Spanish Guidelines on Treatment of Bronchiectasis in Adults

Miguel Ángel Martínez-García, Luis Máiz, Casilda Olveira, Rosa Maria Girón, David de la Rosa, Marina Blanco, Rafael Cantón, Montserrat Vendrell, Eva Polverino, Javier de Gracia, Concepción Prados

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103 Citations (Scopus)


© 2017 SEPAR In 2008, the Spanish Society of Pulmonology (SEPAR) published the first guidelines in the world on the diagnosis and treatment of bronchiectasis. Almost 10 years later, considerable scientific advances have been made in both the treatment and the evaluation and diagnosis of this disease, and the original guidelines have been updated to include the latest therapies available for bronchiectasis. These new recommendations have been drafted following a strict methodological process designed to ensure quality of content, and are linked to a large amount of online information that includes a wealth of references. The guidelines are focused on the treatment of bronchiectasis from both a multidisciplinary perspective, including specialty areas and the different healthcare levels involved, and a multidimensional perspective, including a comprehensive overview of the specific aspects of the disease. A series of recommendations have been drawn up, based on an in-depth review of the evidence for treatment of the underlying etiology, the bronchial infection in its different forms of presentation using existing therapies, bronchial inflammation, and airflow obstruction. Nutritional aspects, management of secretions, muscle training, management of complications and comorbidities, infection prophylaxis, patient education, home care, surgery, exacerbations, and patient follow-up are addressed.
Original languageEnglish
Pages (from-to)88-98
JournalArchivos de Bronconeumologia
Issue number2
Publication statusPublished - 1 Feb 2018


  • Bronchiectasis
  • Chronic bronchial infection
  • Computed tomography
  • Exacerbations
  • Inhaled antibiotics
  • Macrolides
  • Mucolytics
  • Pseudomonas aeruginosa
  • Respiratory physiotherapy


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