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European Respiratory Society guidelines for the management of adult bronchiectasis

Eva Polverino, Pieter C. Goeminne, Melissa J. McDonnell, Stefano Aliberti, Sara E. Marshall, Michael R. Loebinger, Marlene Murris, Rafael Cantón, Antoni Torres, Katerina Dimakou, Anthony De Soyza, Adam T. Hill, Charles S. Haworth, Montserrat Vendrell, Felix C. Ringshausen, Dragan Subotic, Robert Wilson, Jordi Vilaró, Bjorn Stallberg, Tobias Welte, Gernot Rohde, Francesco Blasi, Stuart Elborn, Marta Almagro, Alan Timothy, Thomas Ruddy, Thomy Tonia, David Rigau, James D. Chalmers
European Respiratory Journal 2017 50: 1700629; DOI: 10.1183/13993003.00629-2017
Eva Polverino
1Servei de Pneumologia, Hospital Universitari Vall d'Hebron (HUVH), Institut de Recerca Vall d'Hebron (VHIR); Fundación Clínic, Hospital Clínic de Barcelona, Universitat de Barcelona, IDIBAPS, CIBERES Barcelona, Barcelona, Spain
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Pieter C. Goeminne
2Dept of Respiratory Medicine, AZ Nikolaas, Sint-Niklaas, Belgium
3Dept of Respiratory Medicine, UZ Leuven, Leuven, Belgium
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Melissa J. McDonnell
4Dept of Respiratory Medicine, Galway University Hospitals, Galway, Ireland
5Lung Biology Group, National University of Ireland, Galway, Ireland
6Institute of Cell and Molecular Biology, Newcastle University, Newcastle upon Tyne, UK
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Stefano Aliberti
7Dept of Pathophysiology and Transplantation, Università degli Studi di Milano, Internal Medicine Department, Respiratory Unit and Adult Cystic Fibrosis Center Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milan, Milan, Italy
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Sara E. Marshall
8Dept of Clinical Research, Immunology and Physiological Sciences, Wellcome, London, UK
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Michael R. Loebinger
9Host Defence Unit, Royal Brompton Hospital, Imperial College, London, UK
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Marlene Murris
10Service de Pneumologie, Hôpital Larrey, CHU de Toulouse, Toulouse, France
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Rafael Cantón
11Servicio de Microbiología, Hospital Universitario Ramón y Cajal and Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
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Antoni Torres
12Servei de Pneumologia, Hospital Clínic de Barcelona, Universitat de Barcelona, IDIBAPS, CIBERES Barcelona, Barcelona, Spain
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Katerina Dimakou
135th Pulmonary Dept, “Sotiria” Chest Hospital, Athens, Greece
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Anthony De Soyza
14Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK
15Bronchiectasis Service, Freeman Hospital, Newcastle upon Tyne, UK
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Adam T. Hill
16Dept of Respiratory Medicine, Royal Infirmary and University of Edinburgh, Edinburgh, UK
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Charles S. Haworth
17Cambridge Centre for Lung Infection, Papworth Hospital, Cambridge, UK
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Montserrat Vendrell
18Bronchiectasis Group, Girona Biomedical Research Institute (IDIBGI), Dr Trueta University Hospital, Girona, Spain
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Felix C. Ringshausen
19Dept of Respiratory Medicine, Hannover Medical School, Member of the German Centre for Lung Research, Hannover, Germany
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Dragan Subotic
20Clinic for Thoracic Surgery - Clinical Centre of Serbia, University of Belgrade, Belgrade, Serbia
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Robert Wilson
9Host Defence Unit, Royal Brompton Hospital, Imperial College, London, UK
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Jordi Vilaró
21FCS Blanquerna. Physical Activity and Health Group, Universitat Ramon Llull, Barcelona, Spain
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Bjorn Stallberg
22Dept of Public Health and Caring Science, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden
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Tobias Welte
19Dept of Respiratory Medicine, Hannover Medical School, Member of the German Centre for Lung Research, Hannover, Germany
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Gernot Rohde
23Dept of Respiratory Medicine, Maastricht University Medical Center, Maastricht, The Netherlands
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Francesco Blasi
7Dept of Pathophysiology and Transplantation, Università degli Studi di Milano, Internal Medicine Department, Respiratory Unit and Adult Cystic Fibrosis Center Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milan, Milan, Italy
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Stuart Elborn
9Host Defence Unit, Royal Brompton Hospital, Imperial College, London, UK
24Queen's University Belfast, Belfast, UK
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Marta Almagro
25European Lung Foundation (ELF)/EMBARC bronchiectasis patient advisory group
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Alan Timothy
25European Lung Foundation (ELF)/EMBARC bronchiectasis patient advisory group
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Thomas Ruddy
25European Lung Foundation (ELF)/EMBARC bronchiectasis patient advisory group
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Thomy Tonia
26Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland
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David Rigau
27Iberoamerican Cochrane Center, Barcelona, Spain
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James D. Chalmers
28College of Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK
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  • For correspondence: jchalmers@dundee.ac.uk
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Article Information

