Bronchiectasis / chronic suppurative lung disease (CSLD)

On this page

Useful Management Information

Ongoing treatment requires regular and coordinated primary health care and specialist review, including monitoring for complications and comorbidities. Chest physiotherapy and regular exercise should be encouraged, nutrition optimized, environmental pollutants (including tobacco smoke) avoided, and vaccines administered according to national immunization schedules.

Clinician resources

Patient resources

Bronchiectasis patient handouts

Minimum Referral Criteria

Category 1	Chronic bronchiectasis / CSLD with any of the following: recurrent haemoptysis rapidly decreasing exercise tolerance unintentional weight loss
Category 2	Chronic bronchiectasis / CSLD with frequent (>3 per year) infective exacerbations despite optimal therapy Stable symptomatic chronic bronchiectasis / CSLD
Category 3	Asymptomatic newly diagnosed or suspected bronchiectasis / CSLD
If your patient doesn't meet the minimum referral criteria If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested: Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.) Please note that your referral may not be accepted or may be redirected to another service.

Standard Referral Information

Reason for request

To establish a diagnosis
For treatment or intervention
For advice and management
For specialist to take over management
Reassurance for GP/second opinion
For a specified test/investigation the GP can't order, or the patient can't afford or access
Reassurance for the patient/family
For other reason (e.g. rapidly accelerating disease progression)
Clinical judgement indicates a referral for specialist review is necessary

Relevant clinical information about the condition

Presenting symptoms (evolution and duration)
Physical findings
Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
All conservative options that have been pursued unsuccessfully prior to referral
Body mass index (BMI)
Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes, BMI), noting these must be stable and controlled prior to referral
Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
Current medications and dosages
Drug allergies
Alcohol, tobacco and other drugs use

Patient's Demographic Details

Full name (including aliases)
Date and country of birth
Residential and postal address including whether patient resides at an aged care facility
Telephone contact number/s – home, mobile and alternative
Medicare number (where eligible)
Name of the parent or caregiver (if appropriate)
Name of delegate and contact details (Department of Corrective Services)
Preferred language and interpreter requirements
Identifies as Aboriginal and/or Torres Strait Islander
Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

Full name
Full address
Contact details – telephone, fax, email
Provider number
Date of referral
Signature
Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

Other relevant information

Willingness to have surgery (where surgery is a likely intervention)
Choice to be treated as a public or private patient
Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Essential Referral Information

History of the disease including duration, severity and frequency of exacerbations
Management to date
Medications including previously tried medications if associated with treatment failure or problems
Results of previous sputum cultures
Results of previous chest CT (not during an exacerbation)

If a specific test result is unable to be obtained due to access, financial, religious, cultural or consent reasons a Clinical Override may be requested. This reason must be clearly articulated in the body of the referral.

Additional Referral Information

History of childhood respiratory infections (e.g. Whooping cough)
Family history of cystic fibrosis
Presence of cor-pulmonale or sinus disease
FBC
ESR
Immunoglobulins with IgG and sub class results
Chest X-Ray
Spirometry

Send Referrals To

Smart Referrals

Not available

Internal Referrals

Not available

Fax

Not available

Post

Not Available

Enquiries

Not available

Service Availability

Facilities

Gold Coast University Hospital

Robina Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.

Bronchiectasis / chronic suppurative lung disease (CSLD)

Useful Management Information

Minimum Referral Criteria

If your patient doesn't meet the minimum referral criteria

Essential Referral Information

Additional Referral Information

Send Referrals To

Smart Referrals

Internal Referrals

Fax

Post

Enquiries

Service Availability

Facilities