Chronic Cough/Bronchiectasis – Pediatrics - Revision history

LiamG: /* Resources/References */

2026-02-07T07:22:58Z

Resources/References

← Older revision		Revision as of 07:22, 7 February 2026
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	===Resources/References===		===Resources/References===
	* [[~~media~~:Bronchiectasis.pdf\|Bronchiectasis: Prevention and Management 2016]] (PowerPoint Presentation by Rosalyn Singleton, MD)		* [[Media:Bronchiectasis.pdf\|Bronchiectasis: Prevention and Management 2016]] (PowerPoint Presentation by Rosalyn Singleton, MD)
	* Munro, et al. [https://www.researchgate.net/profile/Catherine_Byrnes/publication/228632714_Burden_of_Bronchiectasis_in_Indigenous_Peoples-How_Can_it_be_Improved/links/02bfe51326836e5853000000/Burden-of-Bronchiectasis-in-Indigenous-Peoples-How-Can-it-be-Improved.pdf Burden of Bronchiectasis in Indigenous Peoples- How Can it be Improved?]. ''Current Pediatric Reviews.'' 2009, 5, 00-00.		* Munro, et al. [https://www.researchgate.net/profile/Catherine_Byrnes/publication/228632714_Burden_of_Bronchiectasis_in_Indigenous_Peoples-How_Can_it_be_Improved/links/02bfe51326836e5853000000/Burden-of-Bronchiectasis-in-Indigenous-Peoples-How-Can-it-be-Improved.pdf Burden of Bronchiectasis in Indigenous Peoples- How Can it be Improved?]. ''Current Pediatric Reviews.'' 2009, 5, 00-00.
	* Singleton RJ et al. [https://onlinelibrary.wiley.com/doi/abs/10.1002/ppul.22763 Indigenous children from three countries with non-cystic fibrosis chronic suppurative lung disease/bronchiectasis]. ''Pediatr Pulmonol'' 2014.		* Singleton RJ et al. [https://onlinelibrary.wiley.com/doi/abs/10.1002/ppul.22763 Indigenous children from three countries with non-cystic fibrosis chronic suppurative lung disease/bronchiectasis]. ''Pediatr Pulmonol'' 2014.
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	*Kinghorn B, Singleton R, Mccallum GB, Bulkow L, Grimwood K, Hermann L, Chang AB, Redding G. Clinical course of chronic suppurative lung disease and bronchiectasis in Alaska Native children. Pediatric Pulmonology 2018;1-8. https://doi.org/10.1002/ppul.24174		*Kinghorn B, Singleton R, Mccallum GB, Bulkow L, Grimwood K, Hermann L, Chang AB, Redding G. Clinical course of chronic suppurative lung disease and bronchiectasis in Alaska Native children. Pediatric Pulmonology 2018;1-8. https://doi.org/10.1002/ppul.24174
	*Sibanda D, Singleton R, Clark J, et al. Adult outcomes of childhood bronchiectasis. Int J Circumpolar Health. 2020;79(1):1731059. https://www.ncbi.nlm.nih.gov/pubmed/32090714		*Sibanda D, Singleton R, Clark J, et al. Adult outcomes of childhood bronchiectasis. Int J Circumpolar Health. 2020;79(1):1731059. https://www.ncbi.nlm.nih.gov/pubmed/32090714
	* [[~~media~~:~~Bronchiectasis_peds~~.pdf\|YKHC Clinical Guideline for Bronchiectasis]]		* [[Media:Bronchiectasis peds.pdf\|YKHC Clinical Guideline for Bronchiectasis]]
	* [[~~media~~:REHCFlyer.pdf\|Free Indoor Air Toolkit Program]]		* [[Media:REHCFlyer.pdf\|Free Indoor Air Toolkit Program - 2026 Flyer]]


	[[:category:YKHC Guidelines\|YKHC Clinical Guidelines]]		[[:category:YKHC Guidelines\|YKHC Clinical Guidelines]]
	<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]		<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]