vol. 50 no. 3
DOI 
https://doi.org/10.1183/13993003.00629-2017
PubMed 
28889110

Published By 
European Respiratory Society
Print ISSN 
0903-1936
Online ISSN 
1399-3003
History 
  • Received March 26, 2017
  • Accepted July 10, 2017
  • Published online September 9, 2017.

Copyright & Usage 
Copyright ©ERS 2017

Author Information

  1. Eva Polverino1,
  2. Pieter C. Goeminne2,3,
  3. Melissa J. McDonnell4,5,6,
  4. Stefano Aliberti7,
  5. Sara E. Marshall8,
  6. Michael R. Loebinger9,
  7. Marlene Murris10,
  8. Rafael Cantón11,
  9. Antoni Torres12,
  10. Katerina Dimakou13,
  11. Anthony De Soyza14,15,
  12. Adam T. Hill16,
  13. Charles S. Haworth17,
  14. Montserrat Vendrell18,
  15. Felix C. Ringshausen19,
  16. Dragan Subotic20,
  17. Robert Wilson9,
  18. Jordi Vilaró21,
  19. Bjorn Stallberg22,
  20. Tobias Welte19,
  21. Gernot Rohde23,
  22. Francesco Blasi7,
  23. Stuart Elborn9,24,
  24. Marta Almagro25,
  25. Alan Timothy25,
  26. Thomas Ruddy25,
  27. Thomy Tonia26,
  28. David Rigau27 and
  29. James D. Chalmers28⇑
  1. 1Servei de Pneumologia, Hospital Universitari Vall d'Hebron (HUVH), Institut de Recerca Vall d'Hebron (VHIR); Fundación Clínic, Hospital Clínic de Barcelona, Universitat de Barcelona, IDIBAPS, CIBERES Barcelona, Barcelona, Spain
  2. 2Dept of Respiratory Medicine, AZ Nikolaas, Sint-Niklaas, Belgium
  3. 3Dept of Respiratory Medicine, UZ Leuven, Leuven, Belgium
  4. 4Dept of Respiratory Medicine, Galway University Hospitals, Galway, Ireland
  5. 5Lung Biology Group, National University of Ireland, Galway, Ireland
  6. 6Institute of Cell and Molecular Biology, Newcastle University, Newcastle upon Tyne, UK
  7. 7Dept of Pathophysiology and Transplantation, Università degli Studi di Milano, Internal Medicine Department, Respiratory Unit and Adult Cystic Fibrosis Center Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milan, Milan, Italy
  8. 8Dept of Clinical Research, Immunology and Physiological Sciences, Wellcome, London, UK
  9. 9Host Defence Unit, Royal Brompton Hospital, Imperial College, London, UK
  10. 10Service de Pneumologie, Hôpital Larrey, CHU de Toulouse, Toulouse, France
  11. 11Servicio de Microbiología, Hospital Universitario Ramón y Cajal and Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
  12. 12Servei de Pneumologia, Hospital Clínic de Barcelona, Universitat de Barcelona, IDIBAPS, CIBERES Barcelona, Barcelona, Spain
  13. 135th Pulmonary Dept, “Sotiria” Chest Hospital, Athens, Greece
  14. 14Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK
  15. 15Bronchiectasis Service, Freeman Hospital, Newcastle upon Tyne, UK
  16. 16Dept of Respiratory Medicine, Royal Infirmary and University of Edinburgh, Edinburgh, UK
  17. 17Cambridge Centre for Lung Infection, Papworth Hospital, Cambridge, UK
  18. 18Bronchiectasis Group, Girona Biomedical Research Institute (IDIBGI), Dr Trueta University Hospital, Girona, Spain
  19. 19Dept of Respiratory Medicine, Hannover Medical School, Member of the German Centre for Lung Research, Hannover, Germany
  20. 20Clinic for Thoracic Surgery - Clinical Centre of Serbia, University of Belgrade, Belgrade, Serbia
  21. 21FCS Blanquerna. Physical Activity and Health Group, Universitat Ramon Llull, Barcelona, Spain
  22. 22Dept of Public Health and Caring Science, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden
  23. 23Dept of Respiratory Medicine, Maastricht University Medical Center, Maastricht, The Netherlands
  24. 24Queen's University Belfast, Belfast, UK
  25. 25European Lung Foundation (ELF)/EMBARC bronchiectasis patient advisory group
  26. 26Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland
  27. 27Iberoamerican Cochrane Center, Barcelona, Spain
  28. 28College of Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK
  1. James D. Chalmers, Scottish Centre for Respiratory Research, Ninewells Hospital and Medical School, Dundee, DD1 9SY, UK. E-mail: jchalmers{at}dundee.ac.uk
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European Respiratory Society guidelines for the management of adult bronchiectasis
Eva Polverino, Pieter C. Goeminne, Melissa J. McDonnell, Stefano Aliberti, Sara E. Marshall, Michael R. Loebinger, Marlene Murris, Rafael Cantón, Antoni Torres, Katerina Dimakou, Anthony De Soyza, Adam T. Hill, Charles S. Haworth, Montserrat Vendrell, Felix C. Ringshausen, Dragan Subotic, Robert Wilson, Jordi Vilaró, Bjorn Stallberg, Tobias Welte, Gernot Rohde, Francesco Blasi, Stuart Elborn, Marta Almagro, Alan Timothy, Thomas Ruddy, Thomy Tonia, David Rigau, James D. Chalmers
European Respiratory Journal Sep 2017, 50 (3) 1700629; DOI: 10.1183/13993003.00629-2017

