{"id":741,"date":"2025-07-30T12:53:00","date_gmt":"2025-07-30T11:53:00","guid":{"rendered":"https:\/\/services.nhslothian.scot\/bronchiectasis\/?page_id=741"},"modified":"2025-07-30T13:24:26","modified_gmt":"2025-07-30T12:24:26","slug":"treatment","status":"publish","type":"page","link":"https:\/\/services.nhslothian.scot\/bronchiectasis\/treatment\/","title":{"rendered":"Treatment"},"content":{"rendered":"\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>What are the main treatments in bronchiectasis?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In most cases&nbsp;treatment&nbsp;involves three basic elements:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Regular chest clearance to remove sputum and improve symptoms<\/li>\n\n\n\n<li>Avoidance of chest infections<\/li>\n\n\n\n<li>Prompt antibiotics for chest infections<\/li>\n<\/ol>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\"><strong>Does everybody need the same treatment?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">No \u2013 because there are different causes and levels of severity of bronchiectasis and so the treatment planned for you will depend on the cause and severity of your condition.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\"><div class=\"wp-block-image\">\n<figure class=\"alignleft size-full\"><div class=\"wpcp-wp-lightbox-host wpcp-advanced-image-lightbox-icon-hover\"><a class=\"wpcp-wp-lightbox-image-link\" data-wpcp-wp-lb-image=\"1\" href=\"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-content\/uploads\/sites\/153\/2025\/02\/Seeking-hep-self-managment-plan-1.png\"><img loading=\"lazy\" decoding=\"async\" width=\"563\" height=\"811\" src=\"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-content\/uploads\/sites\/153\/2025\/02\/Seeking-hep-self-managment-plan-1.png\" alt=\"Seeking hep self managment plan 1\" class=\"wp-image-742\" srcset=\"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-content\/uploads\/sites\/153\/2025\/02\/Seeking-hep-self-managment-plan-1.png 563w, https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-content\/uploads\/sites\/153\/2025\/02\/Seeking-hep-self-managment-plan-1-208x300.png 208w\" sizes=\"auto, (max-width: 563px) 100vw, 563px\" \/><\/a><a href=\"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-content\/uploads\/sites\/153\/2025\/02\/Seeking-hep-self-managment-plan-1.png\" data-fancybox=\"wpcp-wp-img-742\" class=\"wpcp-lightbox-trigger wpcp-advanced-image-lightbox-icon wpcp-position-top-right wpcp-advanced-image-lightbox-icon-hover wpcp-global-lightbox-icon wpcp-lightbox-icon--global wpcp-lb-icon-style-default\" data-wpcp-lb-icon-source=\"global\" aria-label=\"Open image in lightbox\" data-thumb-src=\"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-content\/uploads\/sites\/153\/2025\/02\/Seeking-hep-self-managment-plan-1-208x300.png\" data-wpcp-lb-single=\"1\"><span class=\"wpcp-icon-container\"><svg viewBox=\"0 0 20 20\"><path d=\"M17.6585 16.025L14.2437 12.6198C15.1716 11.3338 15.6121 9.7613 15.4871 8.1819C15.362 6.60251 14.6795 5.11847 13.5607 3.99351C12.936 3.36206 12.1916 2.86066 11.3709 2.51845C10.5502 2.17623 9.66952 2 8.77995 2C7.89039 2 7.00969 2.17623 6.18899 2.51845C5.36829 2.86066 4.62395 3.36206 3.99919 3.99351C3.36594 4.61649 2.86312 5.35871 2.51992 6.17708C2.17673 6.99545 2 7.87365 2 8.76068C2 9.64772 2.17673 10.5259 2.51992 11.3443C2.86312 12.1627 3.36594 12.9049 3.99919 13.5279C5.11957 14.6901 6.62279 15.4103 8.23285 15.5562C9.84291 15.7022 11.4517 15.2641 12.7639 14.3224L16.1788 17.7275C16.3849 17.9034 16.6473 18 16.9186 18C17.1899 18 17.4523 17.9034 17.6585 17.7275C18.1138 17.16 18.1138 16.5925 17.6585 16.025ZM5.59278 12.0523C5.16258 11.6298 4.82094 11.1263 4.58774 10.5709C4.35455 10.0156 4.23446 9.41951 4.23446 8.81744C4.23446 8.21536 4.35455 7.6193 4.58774 7.06394C4.82094 6.50859 5.16258 6.00503 5.59278 5.58257C6.01644 5.15359 6.52144 4.81292 7.07838 4.58039C7.63532 4.34786 8.23308 4.22811 8.83687 4.22811C9.44066 4.22811 10.0384 