LiamG: /* Resources/References */

2026-02-07T07:17:04Z

Resources/References

← Older revision		Revision as of 07:17, 7 February 2026
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	*Sibanda D, Singleton R, Clark J, et al. Adult outcomes of childhood bronchiectasis. Int J Circumpolar Health. 2020;79(1):1731059. https://www.ncbi.nlm.nih.gov/pubmed/32090714		*Sibanda D, Singleton R, Clark J, et al. Adult outcomes of childhood bronchiectasis. Int J Circumpolar Health. 2020;79(1):1731059. https://www.ncbi.nlm.nih.gov/pubmed/32090714
	* [[media:Bronchiectasis_peds.pdf\|YKHC Clinical Guideline for Bronchiectasis]]		* [[media:Bronchiectasis_peds.pdf\|YKHC Clinical Guideline for Bronchiectasis]]
			* [[media:REHCFlyer.pdf\|Free Indoor Air Toolkit Program]]


	[[:category:YKHC Guidelines\|YKHC Clinical Guidelines]]		[[:category:YKHC Guidelines\|YKHC Clinical Guidelines]]
	<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]		<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]

JenniferH: /* Resources/References */

2021-02-18T07:05:21Z

Resources/References

← Older revision		Revision as of 07:05, 18 February 2021
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	===Resources/References===		===Resources/References===
	* [[media:Bronchiectasis.pdf\|Bronchiectasis: Prevention and Management 2016]] (PowerPoint Presentation by Rosalyn Singleton, MD)		* [[media:Bronchiectasis.pdf\|Bronchiectasis: Prevention and Management 2016]] (PowerPoint Presentation by Rosalyn Singleton, MD)
			* Munro, et al. [https://www.researchgate.net/profile/Catherine_Byrnes/publication/228632714_Burden_of_Bronchiectasis_in_Indigenous_Peoples-How_Can_it_be_Improved/links/02bfe51326836e5853000000/Burden-of-Bronchiectasis-in-Indigenous-Peoples-How-Can-it-be-Improved.pdf Burden of Bronchiectasis in Indigenous Peoples- How Can it be Improved?]. ''Current Pediatric Reviews.'' 2009, 5, 00-00.
	* Singleton RJ et al. [https://onlinelibrary.wiley.com/doi/abs/10.1002/ppul.22763 Indigenous children from three countries with non-cystic fibrosis chronic suppurative lung disease/bronchiectasis]. ''Pediatr Pulmonol'' 2014.		* Singleton RJ et al. [https://onlinelibrary.wiley.com/doi/abs/10.1002/ppul.22763 Indigenous children from three countries with non-cystic fibrosis chronic suppurative lung disease/bronchiectasis]. ''Pediatr Pulmonol'' 2014.
	* Redding et al. [https://www.sciencedirect.com/science/article/pii/S0012369215510817?via%3Dihub Respiratory Exacerbations in Indigenous Children From Two Countries With Non-Cystic Fibrosis Chronic Suppurative Lung Disease/Bronchiectasis]. CHEST 2014:146;762-4		* Redding et al. [https://www.sciencedirect.com/science/article/pii/S0012369215510817?via%3Dihub Respiratory Exacerbations in Indigenous Children From Two Countries With Non-Cystic Fibrosis Chronic Suppurative Lung Disease/Bronchiectasis]. CHEST 2014:146;762-4