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European Respiratory Society guidelines for the management of adult bronchiectasis
Eva Polverino, Pieter C. Goeminne, Melissa J. McDonnell, Stefano Aliberti, Sara E. Marshall, Michael R. Loebinger, Marlene Murris, Rafael Cantón, Antoni Torres, Katerina Dimakou, Anthony De Soyza, Adam T. Hill, Charles S. Haworth, Montserrat Vendrell, Felix C. Ringshausen, Dragan Subotic, Robert Wilson, Jordi Vilaró, Bjorn Stallberg, Tobias Welte, Gernot Rohde, Francesco Blasi, Stuart Elborn, Marta Almagro, Alan Timothy, Thomas Ruddy, Thomy Tonia, David Rigau, James D. Chalmers
European Respiratory Journal Sep 2017, 50 (3) 1700629; DOI: 10.1183/13993003.00629-2017
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  • Article
    • Abstract
    • Abstract
    • Scope and objectives
    • Introduction
    • Methods
    • Question 1: Is standardised testing for the cause of bronchiectasis beneficial when compared with no standardised testing?
    • Question 2: Are courses of 14–21 days of systemic antibiotic therapy compared to shorter courses (<14 days) beneficial for treating adult bronchiectasis patients with an acute exacerbation?
    • Question 3: Is eradication treatment beneficial for treating bronchiectasis patients with a new isolate of a potentially pathogenic microorganism in comparison to no eradication treatment?
    • Question 4: Should long-term anti-inflammatory agents be used in adult patients with bronchiectasis?
    • Question 5: Is long-term antibiotic treatment (≥3 months) compared to no treatment beneficial for treating adult bronchiectasis patients?
    • Question 6: Is long-term mucoactive treatment (≥3 months) compared to no treatment beneficial for treating adult bronchiectasis patients?
    • Question 7: Is long-term bronchodilator treatment (≥3 months) compared to no treatment beneficial for adult bronchiectasis patients?
    • Question 8: Are surgical interventions more beneficial compared to standard (non-surgical) treatment for adult bronchiectasis patients?
    • Question 9: Is regular physiotherapy (airway clearance and/or pulmonary rehabilitation) more beneficial than control (no physiotherapy treatment) in adult bronchiectasis patients?
    • Summary
    • Supplementary material
    • Disclosures
    • Acknowledgements
    • Footnotes
    • References
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  • CF and non-CF bronchiectasis
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