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Bronchitis Medical and Health News Headlines
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All Recent Bronchitis Medical Condition News Headlines |
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Using HFNC for Infant Bronchiolitis
Relevant Research by Jonathan Valente, MD
By this time in the year, everyone has likely seen quite a... (Source: EPMonthly.com)...
POSTED 03/08/2010 at 03:17 AM --
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Post-infectious bronchiolitis obliterans: Can CT scan findings at early age anticipate lung function?
The image findings of post-infectious bronchiolitis obliterans (PIBO) have been described, however, we do not know if such findings can predict lung function (LF) deterioration with increasing patient age. Aim: To assess whether computed tomography (CT) abnormalities detected at an early stage of the disease can anticipate abnormal LF a decade later in children with PIBO.We compared CT scans of 21 children with PIBO, done within their first 3 years of life, and their actual LF. To evaluate CT scans we used a modified Bhalla score and, for LF, FEV1 as percentage of predicted values. We calculated prevalence ratios (PRs) by comparing the proportion of patients with worst CT score and worst LF, with the proportion of those with best CT score and worst LF.PR was 1.17 (CI 1.02; 1.34, P = 0.02).......
POSTED 03/04/2010 at 06:00 PM --
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Potential functional and survival benefit of double over single lung transplantation for selected patients with idiopathic pulmonary fibrosis
Idiopathic pulmonary fibrosis (IPF) is a frequent indication for lung transplantation (LTX) with pulmonary hypertension (PH) negatively affecting outcome. The optimal procedure type remains a debated topic. The aim of this study was to evaluate the impact of pretransplant PH in IPF patients. Single LTX (SLTX, n = 46) was the standard procedure type. Double LTX (DLTX, n = 30) was only performed in cases of relevant PH or additional suppurative lung disease. There was no significant difference for pretransplant clinical parameters. Preoperative mean pulmonary arterial pressure was significantly higher in DLTX recipients (22.7 ± 0.8 mmHg vs. 35.9 ± 1.8 mmHg, P < 0.001). After transplantation, 6-min-walk distance and BEST-FEV1 were significantly higher for DLTX patients (6-MWD: 410 ± 25 m v......
POSTED 03/04/2010 at 06:00 PM --
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Respiratory syncytial virus activity --- United States, july 2008--december 2009.
Authors:
Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis and pneumonia in children aged <1 year worldwide. Each year in the United States, an estimated 75,000--125,000 infants are hospitalized with RSV. Among adults aged >65 years, an estimated 177,000 hospitalizations and 14,000 deaths a year have been attributed to RSV infections. In temperate climates, the RSV season generally begins during the fall and continues through the winter and spring, but the exact timing of RSV circulation varies by location and year. In the United States, data from the National Respiratory and Enteric Virus Surveillance System (NREVSS) are used to monitor the seasonal occurrence of RSV. During the 2008--09 season, onset occurred from mid-October to late December in the ......
POSTED 03/04/2010 at 06:00 PM --
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[Noninvasive mechanical ventilation in paediatric intensive care units: Which indications in 2010?]
Authors: Noizet-Yverneau O, Leclerc F, Bednarek N, Santerne B, Akhavi A, Pomédio M, David A, Morville P
Noninvasive ventilation (NVI) is increasingly used in paediatrics, although there is a high variety of practices and a paucity of published data in paediatrics. The last French consensus conference recognized a specific role of NVI for infants suffering from acute bronchiolitis with apnoea, and acute respiratory failure due to laryngotracheomalacia and cystic fibrosis. NVI is feasible and can be beneficial in paediatric acute respiratory failure during neuromuscular diseases. Like in adults, its place in other diseases such as acute bronchoalveolitis without apnoea, acute respiratory failure during neuromuscular diseases, status asthmaticus, acute respiratory distress syndrome (......
POSTED 03/01/2010 at 06:00 PM --
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Air Pollution and the Risk of Bronchiolitis
(Source: AAP Grand Rounds)...
POSTED 03/01/2010 at 11:00 AM --
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Clinical and epidemiological comparison of human metapneumovirus and respiratory syncytial virus in seoul, Korea, 2003-2008.
