francesco Blasi
3Dept of Pathophysiology and Transplantation, Università degli Studi di Milano, IRCCS Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy
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    FIGURE 1

    Summary of the quality statements for bronchiectasis in adults and percentage adherence in the Italian Society of Respiratory Medicine (SIP) Audit. #: people with a clinical diagnosis of bronchiectasis have the diagnosis confirmed by chest computed tomography (CT) scan (using 1 mm slices). ¶: people with bronchiectasis to be investigated for allergic bronchopulmonary aspergillosis, common variable immunodeficiency and cystic fibrosis (the last of these, if indicated), as these are specific treatable causes. +: people with bronchiectasis have sputum bacteriology culture when clinically stable recorded at least once each year. §: sputum is sent for bacterial culture at the start of an exacerbation before starting antibiotics; empirical antibiotic treatment to start as soon as feasible and not await the sputum culture results. ƒ: people with bronchiectasis are taught appropriate airway clearance techniques by a specialist respiratory physiotherapist and advised of the frequency and duration with which these should be carried out. ##: people with bronchiectasis to attend pulmonary rehabilitation if they have breathlessness affecting their activities of daily living. ¶¶: services for people with bronchiectasis to include provision of nebulised prophylactic antibiotic therapy (ABT) for suitable patients supervised by a respiratory specialist. ++: people with bronchiectasis to have an individualised, written self-management plan. §§: people with bronchiectasis who meet the criteria for continuing secondary care to be managed by a multidisciplinary team led by a respiratory physician. ƒƒ: services for people with bronchiectasis to include provision of home intravenous ABT for exacerbations in selected patients.

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Quality standards for the management of bronchiectasis in Italy: a national audit
Stefano Aliberti, Adam T. Hill, Marco Mantero, Salvatore Battaglia, Stefano Centanni, Salvatore Lo Cicero, Donato Lacedonia, Marina Saetta, James D. Chalmers, Francesco Blasi
European Respiratory Journal Jul 2016, 48 (1) 244-248; DOI: 10.1183/13993003.00232-2016

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Quality standards for the management of bronchiectasis in Italy: a national audit
Stefano Aliberti, Adam T. Hill, Marco Mantero, Salvatore Battaglia, Stefano Centanni, Salvatore Lo Cicero, Donato Lacedonia, Marina Saetta, James D. Chalmers, Francesco Blasi
European Respiratory Journal Jul 2016, 48 (1) 244-248; DOI: 10.1183/13993003.00232-2016
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