JenniferH: /* Resources/References */

2020-12-16T18:58:21Z

Resources/References

← Older revision		Revision as of 18:58, 16 December 2020
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	* Redding et al. [https://www.sciencedirect.com/science/article/pii/S0012369215510817?via%3Dihub Respiratory Exacerbations in Indigenous Children From Two Countries With Non-Cystic Fibrosis Chronic Suppurative Lung Disease/Bronchiectasis]. CHEST 2014:146;762-4		* Redding et al. [https://www.sciencedirect.com/science/article/pii/S0012369215510817?via%3Dihub Respiratory Exacerbations in Indigenous Children From Two Countries With Non-Cystic Fibrosis Chronic Suppurative Lung Disease/Bronchiectasis]. CHEST 2014:146;762-4
	*Lewis, T. et al. [https://journal.chestnet.org/article/S0012-3692(15)32159-0/abstract Prevalence of Asthma and Chronic Respiratory Symptoms Among Alaska Native Children]. CHEST. 125(5):1665-1673, May 2004. doi.org/10.1378/chest.125.5.1665		*Lewis, T. et al. [https://journal.chestnet.org/article/S0012-3692(15)32159-0/abstract Prevalence of Asthma and Chronic Respiratory Symptoms Among Alaska Native Children]. CHEST. 125(5):1665-1673, May 2004. doi.org/10.1378/chest.125.5.1665
	*Healthy Homes Baseline Characteristics: Singleton R, Salkoski AJ, Bulkow L, Fish C, Dobson J, Albertson L, Skarada J, Kovesi T, McDonald D, Hennessy TW, Ritter T. [https://onlinelibrary.wiley.com/doi/abs/10.1111/ina.12315 Housing characteristics and indoor air quality in households of Alaska Native children with chronic lung conditions]. Indoor Air 2017 Mar;27(2):478-486. DOI: 10.1111/ina.12315 Epub 2016 Jul 18		*Healthy Homes Baseline Characteristics: Singleton R, Salkoski AJ, Bulkow L, Fish C, Dobson J, Albertson L, Skarada J, Kovesi T, McDonald D, Hennessy TW, Ritter T. [https://onlinelibrary.wiley.com/doi/abs/10.1111/ina.12315 Housing characteristics and indoor air quality in households of Alaska Native children with chronic lung conditions]. ''Indoor Air'' 2017 Mar;27(2):478-486. DOI: 10.1111/ina.12315 Epub 2016 Jul 18
	*Healthy Homes Results: Singleton R, Salkoski AJ, Bulkow L, et al Impact of Home Remediation and Household Education on Indoor Air Quality, Respiratory Visits, and Symptoms in Alaska Native Children. Int J Circumpolar Health 2018;77(1) DOI: 10.1080/22423982.2017.1422669		*Healthy Homes Results: Singleton R, Salkoski AJ, Bulkow L, et al. [https://www.tandfonline.com/doi/full/10.1080/22423982.2017.1422669 Impact of Home Remediation and Household Education on Indoor Air Quality, Respiratory Visits, and Symptoms in Alaska Native Children]. ''Int J Circumpolar Health'' 2018;77(1) DOI: 10.1080/22423982.2017.1422669
	*Kinghorn B, Singleton R, Mccallum GB, Bulkow L, Grimwood K, Hermann L, Chang AB, Redding G. Clinical course of chronic suppurative lung disease and bronchiectasis in Alaska Native children. Pediatric Pulmonology 2018;1-8. https://doi.org/10.1002/ppul.24174		*Kinghorn B, Singleton R, Mccallum GB, Bulkow L, Grimwood K, Hermann L, Chang AB, Redding G. Clinical course of chronic suppurative lung disease and bronchiectasis in Alaska Native children. Pediatric Pulmonology 2018;1-8. https://doi.org/10.1002/ppul.24174
	*Sibanda D, Singleton R, Clark J, et al. Adult outcomes of childhood bronchiectasis. Int J Circumpolar Health. 2020;79(1):1731059. https://www.ncbi.nlm.nih.gov/pubmed/32090714		*Sibanda D, Singleton R, Clark J, et al. Adult outcomes of childhood bronchiectasis. Int J Circumpolar Health. 2020;79(1):1731059. https://www.ncbi.nlm.nih.gov/pubmed/32090714