Authors: Kim CK, Choi J, Callaway Z, Kim HB, Chung JY, Koh YY, Shin BM
Human metapneumovirus (HMPV) shares clinical and epidemiological characteristics with well-known respiratory syncytial virus (RSV). The aim of this study was to investigate the clinical and epidemiological differences between HMPV- and RSV-induced wheezing illnesses. A total of 1,008 nasopharyngeal aspirate specimens was collected from 1,008 pediatric patients hospitalized with acute respiratory tract infection at Inje University Sanggye Paik Hospital from December 2003 to April 2008, and tested for seven common respiratory viruses. Conditions classified as wheezing illness were bronchiolitis, reactive airways disease, and bronchial asthma. HMPV caused a significantly lower proportion of wheezing illness when compar......
POSTED 02/28/2010 at 06:00 PM --
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Pathology of asbestosis-an update of the diagnostic criteria: report of the asbestosis committee of the college of american pathologists and pulmonary pathology society.
Authors: Roggli VL, Gibbs AR, Attanoos R, Churg A, Popper H, Cagle P, Corrin B, Franks TJ, Galateau-Salle F, Galvin J, Hasleton PS, Henderson DW, Honma K
Abstract Asbestosis is defined as diffuse pulmonary fibrosis caused by the inhalation of excessive amounts of asbestos fibers. Pathologically, both pulmonary fibrosis of a particular pattern and evidence of excess asbestos in the lungs must be present. Clinically, the disease usually progresses slowly, with a typical latent period of more than 20 years from first exposure to onset of symptoms. Differential Diagnosis: Idiopathic Pulmonary Fibrosis The pulmonary fibrosis of asbestosis is interstitial and has a basal subpleural distribution, similar to that seen in idiopathic pulmonary fibrosis, which is the principal differential diagno......
POSTED 02/28/2010 at 06:00 PM --
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Med Sci Monit 2010; 16(3):MT28-33 "Spirometry follow-up in young children with hemato-oncologic diseases"
Conclusions: Our study suggests that it is important to follow spirometry in young children with hemato-oncologic diseases in order to detect these patients, whose condition may have prognostic implications for their treatment. (Source: Medical Science Monitor)...
POSTED 02/26/2010 at 01:37 PM --
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Montelukast Cuts Recurrent Wheezing With RSV Bronchiolitis
Montelukast (Singulair), a leukotriene receptor antagonist, can help prevent recurrent wheezing episodes after respiratory syncytial virus (RSV) bronchiolitis, new research shows. Reuters Health Information (Source: Medscape Pediatrics Headlines)...
POSTED 02/26/2010 at 09:51 AM --
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Standardized Bronchiolitis Education
Bronchiolitis is the leading cause of hospitalization of infants and toddlers up to age 15 months. The American Academy of Pediatrics has well-defined evidence-based recommendations for providing optimum care for this patient population, which is reflected in a care pathway developed and used at our hospital. Treatment for bronchiolitis is most often supportive care only. The bulk of care for bronchiolitis is done by parents after discharge as symptoms can continue for 3 to 4 weeks after hospitalization. Parents must feel confident in caring for their children at home. Little literature is available regarding best practice for family education and ongoing documentation of the education. (Source: Journal of Pediatric Nursing)...
POSTED 02/26/2010 at 08:57 AM --
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Chronic rejection of a lung transplant is characterized by a profile of specific autoantibodies.
Authors: Hagedorn PH, Burton CM, Carlsen J, Steinbrüchel D, Andersen CB, Sahar E, Domany E, Cohen IR, Flyvbjerg H, Iversen M
Summary Obliterative bronchiolitis (OB) continues to be the major limitation to long-term survival after lung transplantation. The specific aetiology and pathogenesis of OB are not well understood. To explore the role of autoreactivity in OB, we spotted 751 different self molecules onto glass slides, and used these antigen microarrays to profile 48 human serum samples for immunoglobulin G (IgG) and IgM autoantibodies; 27 patients showed no or mild bronchiolitis obliterans syndrome (BOS; a clinical correlate of OB) and 15 patients showed medium to severe BOS. We now report that these BOS grades could be differentiated by a profile of autoantibodies binding to......
