5th May 2024

A 45-year-old man with bronchiectasis presents with a two-week history of increased cough, change in sputum colour to green, and a mild fever.

A 45-year-old man with bronchiectasis presents with a two-week history of increased cough, change in sputum colour to green, and a mild fever. He has no history of asthma or COPD. His current regimen includes airway clearance techniques and high-dose inhaled corticosteroids.

What is the most appropriate initial management for this acute exacerbation?