Question

A 3-year-old Aboriginal boy from a remote community has a chronic wet cough for more than 8 weeks following an episode of pneumonia. He is otherwise well. Chest auscultation reveals coarse crackles, and chest CT later confirms bronchiectasis. What is the most important principle of ongoing management?

Accepted Answer

Structured airway clearance physiotherapy, prompt treatment of exacerbations and attention to vaccinations and environmental factors

Answer

No specific treatment is required if he is well

Answer

Long-term macrolide therapy without other interventions

Answer

Avoid all physical activity to minimise cough

Answer

Use short courses of oral steroids whenever cough worsens

Practice question