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A1976 - Audit of Bronchiectasis Patients Attending a Respiratory Clinic
Author Block: M. Docherty1, K. McGee2, E. Livingston3; 1Respiratory Department, Stobhill Hospital/Glasgow Royal Infirmary, Glasgow, United Kingdom, 2University of Dundee Medical School, Dundee, United Kingdom, 3Respiratory Medicine, Glasgow Royal Infirmary, Glasgow, United Kingdom.
Background Bronchiectasis is common respiratory condition, characterised by cough productive of large volumes of sputum, and recurrent chest infections. Aims To review Bronchiectasis patients attending a respiratory clinic at Stobhill Hospital. Information to be obtained included diagnosis, long term management and records of exacerbations. This information was compared against the British Thoracic Society (BTS) 2010 guidelines. Method 26 male patients and 49 female patients were included. These were all patients that attend one respiratory physician’s clinic at Stobhill hospital. Data was collected using patients’ case notes which are now all stored on Clinical Portal and Trakcare (Electronic patient record). Data from before 2009 was obtained from handwritten notes. The BTS audit tool (2010) was used to record the required data. Results - 100% percent of patients involved in the audit were diagnosed using CT scan - 89.3% of patients had FEV1/FVC, 92% of patients had PEF records. - The average patient waited 20 months for a repeat PFT. - At the time of the audit 17 patients had 3 or more exacerbations over the past year. - 3 patients use nebulized antibiotics and 16 patients use long term oral antibiotics. - 42 patients did not have a recorded sputum sample at time of exacerbation Conclusions: Diagnosis and management was appropriate in most cases. Increased efforts are required to ensure sputum samples sent at time of exacerbations. Updating PFTs on a yearly basis to ensure no deterioration in lung function needs attention.