European Respiratory Society guidelines for the management of adult bronchiectasis

Eur Respir J. 2017 Sep 9;50(3):1700629. doi: 10.1183/13993003.00629-2017. Print 2017 Sep.


Bronchiectasis in adults is a chronic disorder associated with poor quality of life and frequent exacerbations in many patients. There have been no previous international guidelines.The European Respiratory Society guidelines for the management of adult bronchiectasis describe the appropriate investigation and treatment strategies determined by a systematic review of the literature.A multidisciplinary group representing respiratory medicine, microbiology, physiotherapy, thoracic surgery, primary care, methodology and patients considered the most relevant clinical questions (for both clinicians and patients) related to management of bronchiectasis. Nine key clinical questions were generated and a systematic review was conducted to identify published systematic reviews, randomised clinical trials and observational studies that answered these questions. We used the GRADE approach to define the quality of the evidence and the level of recommendations. The resulting guideline addresses the investigation of underlying causes of bronchiectasis, treatment of exacerbations, pathogen eradication, long term antibiotic treatment, anti-inflammatories, mucoactive drugs, bronchodilators, surgical treatment and respiratory physiotherapy.These recommendations can be used to benchmark quality of care for people with bronchiectasis across Europe and to improve outcomes.

Publication types

  • Practice Guideline
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Bronchiectasis / physiopathology*
  • Bronchiectasis / therapy*
  • Bronchodilator Agents / therapeutic use
  • Chronic Disease
  • Disease Management*
  • Europe
  • Humans
  • Observational Studies as Topic
  • Physical Therapy Modalities
  • Quality of Life
  • Randomized Controlled Trials as Topic
  • Respiratory Therapy
  • Review Literature as Topic
  • Societies, Medical
  • Surgical Procedures, Operative


  • Anti-Bacterial Agents
  • Bronchodilator Agents