The British Thoracic Society (BTS) Guidelines for Bronchiectasis in adults were published in January 2019, and comprise recommendations for treatment from primary to tertiary care. Here, we outline the practical implications of these guidelines for primary care practitioners. A diagnosis of bronchiectasis should be considered when a patient presents with a recurrent or persistent (>8 weeks) productive cough. A definitive diagnosis is made by using thin-section chest computed tomography (CT). Once diagnosed, patients should be initially assessed by a specialist respiratory team and a shared management plan formulated with the patient, the specialist and primary care teams. The cornerstone of primary care management is physiotherapy to improve airway sputum clearance and maximise exercise capacity, with prompt treatment of acute exacerbations with antibiotics.

中文翻译：

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英国胸科学会成人支气管扩张指南的主要护理意义2019。

英国胸科学会（BTS）成人支气管扩张指南于2019年1月发布，其中包括从初级到三级护理的治疗建议。在这里，我们概述了这些指南对初级保健从业者的实际意义。当患者出现反复或持续性（> 8周）生产性咳嗽时，应考虑诊断支气管扩张。通过使用薄层胸部计算机断层扫描（CT）进行明确的诊断。一旦确诊，应首先由专业的呼吸小组对患者进行评估，并与患者，专家和初级保健团队制定共同的管理计划。初级保健管理的基础是理疗，以改善呼吸道痰液清除并最大程度地提高运动能力，