JenniferH: /* Resources/References */

2020-12-16T18:56:48Z

Resources/References

← Older revision		Revision as of 18:56, 16 December 2020
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	* Redding et al. [https://www.sciencedirect.com/science/article/pii/S0012369215510817?via%3Dihub Respiratory Exacerbations in Indigenous Children From Two Countries With Non-Cystic Fibrosis Chronic Suppurative Lung Disease/Bronchiectasis]. CHEST 2014:146;762-4		* Redding et al. [https://www.sciencedirect.com/science/article/pii/S0012369215510817?via%3Dihub Respiratory Exacerbations in Indigenous Children From Two Countries With Non-Cystic Fibrosis Chronic Suppurative Lung Disease/Bronchiectasis]. CHEST 2014:146;762-4
	*Lewis, T. et al. [https://journal.chestnet.org/article/S0012-3692(15)32159-0/abstract Prevalence of Asthma and Chronic Respiratory Symptoms Among Alaska Native Children]. CHEST. 125(5):1665-1673, May 2004. doi.org/10.1378/chest.125.5.1665		*Lewis, T. et al. [https://journal.chestnet.org/article/S0012-3692(15)32159-0/abstract Prevalence of Asthma and Chronic Respiratory Symptoms Among Alaska Native Children]. CHEST. 125(5):1665-1673, May 2004. doi.org/10.1378/chest.125.5.1665
	*Healthy Homes Baseline Characteristics: Singleton R, Salkoski AJ, Bulkow L, Fish C, Dobson J, Albertson L, Skarada J, Kovesi T, McDonald D, Hennessy TW, Ritter T. Housing characteristics and indoor air quality in households of Alaska Native children with chronic lung conditions. Indoor Air 2017 Mar;27(2):478-486. DOI: 10.1111/ina.12315 Epub 2016 Jul 18		*Healthy Homes Baseline Characteristics: Singleton R, Salkoski AJ, Bulkow L, Fish C, Dobson J, Albertson L, Skarada J, Kovesi T, McDonald D, Hennessy TW, Ritter T. [https://onlinelibrary.wiley.com/doi/abs/10.1111/ina.12315 Housing characteristics and indoor air quality in households of Alaska Native children with chronic lung conditions]. Indoor Air 2017 Mar;27(2):478-486. DOI: 10.1111/ina.12315 Epub 2016 Jul 18
	*Healthy Homes Results: Singleton R, Salkoski AJ, Bulkow L, et al Impact of Home Remediation and Household Education on Indoor Air Quality, Respiratory Visits, and Symptoms in Alaska Native Children. Int J Circumpolar Health 2018;77(1) DOI: 10.1080/22423982.2017.1422669		*Healthy Homes Results: Singleton R, Salkoski AJ, Bulkow L, et al Impact of Home Remediation and Household Education on Indoor Air Quality, Respiratory Visits, and Symptoms in Alaska Native Children. Int J Circumpolar Health 2018;77(1) DOI: 10.1080/22423982.2017.1422669
	*Kinghorn B, Singleton R, Mccallum GB, Bulkow L, Grimwood K, Hermann L, Chang AB, Redding G. Clinical course of chronic suppurative lung disease and bronchiectasis in Alaska Native children. Pediatric Pulmonology 2018;1-8. https://doi.org/10.1002/ppul.24174		*Kinghorn B, Singleton R, Mccallum GB, Bulkow L, Grimwood K, Hermann L, Chang AB, Redding G. Clinical course of chronic suppurative lung disease and bronchiectasis in Alaska Native children. Pediatric Pulmonology 2018;1-8. https://doi.org/10.1002/ppul.24174

