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Bronchiectasis in indigenous children in remote Australian communities

Chang, Anne B., Grimwood, Keith, Mulholland, E. Kim and Torzillo, Paul J. (2002). Bronchiectasis in indigenous children in remote Australian communities. Medical Journal of Australia,177(4):200-204.

Document type: Journal Article
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Title Bronchiectasis in indigenous children in remote Australian communities
Author Chang, Anne B.
Grimwood, Keith
Mulholland, E. Kim
Torzillo, Paul J.
Journal Name Medical Journal of Australia
Publication Date 2002
Volume Number 177
Issue Number 4
ISSN 0025-729X   (check CDU catalogue open catalogue search in new window)
Start Page 200
End Page 204
Total Pages 5
Place of Publication Australia
Publisher Australasian Medical Publishing Company Pty. Ltd.
HERDC Category C1 - Journal Article (DEST)
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.

Keywords Australia
Bronchus disease
Clinical management
Medical screening
Respiratory disease
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