4.34786 10.5954 4.58039C11.1523 4.81292 11.6573 5.15359 12.081 5.58257C12.5112 6.00503 12.8528 6.50859 13.086 7.06394C13.3192 7.6193 13.4393 8.21536 13.4393 8.81744C13.4393 9.41951 13.3192 10.0156 13.086 10.5709C12.8528 11.1263 12.5112 11.6298 12.081 12.0523C11.6573 12.4813 11.1523 12.822 10.5954 13.0545C10.0384 13.287 9.44066 13.4068 8.83687 13.4068C8.23308 13.4068 7.63532 13.287 7.07838 13.0545C6.52144 12.822 6.01644 12.4813 5.59278 12.0523Z\" \/><\/svg><\/span><\/a><\/div><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<p class=\"wp-block-paragraph\">Some patients have very mild disease and they do not always cough up sputum and only have very few chest infections.&nbsp; Patients with&nbsp;more severe bronchiectasis may have symptoms all the time producing large volumes of coloured sputum and often&nbsp;experience frequent chest infections.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Personalised&nbsp;<a href=\"https:\/\/www.chss.org.uk\/documents\/2013\/08\/c4_bronchiectasis-pdf.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">self-management plans&nbsp;<\/a>are very useful in aiding patients to manage their symptoms, manage exacerbations (chest infections) and when to seek help.<\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\"><strong>How are chest infections (exacerbations) treated?<\/strong><\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<p class=\"wp-block-paragraph\">As part of your individual treatment plan we will recommend the specific antibiotic, dose and duration you should take when you have a chest infection.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For all chest infections it is advised that a sputum sample be handed into your GP and then to start antibiotics as soon as possible.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DO NOT WAIT  for the sputum results to come back which can take several days. The reason why you are asked to hand in a sputum sample is because chest infections can be caused by different bacteria (bugs). Further tests are then done to identify the best antibiotic\/s to treat the bacteria. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If your symptoms have improved with your recommended antibiotic there is usually no need for you to change to a different antibiotic even if you have grown a different bacteria on that occasion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Most infections are treated with tablets you take by mouth but in some cases we recommend you receive antibiotics directly into your veins (intravenous treatment).&nbsp; This intravenous treatment may be needed because you are very unwell or because of the specific bacteria that has grown from your sputum sample. <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\"><div class=\"wp-block-image\">\n<figure class=\"alignright size-full\"><div class=\"wpcp-wp-lightbox-host wpcp-advanced-image-lightbox-icon-hover\"><a class=\"wpcp-wp-lightbox-image-link\" data-wpcp-wp-lb-image=\"1\" href=\"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-content\/uploads\/sites\/153\/2025\/02\/Chest-Infections-Self-Management-Plan.png\"><img loading=\"lazy\" decoding=\"async\" width=\"568\" height=\"818\" src=\"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-content\/uploads\/sites\/153\/2025\/02\/Chest-Infections-Self-Management-Plan.png\" alt=\"Chest Infections Self Management Plan\" class=\"wp-image-743\" srcset=\"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-content\/uploads\/sites\/153\/2025\/02\/Chest-Infections-Self-Management-Plan.png 568w, https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-content\/uploads\/sites\/153\/2025\/02\/Chest-Infections-Self-Management-Plan-208x300.png 208w\" sizes=\"auto, (max-width: 568px) 100vw, 568px\" \/><\/a><a href=\"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-content\/uploads\/sites\/153\/2025\/02\/Chest-Infections-Self-Management-Plan.png\" data-fancybox=\"wpcp-wp-img-743\" class=\"wpcp-lightbox-trigger