Lung health updateEvery breath you take - RACGP 2025

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The document outlines an Active Learning Module (ALM) focused on lung health, scheduled for April 13, 2019, by RACGP Western Australia. It aims to enhance general practitioners' knowledge and skills in diagnosing and managing respiratory diseases such as COPD and asthma. The workshop includes various presentations by experts on topics like spirometry, sleep apnoea, occupational lung disease, smoking cessation, and asthma management in children. Registration details, costs for members and non-members, and contact information are also provided.
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These environmental factors include exercise, humidity, temperature, allergens, viral infection, stress, and inhalation of air pollutants.
With acute exacerbations, bronchiectasis should be managed with 14 days of oral antibiotics. This can be tailored to a specific organism if sputum cultures are positive with sensitivities; therefore, early testing of sputum cultures is strongly recommended.
The gold standard for confirming the diagnosis is high-resolution computed tomography scan of the chest, ideally done when the patient is clinically stable.
Your lung function improves within two weeks to three months after the last cigarette. During the first year after quitting, coughing and shortness of breath decrease, and your lungs become better at cleaning themselves to reduce the risk of infection.
General management As with other respiratory diseases, patients with bronchiectasis should be encouraged to stop smoking. Vaccination against influenza and pneumococcal disease is also recommended as for other chronic respiratory disorders although there are no specific data in bronchiectasis about its impact [2].

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Spirometry is the most common type of pulmonary function or breathing test. This test measures how much air you can breathe in and out of your lungs, as well as how easily and fast you can the blow the air out of your lungs.
Until recently, most trials have been negative. However, in 2020, the WILLOW phase 2 trial showed that brensocatib reduces the risk and frequency of bronchiectasis exacerbations at 24 weeks by inhibiting dipeptidyl peptidase I and decreasing activation of neutrophil serine proteases.
Antibiotics. Oral antibiotics are often used as the main treatment for repeated lung infections ( exacerbations ) due to bronchiectasis. The normal course of treatment is 14 days. Research for a therapy to treat noncystic fibrosis bronchiectasis is ongoing.

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