JenniferH at 18:54, 16 December 2020

2020-12-16T18:54:49Z

← Older revision		Revision as of 18:54, 16 December 2020
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	'''Pathophysiology:''' Recurrent pneumonia and lower respiratory tract infections cause airway damage that leads to "ectasia" and loss of elasticity of bronchi. Loss of muco-ciliary function leads to difficulty clearing secretions.		'''Pathophysiology:''' Recurrent pneumonia and lower respiratory tract infections cause airway damage that leads to "ectasia" and loss of elasticity of bronchi. Loss of muco-ciliary function leads to difficulty clearing secretions.
	<br/>'''Risk Factors:'''		<br/>'''Risk Factors:'''
	*low birth weight
	*Prematurity		*Prematurity
			*Immunocompromise
	*Early recurrent respiratory infections		*Early recurrent respiratory infections
	*Previous injury		*Previous injury
	*Environmental effects (lack of piped water, household crowding, woodstove ~~in the house~~)		*Environmental effects (lack of piped water, household crowding, woodstove use)
	'''Demographics:''' Alaska YK Delta: 1 in 63 children, Central Australia: 1 in 68, U.S.: 1 in 250,000~~. low income~~.		'''Demographics:''' Alaska YK Delta: 1 in 63 children, Central Australia: 1 in 68, U.S.: 1 in 250,000.
	<br/>'''Signs/Symptoms:''' Chronic wet cough		<br/>'''Signs/Symptoms:''' Chronic wet cough, respiratory exacerbations with fever, crackles, wheezing
	<br/>'''Diagnosis:''' Progression of disease from protracted bronchitis to chronic suppurative lung disease (3 episodes at least 3 months each) ~~and~~ CT scan confirmed Bronchiectasis		<br/>'''Diagnosis:''' Progression of disease from protracted bronchitis to chronic suppurative lung disease (3 episodes at least 3 months each) to CT scan confirmed Bronchiectasis
	<br/>'''Management:'''		<br/>'''Management:'''
	*Reduce infection-inflammation: treat early and exacerbations 'aggressively' with antibiotics, airway hygiene clearance, vaccinations		*Reduce infection-inflammation: treat early and exacerbations 'aggressively' with antibiotics, airway hygiene clearance, vaccinations
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	*Systemic care: regular review, multi-disciplinary care, education, enhance self care and management		*Systemic care: regular review, multi-disciplinary care, education, enhance self care and management
	*Collaboration with Seattle Children's Hospital Pulmonologists who generally see patients in a Bethel Field Clinic 3-4 times a year		*Collaboration with Seattle Children's Hospital Pulmonologists who generally see patients in a Bethel Field Clinic 3-4 times a year
	'''Critical Times for Affected Patients:''' ~~during~~ exacerbations, if ~~untreated~~ can lead to early COPD and death		*Special attention in adolescents to transferring to adult care.

			'''Critical Times for Affected Patients:''' exacerbations – antibiotic treatment important, prophylaxis if frequent exacerbations, transition to adulthood critical – poorly managed bronchiectasis can lead to early COPD and death

	===Resources/References===		===Resources/References===
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	* Redding et al. [https://www.sciencedirect.com/science/article/pii/S0012369215510817?via%3Dihub Respiratory Exacerbations in Indigenous Children From Two Countries With Non-Cystic Fibrosis Chronic Suppurative Lung Disease/Bronchiectasis]. CHEST 2014:146;762-4		* Redding et al. [https://www.sciencedirect.com/science/article/pii/S0012369215510817?via%3Dihub Respiratory Exacerbations in Indigenous Children From Two Countries With Non-Cystic Fibrosis Chronic Suppurative Lung Disease/Bronchiectasis]. CHEST 2014:146;762-4
	*Lewis, T. et al. [https://journal.chestnet.org/article/S0012-3692(15)32159-0/abstract Prevalence of Asthma and Chronic Respiratory Symptoms Among Alaska Native Children]. CHEST. 125(5):1665-1673, May 2004. doi.org/10.1378/chest.125.5.1665		*Lewis, T. et al. [https://journal.chestnet.org/article/S0012-3692(15)32159-0/abstract Prevalence of Asthma and Chronic Respiratory Symptoms Among Alaska Native Children]. CHEST. 125(5):1665-1673, May 2004. doi.org/10.1378/chest.125.5.1665
	* Healthy Homes ~~Study~~		*Healthy Homes Baseline Characteristics: Singleton R, Salkoski AJ, Bulkow L, Fish C, Dobson J, Albertson L, Skarada J, Kovesi T, McDonald D, Hennessy TW, Ritter T. Housing characteristics and indoor air quality in households of Alaska Native children with chronic lung conditions. Indoor Air 2017 Mar;27(2):478-486. DOI: 10.1111/ina.12315 Epub 2016 Jul 18
			*Healthy Homes Results: Singleton R, Salkoski AJ, Bulkow L, et al Impact of Home Remediation and Household Education on Indoor Air Quality, Respiratory Visits, and Symptoms in Alaska Native Children. Int J Circumpolar Health 2018;77(1) DOI: 10.1080/22423982.2017.1422669
			*Kinghorn B, Singleton R, Mccallum GB, Bulkow L, Grimwood K, Hermann L, Chang AB, Redding G. Clinical course of chronic suppurative lung disease and bronchiectasis in Alaska Native children. Pediatric Pulmonology 2018;1-8. https://doi.org/10.1002/ppul.24174
			*Sibanda D, Singleton R, Clark J, et al. Adult outcomes of childhood bronchiectasis. Int J Circumpolar Health. 2020;79(1):1731059. https://www.ncbi.nlm.nih.gov/pubmed/32090714
	* [[media:Bronchiectasis_peds.pdf\|YKHC Clinical Guideline for Bronchiectasis]]		* [[media:Bronchiectasis_peds.pdf\|YKHC Clinical Guideline for Bronchiectasis]]

