Iberoamerican Journal of Medicine
http://www.iberoamericanjm.periodikos.com.br/article/doi/10.53986/ibjm.2025.0013
Iberoamerican Journal of Medicine
Editorial

Recommendations for Exacerbations of Superinfected Bronchiectasis by Pseudomonas. What about quaternary prevention?

Recomendaciones para las exacerbaciones de bronquiectasias superinfectadas por Pseudomonas. ¿Qué hay de la prevención cuaternaria?

José Luis Ramón-Trapero, Yolanda Sánchez Diaz-Aldagalán, Sara Lacalle-Navaridas, Jesus Ortega-Martinez

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References

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2. NCBI. Quaternary Prevention. Available from: https://www.ncbi.nlm.nih.gov/mesh/?term=quaternary+prevention (accessed Feb 2025).
3. Polverino E, Goeminne PC, McDonnell MJ, Aliberti S, Marshall SE, Loebinger MR, et al. European Respiratory Society guidelines for the management of adult bronchiectasis. Eur Respir J. 2017;50(3):1700629. doi: 10.1183/13993003.00629-2017.
4. Barker A. Bronchiectasis in adults: Maintaining lung health. Available from: https://www-uptodate-com.lo-hsp.a17.csinet.es/contents/bronchiectasis-in-adults-maintaining-lung-health?search=bronquiectasias&source=search_result&selectedTitle=3%7E150&usage_type=default&display_rank=3 (accessed Feb 2025).
5. Nakagawa N, Ito M, Asakura T, Horita N, Obase Y, Mukae H. Efficacy and safety of long-term macrolide therapy for non-cystic fibrosis bronchiectasis: A
systematic review and meta-analysis. Respir Investig. 2024;62(6):1079-1087. doi: 10.1016/j.resinv.2024.09.004.
6. Manterola C, Asenjo-Lobos C, Otzen T. [Hierarchy of evidence: levels of evidence and grades of recommendation from current use]. Rev Chilena Infectol. 2014;31(6):705-18. doi: 10.4067/S0716-10182014000600011.
7. Kelly C, Chalmers JD, Crossingham I, Relph N, Felix LM, Evans DJ, et al. Macrolide antibiotics for bronchiectasis. Cochrane Database Syst Rev. 2018;3(3):CD012406. doi: 10.1002/14651858.CD012406.pub2.
8. Otte JA, Llargués Pou M. Enablers and barriers to a quaternary prevention approach: a qualitative study of field experts. BMJ Open. 2024;14(3):e076836. doi: 10.1136/bmjopen-2023-076836.
9. Norman AH, Tesser CD. Quaternary prevention: a balanced approach to demedicalisation. Br J Gen Pract. 2019;69(678):28-9. doi: 10.3399/bjgp19X700517.


Submitted date:
02/28/2025

Reviewed date:
04/09/2025

Accepted date:
04/23/2025

Publication date:
04/23/2025

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