Bronchiectasis in patients with chronic obstructive pulmonary disease in a tertiary care center in North-East India

Autor: Yumnam Priyabarta Singh, Kshetrimayum Silpa, Noklangkumla Sangtam, Sunanda Haorongbam
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Advances in Medicine. 7:656
ISSN: 2349-3933
2349-3925
DOI: 10.18203/2349-3933.ijam20201118
Popis: Background: Bronchiectasis is common in patients with Chronic Obstructive Pulmonary Disease (COPD). COPD with bronchiectasis has been considered a phenotype with worse lung function and more severe exacerbations. There is scarce literature on the characteristics and optimal management of such patients . Methods: Patients with COPD reporting within the one-year study period were subjected to High Resolution Computed Tomography (HRCT) scan of the thorax. Sputum was sent for Gram-stain and culture/sensitivity for patients found to have bronchiectasis. Bronchiectasis Severity Index (BSI) was calculated using the online BSI calculator. Association between presence of bronchiectasis and gender, lung function and frequency of exacerbations was statistically analysed. Results: Total 62 patients with COPD were enrolled. Bronchiectasis was present in 11 (17.7%) patients. The most common bacterial isolate from sputum of patients with bronchiectasis was Haemophilus influenza (54.54%). The prevalence of bronchiectasis was more in females (19.45% compared to 15.4% in males), but this association was not found to be statistically significant(p=0.748). Forced Expiratory volume in 1st second (FEV1) was found to be significantly lower in patients with bronchiectasis (p
Databáze: OpenAIRE