An observational study on Bronchiectasis to find out clinical pattern

Background: Although infection plays a main role in bronchiectasis there are many other causes. It is difficult to find out aetiology always but aetiology finding makes it easy to treat. Materials & Method: Fifty cases of bronchiectasis were selected from outdoor& indoor of the department of pulmonary medicine & Internal medicine of SSMCH in this observational & prospective study for one year. Verbal & written consent was taken from each patient. Clinical history & examination was done thoroughly. All investigations were done properly. Diagnosis of Bronchiectasis was confirmed by HRCT of chest. Dry Bronchiectasis & ILD were excluded. All data were analyzed with SPSS version 20.0. Results mean age of patients 41.3 years, M:F= 0.85:1. Bacterial Infection was the common cause (30%), tuberculosis (26%). No definitive aetiological diagnosis was established in 54% of the patients. H.influenzae (56%), Pneumococcus(18%), Stph.aureus (14%), P.auriginosa (12%) were found in sputum culture. Conclusion: If Bronchoscopy, sweet test,genetic test for CF can be done then proper etiology will be found for better management. Sputum for C/S should be done in follow-up visit to improve the management