JenniferH at 10:03, 2 December 2020

2020-12-02T10:03:20Z

← Older revision		Revision as of 10:03, 2 December 2020
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	*Previous injury		*Previous injury
	*Environmental effects (lack of piped water, household crowding, woodstove in the house)		*Environmental effects (lack of piped water, household crowding, woodstove in the house)
	~~<br/>~~'''Demographics:''' Alaska YK Delta: 1 in 63 children, Central Australia: 1 in 68, U.S.: 1 in 250,000. low income.		'''Demographics:''' Alaska YK Delta: 1 in 63 children, Central Australia: 1 in 68, U.S.: 1 in 250,000. low income.
	<br/>'''Signs/Symptoms:''' Chronic wet cough		<br/>'''Signs/Symptoms:''' Chronic wet cough
	<br/>'''Diagnosis:''' Progression of disease from protracted bronchitis to chronic suppurative lung disease (3 episodes at least 3 months each) and CT scan confirmed Bronchiectasis		<br/>'''Diagnosis:''' Progression of disease from protracted bronchitis to chronic suppurative lung disease (3 episodes at least 3 months each) and CT scan confirmed Bronchiectasis
Line 14:		Line 14:
	*Systemic care: regular review, multi-disciplinary care, education, enhance self care and management		*Systemic care: regular review, multi-disciplinary care, education, enhance self care and management
	*Collaboration with Seattle Children's Hospital Pulmonologists who generally see patients in a Bethel Field Clinic 3-4 times a year		*Collaboration with Seattle Children's Hospital Pulmonologists who generally see patients in a Bethel Field Clinic 3-4 times a year
	~~<br/>~~'''Critical Times for Affected Patients:''' during exacerbations, if untreated can lead to early COPD and death		'''Critical Times for Affected Patients:''' during exacerbations, if untreated can lead to early COPD and death

	===Resources/References===		===Resources/References===

JenniferH at 10:03, 2 December 2020

2020-12-02T10:03:02Z

← Older revision		Revision as of 10:03, 2 December 2020
Line 1:		Line 1:
	'''Pathophysiology:''' Recurrent pneumonia and lower respiratory tract infections cause airway damage that leads to "ectasia" and loss of elasticity of bronchi. Loss of muco-ciliary function leads to difficulty clearing secretions.		'''Pathophysiology:''' Recurrent pneumonia and lower respiratory tract infections cause airway damage that leads to "ectasia" and loss of elasticity of bronchi. Loss of muco-ciliary function leads to difficulty clearing secretions.

	<br/>'''Risk Factors:'''		<br/>'''Risk Factors:'''
	*low birth weight		*low birth weight
Line 7:		Line 6:
	*Previous injury		*Previous injury
	*Environmental effects (lack of piped water, household crowding, woodstove in the house)		*Environmental effects (lack of piped water, household crowding, woodstove in the house)
			<br/>'''Demographics:''' Alaska YK Delta: 1 in 63 children, Central Australia: 1 in 68, U.S.: 1 in 250,000. low income.
	'''Demographics:''' Alaska YK Delta: 1 in 63 children, Central Australia: 1 in 68, U.S.: 1 in 250,000. low income.

