scholarly journals Use of dornase alfa in cystic fibrosis: an Audit of Italian specialists

Author(s):  
Sonia Volpi ◽  
Vincenzo Carnovale ◽  
Carla Colombo ◽  
Valeria Raia ◽  
Francesco Blasi ◽  
...  

Background: The goal of mucoactive therapies in cystic fibrosis (CF) is to enhance sputum clearance and to reduce a progressive decline in lung function over the patient’s lifetime. We aimed to investigate the level of consensus among specialists from Italian CF Centers on appropriateness of therapeutic use of dornase alfa (rhDNase) for CF patients. Method: A consensus on appropriate prescribing in CF mucoactive agents was appraised by an online Delphi method, based on a panel of 27 pulmonologists, coordinated by a Scientific Committee of six experts in medical care of patients with CF. Results: Full or very high consensus was reached on several issues related to therapeutic use of dornase alfa for CF patients in clinical practice. Conclusions: Modified Delphi method was used to define the most appropriate use of dornase alfa in routine CF to improve lung function and long-term outcomes in patients, in agreement with international guidelines on CF management.

2020 ◽  
Vol 152 ◽  
pp. S543-S544
Author(s):  
F. Sacino ◽  
N. Jansen ◽  
C. Mievis ◽  
L. Seidel ◽  
S. Cucchiaro ◽  
...  

2017 ◽  
Vol 52 (10) ◽  
pp. 1268-1275 ◽  
Author(s):  
Don B. Sanders ◽  
Qianqian Zhao ◽  
Zhanhai Li ◽  
Philip M. Farrell

PLoS ONE ◽  
2016 ◽  
Vol 11 (6) ◽  
pp. e0158193 ◽  
Author(s):  
Claudia Brandt ◽  
Anja Thronicke ◽  
Jobst F. Roehmel ◽  
Alexander Krannich ◽  
Doris Staab ◽  
...  

Author(s):  
Lidija Turkovic ◽  
Daan Caudri ◽  
Tim Rosenow ◽  
Graham Hall ◽  
Stephen Stick

The Lancet ◽  
1998 ◽  
Vol 351 (9100) ◽  
pp. 420 ◽  
Author(s):  
Adam Jaffé ◽  
Jackie Francis ◽  
Mark Rosenthal ◽  
Andrew Bush

2021 ◽  
Author(s):  
J Stuart Elborn ◽  
Patrick A Flume ◽  
Donald R Van Devanter ◽  
Claudio Procaccianti

People with cystic fibrosis (CF) are highly susceptible to bacterial infections of the airways. By adulthood, chronic Pseudomonas aeruginosa ( Pa) is the most prevalent infective organism and is difficult to eradicate owing to its adaptation to the CF lung microenvironment. Long-term suppressive treatment with inhaled antimicrobials is the standard care for reducing exacerbation frequency, improving quality of life and increasing measures of lung function. Levofloxacin (a fluoroquinolone antimicrobial) has been approved as an inhaled solution in Europe and Canada, for the treatment of adults with CF with chronic P. aeruginosa pulmonary infections. Here, we review the clinical principles relating to the use of inhaled antimicrobials and inhaled levofloxacin for the management of P. aeruginosa infections in patients with CF.


Author(s):  
Andrea Gramegna ◽  
Martina Contarini ◽  
Stefano Aliberti ◽  
Giovanni Sotgiu ◽  
Manuela Seia ◽  
...  

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