POSTED 02/25/2010 at 06:00 PM --
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Distress and alexithymia in lung recipients - psychosocial strains and associations with chronic allograft dysfunction.
CONCLUSIONS: Lung transplants go hand-in-hand with increased alexithymia and psychological distress. In addition, psychological distress may contribute to the development of BOS. This association underlines the importance of psychosocial support after lung transplantation.
PMID: 20175005 [PubMed - as supplied by publisher] (Source: Swiss Medical Weekly)...
POSTED 02/20/2010 at 06:00 PM --
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Images in paediatrics: A tight airway
(Source: Archives of Disease in Childhood)...
POSTED 02/19/2010 at 03:09 AM --
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Cryptococcus neoformans as a cause of bronchiolitis obliterans organizing pneumonia
We report
herein on a case of CN-associated BOOP in an immunocompetent individual and discuss the diagnosis and treatment of this entity.
Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10156-010-0039-7Authors
Alexander T. Kessler, Northside-Cherokee Hospital Department of Medicine Canton GA USATamim Al Kharrat, Northside-Cherokee Hospital Department of Medicine Canton GA USAAthena P. Kourtis, Emory University School of Medicine Department of Pediatrics Atlanta GA USA
Journal Journal of Infection and ChemotherapyOnline ISSN 1437-7780Print ISSN 1341-321X (Source: Journal of Infection and Chemotherapy)...
POSTED 02/18/2010 at 11:55 AM --
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Are infants who swim more likely to get asthma?
by Devika Rao, MD, Pulmonary Fellow
For a pediatric pulmonologist, the winter brings numerous questions from parents and other physicians regarding the management of recurring breathing problems in infants. Some of these infants have colds and some have chronic wheezing.
Some are hospitalized with bronchiolitis – an inflammation of the small airways of the lung. Bronchiolitis is typically caused by viruses, most commonly the respiratory syncytial virus (RSV) and infection rates peak from December to March. Symptoms range from just a cold with a runny nose, to wheezing or even severe difficulty breathing requiring hospitalization. Some of the many known risk factors that predispose children to bronchiolitis include daycare attendance, tobacco smoke exposure and prematurity.
A recent......
POSTED 02/18/2010 at 07:00 AM --
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Detection of new respiratory viruses in hospitalized infants with bronchiolitis: a three-year prospective study
Conclusions: In hospitalized infants, RSV was the most frequent agent in bronchiolitis in winter, but other viruses were present in 47% of the patients. RV, HBoV and hMPV had a significant proportion of single infections. Clinical characteristics were similar amongst them, but seasonality was clearly different. (Source: Acta Paediatrica)...
POSTED 02/16/2010 at 06:00 PM --
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Nitrofurantoin: Bronchiolitis obliterans organising pneumonia in an elderly patient: case report
(Source: Reactions)...
POSTED 02/15/2010 at 08:06 AM --
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Association between hypoparathyroidism and defective T cell immunity in 22q11.2 deletion syndrome
Conclusions
22q11.2 syndrome patients with hypoparathyroidism are more likely to have a clinically significant T cell immunodeficiency and lower laboratory parameters of T cell function, with a higher risk of thrush and viral bronchiolitis and enteritis. Measurement of absolute CD3 count is a simple and accurate predictor of fungal/viral infection risk, with phytohaemagglutinin mitogen responses providing little or no further value in most patients. (Source: Journal of Clinical Pathology)...
POSTED 02/12/2010 at 04:25 AM --
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[Consensus Conference on Acute Bronchiolitis (I): Methodology and Recommendations.]
Authors: González de Dios J, Ochoa Sangrador C,
The recommendations of the Consensus Conference "Diagnostic and Therapeutic Management of Acute Bronchiolitis" are presented. Evidence on the frequency of bronchiolitis in the general population and risk groups, risk factors and markers of severe forms, severity scores and the clinical-etiological profile is summarized. The commonly used diagnostic tests are ineffective in the management of the disease; oxygen saturation measurement is considered necessary only in the initial assessment or to monitor changes in patients with respiratory distress. Other tests such as chest radiograph, rapid diagnostic tests for respiratory virus infection and screening tests for bacterial infection should be used only very selectively. There is suffi......
POSTED 02/10/2010 at 06:00 PM --
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