wpcp-advanced-image-lightbox-icon wpcp-position-top-right wpcp-advanced-image-lightbox-icon-hover wpcp-global-lightbox-icon wpcp-lightbox-icon--global wpcp-lb-icon-style-default\" data-wpcp-lb-icon-source=\"global\" aria-label=\"Open image in lightbox\" data-thumb-src=\"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-content\/uploads\/sites\/153\/2025\/02\/Chest-Infections-Self-Management-Plan-208x300.png\" data-wpcp-lb-single=\"1\"><span class=\"wpcp-icon-container\"><svg viewBox=\"0 0 20 20\"><path d=\"M17.6585 16.025L14.2437 12.6198C15.1716 11.3338 15.6121 9.7613 15.4871 8.1819C15.362 6.60251 14.6795 5.11847 13.5607 3.99351C12.936 3.36206 12.1916 2.86066 11.3709 2.51845C10.5502 2.17623 9.66952 2 8.77995 2C7.89039 2 7.00969 2.17623 6.18899 2.51845C5.36829 2.86066 4.62395 3.36206 3.99919 3.99351C3.36594 4.61649 2.86312 5.35871 2.51992 6.17708C2.17673 6.99545 2 7.87365 2 8.76068C2 9.64772 2.17673 10.5259 2.51992 11.3443C2.86312 12.1627 3.36594 12.9049 3.99919 13.5279C5.11957 14.6901 6.62279 15.4103 8.23285 15.5562C9.84291 15.7022 11.4517 15.2641 12.7639 14.3224L16.1788 17.7275C16.3849 17.9034 16.6473 18 16.9186 18C17.1899 18 17.4523 17.9034 17.6585 17.7275C18.1138 17.16 18.1138 16.5925 17.6585 16.025ZM5.59278 12.0523C5.16258 11.6298 4.82094 11.1263 4.58774 10.5709C4.35455 10.0156 4.23446 9.41951 4.23446 8.81744C4.23446 8.21536 4.35455 7.6193 4.58774 7.06394C4.82094 6.50859 5.16258 6.00503 5.59278 5.58257C6.01644 5.15359 6.52144 4.81292 7.07838 4.58039C7.63532 4.34786 8.23308 4.22811 8.83687 4.22811C9.44066 4.22811 10.0384 4.34786 10.5954 4.58039C11.1523 4.81292 11.6573 5.15359 12.081 5.58257C12.5112 6.00503 12.8528 6.50859 13.086 7.06394C13.3192 7.6193 13.4393 8.21536 13.4393 8.81744C13.4393 9.41951 13.3192 10.0156 13.086 10.5709C12.8528 11.1263 12.5112 11.6298 12.081 12.0523C11.6573 12.4813 11.1523 12.822 10.5954 13.0545C10.0384 13.287 9.44066 13.4068 8.83687 13.4068C8.23308 13.4068 7.63532 13.287 7.07838 13.0545C6.52144 12.822 6.01644 12.4813 5.59278 12.0523Z\" \/><\/svg><\/span><\/a><\/div><\/figure>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What are the main treatments in bronchiectasis? In most cases&nbsp;treatment&nbsp;involves three basic elements: Does everybody need the same treatment? No &ndash; because there are different causes and levels of severity of bronchiectasis and so the treatment planned for you will depend on the cause and severity of your condition. Some patients have very mild disease<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_gspb_post_css":"","_searchwp_excluded":"","footnotes":""},"categories":[],"class_list":["post-741","page","type-page","status-publish","hentry"],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/services.nhslothian.scot\/bronchiectasis\/blog\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":false,"rttpg_excerpt":"What are the main treatments in bronchiectasis? In most cases&nbsp;treatment&nbsp;involves three basic elements: Does everybody need the same treatment? No &ndash; because there are different causes and levels of severity of bronchiectasis and so the treatment planned for you will depend on the cause and severity of your condition. Some patients have very mild disease","_links":{"self":[{"href":"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-json\/wp\/v2\/pages\/741","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-json\/wp\/v2\/comments?post=741"}],"version-history":[{"count":6,"href":"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-json\/wp\/v2\/pages\/741\/revisions"}],"predecessor-version":[{"id":1172,"href":"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-json\/wp\/v2\/pages\/741\/revisions\/1172"}],"wp:attachment":[{"href":"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-json\/wp\/v2\/media?parent=741"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/services.nhslothian.scot\/bronchiectasis\/wp-json\/wp\/v2\/categories?post=741"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}