Bronchiectasis in Indigenous children in remote Australian communities

Chang, A.B., Grimwood, K., Mulholland, E.K. and Torzillo, P.J. (2002) Bronchiectasis in Indigenous children in remote Australian communities. Medical Journal of Australia, 177 4: 200-204.

Author Chang, A.B.
Grimwood, K.
Mulholland, E.K.
Torzillo, P.J.
Title Bronchiectasis in Indigenous children in remote Australian communities
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
1326-5377
Publication date 2002-08
Sub-type Editorial
Open Access Status Not yet assessed
Volume 177
Issue 4
Start page 200
End page 204
Total pages 5
Place of publication Strawberry Hills, Australia
Publisher Australasian Medical Publishing Company
Language eng
Formatted abstract
The rates of bronchiectasis for Indigenous children from remote Australian communities are unacceptably high with one study showing 14.7/1000 Aboriginal children. Children with bronchiectasis need to be identified early for optimisation of medical treatment. Under-reporting of cough is common. Bronchiectasis should be suspected in children with recurrent bronchitis or pneumonia, and when, despite appropriate therapy, pulmonary infiltrates or atelectasis persist 12 weeks beyond the index illness. During acute infective episodes, oral antibiotics and chest physiotherapy to clear the airways should produce prompt resolution; otherwise, hospitalisation is necessary. Management follows the cystic fibrosis model of regular review, encouragement of physical activity, optimising nutrition, maintenance of immunisation and avoidance of environmental toxicants, including passive smoke exposure. Successful management and prevention of bronchiectasis will require improvements in housing, nutrition, and education, as well as access to comprehensive healthcare services, with coordination between primary and hospital-based healthcare providers.
Keyword Primary ciliary dyskinesia
Cystic fibrosis
Bronchiolitis obliterans
Young children
Lung function
Infection
Q-Index Code CX
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Editorial
Collection: Child Health Research Centre Publications
 
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