Multidisciplinary Care for Severe or Uncontrolled Chronic Upper Airway Diseases

2021 ◽  
Vol 21 (4) ◽  
Author(s):  
Ioannis Vlastos ◽  
Joaquim Mullol ◽  
Valerie Hox ◽  
Maria Doulaptsi ◽  
Sven Seys ◽  
...  
2018 ◽  
Vol 17 (1) ◽  
pp. 78-84 ◽  
Author(s):  
Jihee Choi ◽  
◽  
Yujin Oh ◽  
Yunjae Kim ◽  
Munseob Ahn ◽  
...  

Author(s):  
Glynnis De Greve ◽  
Peter W. Hellings ◽  
Wytske J. Fokkens ◽  
Benoit Pugin ◽  
Brecht Steelant ◽  
...  
Keyword(s):  

2018 ◽  
Vol 52 (3) ◽  
pp. 1800328 ◽  
Author(s):  
Eva Polverino ◽  
Katerina Dimakou ◽  
John Hurst ◽  
Miguel-Angel Martinez-Garcia ◽  
Marc Miravitlles ◽  
...  

Bronchiectasis is a clinical and radiological diagnosis associated with cough, sputum production and recurrent respiratory infections. The clinical presentation inevitably overlaps with other respiratory disorders such as asthma and chronic obstructive pulmonary disease (COPD). In addition, 4–72% of patients with severe COPD are found to have radiological bronchiectasis on computed tomography, with similar frequencies (20–30%) now being reported in cohorts with severe or uncontrolled asthma. Co-diagnosis of bronchiectasis with another airway disease is associated with increased lung inflammation, frequent exacerbations, worse lung function and higher mortality. In addition, many patients with all three disorders have chronic rhinosinusitis and upper airway disease, resulting in a complex “mixed airway” phenotype.The management of asthma, bronchiectasis, COPD and upper airway diseases has traditionally been outlined in separate guidelines for each individual disorder. Recognition that the majority of patients have one or more overlapping pathologies requires that we re-evaluate how we treat airway disease. The concept of treatable traits promotes a holistic, pathophysiology-based approach to treatment rather than a syndromic approach and may be more appropriate for patients with overlapping features.Here, we review the current clinical definition, diagnosis, management and future directions for the overlap between bronchiectasis and other airway diseases.


2018 ◽  
Vol 56 (1) ◽  
pp. 53-60 ◽  
Author(s):  
Marina Lluncor ◽  
Pilar Barranco ◽  
Emerson-Daniel Amaya ◽  
Javier Domínguez-Ortega ◽  
Valentín López-Carrasco ◽  
...  

Author(s):  
Stephen Chapman ◽  
Grace Robinson ◽  
John Stradling ◽  
Sophie West ◽  
John Wrightson
Keyword(s):  

Antibiotics ◽  
2020 ◽  
Vol 9 (12) ◽  
pp. 858
Author(s):  
Maura Di Vito ◽  
Margherita Gentile ◽  
Paola Mattarelli ◽  
Lorenzo Barbanti ◽  
Laura Micheli ◽  
...  

The purpose of this study was to correlate the chemical composition of four commercial concentrated glycerine macerates (C-GMs), produced through the same extraction method, with their in vitro antimicrobial, antioxidant, and immunomodulatory properties, in order to evaluate their potential for healing upper airway diseases. C-GMs of Carpinus betulus (CB), Ficus carica (FC), Alnus glutinosa (AG) and Ribes nigrum (RN) were studied. The quality was evaluated using HPLC and IM-SPME/GC-MS systems; anti-oxidant and anti-microbial activities were assessed by the respective DPPH test, and micro-broth dilution test performed against 10 strains of Streptococcus pyogenes and 10 probiotic strains. ELISA and MTT tests were used to assess the immunomodulatory activity and the cytotoxicity of C-GMs, respectively. A significant correlation was found between the number of active compounds and the in vitro C-GMs effectiveness. Furthermore, the C-GMs of AG showed the best anti-microbial activity on pathological strains and, together with CB, the best anti-oxidant activity. The ELISA test exhibited a good immunomodulatory activity of RN. In vitro data support the integrated use of C-GMs of CB, AG, and RN in presence of airway diseases, and highlight the importance of standard procedures in cultivation, harvest and post-harvest treatments, as a premise for C-GMs with consistent characteristics.


Author(s):  
Maria Rappai ◽  
Richard deShazo
Keyword(s):  

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