	<br/>'''Signs/Symptoms:''' Chronic wet cough		<br/>'''Signs/Symptoms:''' Chronic wet cough

	<br/>'''Diagnosis:''' Progression of disease from protracted bronchitis to chronic suppurative lung disease (3 episodes at least 3 months each) and CT scan confirmed Bronchiectasis		<br/>'''Diagnosis:''' Progression of disease from protracted bronchitis to chronic suppurative lung disease (3 episodes at least 3 months each) and CT scan confirmed Bronchiectasis

	<br/>'''Management:'''		<br/>'''Management:'''
	*Reduce infection-inflammation: treat early and exacerbations 'aggressively' with antibiotics, airway hygiene clearance, vaccinations		*Reduce infection-inflammation: treat early and exacerbations 'aggressively' with antibiotics, airway hygiene clearance, vaccinations
Line 19:		Line 14:
	*Systemic care: regular review, multi-disciplinary care, education, enhance self care and management		*Systemic care: regular review, multi-disciplinary care, education, enhance self care and management
	*Collaboration with Seattle Children's Hospital Pulmonologists who generally see patients in a Bethel Field Clinic 3-4 times a year		*Collaboration with Seattle Children's Hospital Pulmonologists who generally see patients in a Bethel Field Clinic 3-4 times a year

	<br/>'''Critical Times for Affected Patients:''' during exacerbations, if untreated can lead to early COPD and death		<br/>'''Critical Times for Affected Patients:''' during exacerbations, if untreated can lead to early COPD and death

JenniferH at 10:02, 2 December 2020

2020-12-02T10:02:35Z

← Older revision		Revision as of 10:02, 2 December 2020
Line 20:		Line 20:
	*Collaboration with Seattle Children's Hospital Pulmonologists who generally see patients in a Bethel Field Clinic 3-4 times a year		*Collaboration with Seattle Children's Hospital Pulmonologists who generally see patients in a Bethel Field Clinic 3-4 times a year

	'''Critical Times for Affected Patients:''' during exacerbations, if untreated can lead to early COPD and death		<br/>'''Critical Times for Affected Patients:''' during exacerbations, if untreated can lead to early COPD and death

	===Resources/References===		===Resources/References===

JenniferH at 10:02, 2 December 2020

2020-12-02T10:02:11Z

← Older revision		Revision as of 10:02, 2 December 2020
Line 1:		Line 1:
	'''Pathophysiology:''' Recurrent pneumonia and lower respiratory tract infections cause airway damage that leads to "ectasia" and ~~lossof~~ elasticity of bronchi. Loss of muco-ciliary function leads to difficulty clearing secretions.		'''Pathophysiology:''' Recurrent pneumonia and lower respiratory tract infections cause airway damage that leads to "ectasia" and loss of elasticity of bronchi. Loss of muco-ciliary function leads to difficulty clearing secretions.

	<br/>'''Risk Factors:'''		<br/>'''Risk Factors:'''
	*low birth weight		*low birth weight
Line 5:		Line 6:
	*Early recurrent respiratory infections		*Early recurrent respiratory infections
	*Previous injury		*Previous injury
	*~~Enironmental~~ effects (lack of piped water, household crowding, woodstove in the house)		*Environmental effects (lack of piped water, household crowding, woodstove in the house)

	'''Demographics:''' Alaska YK Delta: 1 in 63 children, Central Australia: 1 in 68, U.S.: 1 in 250,000. low income.		'''Demographics:''' Alaska YK Delta: 1 in 63 children, Central Australia: 1 in 68, U.S.: 1 in 250,000. low income.

