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Chronic suppurative lung disease and bronchiectasis in children and adults in Australia and New Zealand Thoracic Society of Australia and New Zealand guidelines

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Guidelines on managing chronic suppurative lung disease (CSLD) and bronchiectasis (unrelated to cystic fibrosis [CF]) in Australian Indigenous children initiated in 20021 were extended to include Indigenous adults in 20082 and children and adults living in urban areas of Australia and New Zealand in 2010.3 Here, we present an updated guideline relevant for all sections of the community. The recommendations in this guideline are targeted principally to primary and secondary care, and are not intended for individualised specialist care. As with all guidelines, they are not a substitute for sound clinical judgement, particularly when investigating and treating such a phenotypically heterogeneous condition as bronchiectasis.4

Key updates

An increasing trend in the health burden of CSLD and bronchiectasis is recognised in both Indigenous and non-Indigenous settings in Australia, New Zealand and worldwide.3,57 Some affluent countries report childhood fatalities,7 and there is a growing appreciation of the economic cost.5 Misdiagnosis or coexistence of bronchiectasis with other chronic respiratory diseases…