Etiology and characteristics of patients with bronchiectasis in Taiwan: a cohort study from 2002 to 2016

• Published in: BMC pulmonary medicine 2020-02, Vol.20 (1), p.45-45, Article 45
• Main Authors: Huang, Hung-Yu, Chung, Fu-Tsai, Lo, Chun-Yu, Lin, Horng-Chyuan, Huang, Yu-Tung, Yeh, Chih-Hsin, Lin, Chang-Wei, Huang, Yu-Chen, Wang, Chun-Hua
• Format: Article
• Language: English
• Subjects: Analysis; Asthma; Bacteria; Bronchiectasis; Bronchopulmonary infection; Chronic infection; Chronic obstructive lung disease; Chronic obstructive pulmonary disease; Cohort analysis; Comorbidity; Cystic fibrosis; Development and progression; Diagnosis; Diseases; Etiology; Etiology (Medicine); Fibrosis; Gastroesophageal reflux; Hemophilus infections; Infections; Isolation; Lung diseases; Microbiology; Non-cystic fibrosis bronchiectasis; Obstructive lung disease; Online databases; Pathogens; Patients; Phenotypes; Pneumonia; Pseudomonas aeruginosa; Pulmonology; Respiratory diseases; Respiratory function; Respiratory tract diseases; Sputum; Studies; Tuberculosis; Variance analysis
• ISSN: 1471-2466; 1471-2466
• DOI: 10.1186/s12890-020-1080-7

Bronchiectasis is a chronic infectious respiratory disease with diverse causes and ethnic or geographic differences. However, few large-scale studies of its etiology have been conducted in Asia. This study aimed to determine the etiology and clinical features of bronchiectasis in Taiwan. This longitudinal cohort study investigated the etiology and clinical features of newly diagnosed non-cystic fibrosis bronchiectasis patients from January 2002 to December 2016. The clinical, functional and microbiological data of patients were retrieved from the Chang Gung Research Database, which includes seven medical facilities throughout Taiwan. The index date was the date of the first bronchiectasis diagnosis. Known diseases that were diagnosed before the index date were regarded as etiologies of bronchiectasis. The cohort comprised 15,729 adult patients with bronchiectasis. Idiopathic (32%) was the most common cause, followed by post-pneumonia (24%). Other causes included post-tuberculosis (12%), chronic obstructive pulmonary disease (14%), asthma (10%), gastroesophageal reflux disease (2%) and rheumatic diseases (2%). At diagnosis, 8487 patients had sputum culture. Pseudomonas aeruginosa (5.3%) was the most common bacteria, followed by non-tuberculosis mycobacteria (3.6%), Haemophilus influenzae (3.4%) and Klebsiella pneumoniae (3.1%), but 6155 (72.1%) had negative sputum cultures. Patients with post-tuberculosis had a higher sputum isolation rate of non-tuberculosis mycobacteria than P. aeruginosa. Patients with post-tuberculosis and post-pneumonia bronchiectasis had a higher frequency of chronic lung infection than other groups (p