	<br/>'''Signs/Symptoms:''' Chronic wet cough		<br/>'''Signs/Symptoms:''' Chronic wet cough

	<br/>'''Diagnosis:''' Progression of disease from protracted bronchitis to chronic suppurative lung disease (3 episodes at least 3 months each) and CT scan confirmed Bronchiectasis		<br/>'''Diagnosis:''' Progression of disease from protracted bronchitis to chronic suppurative lung disease (3 episodes at least 3 months each) and CT scan confirmed Bronchiectasis

	<br/>'''Management:'''		<br/>'''Management:'''
	*Reduce infection-inflammation: treat early and exacerbations 'aggressively' with antibiotics, airway hygiene clearance, vaccinations		*Reduce infection-inflammation: treat early and exacerbations 'aggressively' with antibiotics, airway hygiene clearance, vaccinations
	*Improve other factors ~~contibuting~~: attention to nutrition, detect complications, ~~pllutants~~		*Improve other factors contributing: attention to nutrition, detect complications, pollutants
	*Systemic care: regular review, multi-~~discplinary~~ care, education, enhance self care and management		*Systemic care: regular review, multi-disciplinary care, education, enhance self care and management
			*Collaboration with Seattle Children's Hospital Pulmonologists who generally see patients in a Bethel Field Clinic 3-4 times a year

	'''Critical Times for Affected Patients:''' during exacerbations, if untreated can lead to early COPD and death		'''Critical Times for Affected Patients:''' during exacerbations, if untreated can lead to early COPD and death

	===Resources/References===		===Resources/References===
	* [[media:Bronchiectasis.pdf\|Bronchiectasis: Prevention and Management 2016]] (~~Powerpoint~~ Presentation by Rosalyn Singleton, MD)		* [[media:Bronchiectasis.pdf\|Bronchiectasis: Prevention and Management 2016]] (PowerPoint Presentation by Rosalyn Singleton, MD)
	* Singleton RJ et al. [https://onlinelibrary.wiley.com/doi/abs/10.1002/ppul.22763 Indigenous children from three countries with non-cystic fibrosis chronic suppurative lung disease/bronchiectasis]. ''Pediatr Pulmonol'' 2014.		* Singleton RJ et al. [https://onlinelibrary.wiley.com/doi/abs/10.1002/ppul.22763 Indigenous children from three countries with non-cystic fibrosis chronic suppurative lung disease/bronchiectasis]. ''Pediatr Pulmonol'' 2014.
	* Redding et al. [https://www.sciencedirect.com/science/article/pii/S0012369215510817?via%3Dihub Respiratory Exacerbations in Indigenous Children From Two Countries With Non-Cystic Fibrosis Chronic Suppurative Lung Disease/Bronchiectasis]. CHEST 2014:146;762-4		* Redding et al. [https://www.sciencedirect.com/science/article/pii/S0012369215510817?via%3Dihub Respiratory Exacerbations in Indigenous Children From Two Countries With Non-Cystic Fibrosis Chronic Suppurative Lung Disease/Bronchiectasis]. CHEST 2014:146;762-4

← Older revision		Revision as of 07:17, 7 February 2026
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	*Sibanda D, Singleton R, Clark J, et al. Adult outcomes of childhood bronchiectasis. Int J Circumpolar Health. 2020;79(1):1731059. https://www.ncbi.nlm.nih.gov/pubmed/32090714		*Sibanda D, Singleton R, Clark J, et al. Adult outcomes of childhood bronchiectasis. Int J Circumpolar Health. 2020;79(1):1731059. https://www.ncbi.nlm.nih.gov/pubmed/32090714
	* [[media:Bronchiectasis_peds.pdf\|YKHC Clinical Guideline for Bronchiectasis]]		* [[media:Bronchiectasis_peds.pdf\|YKHC Clinical Guideline for Bronchiectasis]]
			* [[media:REHCFlyer.pdf\|Free Indoor Air Toolkit Program]]


	[[:category:YKHC Guidelines\|YKHC Clinical Guidelines]]		[[:category:YKHC Guidelines\|YKHC Clinical Guidelines]]
	<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]		<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]