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How do you manage persistent pseudomonas positive sputum a patient with non-CF bronchiectasis who has chronic sputum production but is otherwise asymptomatic?

2 Answers
Mednet Member
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Pulmonology · Hospital of the University of Pennsylvania
Answered on

I am assuming the Pseudomonas has persisted despite efforts to eradicate early on; if not, I would consider at least an effort at "eradication" or at least aggressive treatment. If the Pseudomonas has persisted and the person feels well other than sputum production, would aggressively pursue airway ...

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Mednet Member
Mednet MemberInvited Expert
Pulmonology · Indiana University Health
Answered on

I agree with Dr. @Dr. First Last. The most important part of treatment would be establishing good airway clearance therapies. I find non-CF bronchiectasis and Pseudomonas can be very difficult to treat. Many of these individuals are older and frail. If an individual is asymptomatic, I would be hard ...

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