scholarly journals The Impact of Probiotics in Respiratory Diseases

2020 ◽  
Vol 10 (1) ◽  
pp. 148-156
Author(s):  
Rafee H. Askandar ◽  
Nasim Ebrahimi

Probiotics are viable microorganisms that, if adequately administered, confer great benefits to the host for the prevention or treatment of a wide range of human diseases, including recurrent respiratory tract infection (RRTI), cystic fibrosis, allergies, and chronic obstructive pulmonary disease (COPD). One of the current problems is that the overuse of antibiotics during respiratory tract infection has led to increased resistance to them, which has been demonstrated in numerous examinations that specific lactic acid bacteria (LAB), one of the key probiotics, against bacterial and viral infections of the respiratory and gastrointestinal tract, have a protective effect. On the other hand, changes in the gastrointestinal and respiratory microbiomes, especially lactobacilli and bifidobacteria, lead to an increase in allergies and asthma and a balance in the microbiome may improve symptoms. Probiotics are able to increase the number and activity of leukocytes, neutrophils, and NK cells. They can also increase IL-10 expression and decrease the expression of inflammatory cytokines such as TNF-α, IL-1β, and IL-8. In addition, they maintain high levels of IgA and produce bacteriocin and ruterin that have antimicrobial activity. Without identifying the specific properties of the probiotic strains and identifying the precise mechanism of their action, probiotic treatment would only be a large hypothesis because the therapeutic and clinical outcomes are different. On the other hand, metagenomics have provided information on how the microbiome interacts with host physiology, leading to new therapeutic targets.

2021 ◽  
Vol 8 (1) ◽  
pp. e000761
Author(s):  
Hendrik Johannes Prins ◽  
Ruud Duijkers ◽  
Johannes M A Daniels ◽  
Thys van der Molen ◽  
Tjip S van der Werf ◽  
...  

BackgroundWe developed the chronic obstructive pulmonary disease (COPD)-Lower Respiratory Tract Infection-Visual Analogue Score (c-LRTI-VAS) in order to easily quantify symptoms during exacerbations in patients with COPD. This study aimed to validate this score.MethodsIn our study, patients with stable COPD as well as those with an acute exacerbations of COPD (AECOPD) were included. The results of c-LRTI-VAS were compared with other markers of disease activity (lung function parameters, oxygen saturation and two health related quality of life questionnaires (St Georges Respiratory Questionnaire (SGRQ) and Clinical COPD Questionnaire (CCQ)) and validity, reliability and responsiveness were assessed.ResultsEighty-eight patients with clinically stable COPD and 102 patients who had an AECOPD completed the c-LRTI-VAS questionnaire. When testing on two separate occasions for repeatability, no statistically significant difference between total scores was found 0.143 (SD 5.42) (p=0.826). Internal consistency was high across items (Cronbach’s apha 0.755). Correlation with SGRQ and CCQ total scores was moderate to high. After treatment for hospitalised AECOPD, the mean c-LRTI-VAS total score improved 8.14 points (SD 9.13; p≤0.001).Conclusionsc-LRTI-VAS showed proper validity, responsiveness to change and moderate to high correlation with other questionnaires. It, therefore, appears a reliable tool for symptom measurement during AECOPD.Trial registration numberNCT01232140.


Alergoprofil ◽  
2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Andrzej Emeryk ◽  
Justyna Emeryk-Maksymiuk ◽  
Arkadiusz Jędrzejewski

2016 ◽  
Vol 130 (9) ◽  
pp. 800-804 ◽  
Author(s):  
S Shemesh ◽  
S Tamir ◽  
A Goldfarb ◽  
T Ezri ◽  
Y Roth

AbstractBackground:Upper respiratory tract infection is the most common non-preventable cause of surgery cancellation. Consequently, surgeons and anaesthesiologists involved in elective ENT surgical procedures frequently face a dilemma of whether to proceed or to postpone surgery in affected children.Methods:A literature review was conducted and a practical assessment algorithm proposed.Conclusion:The risk–benefit assessment should take into consideration the impact of postponing the surgery intended to bring relief to the child and the risks of proceeding with general anaesthesia in an inflamed airway. The suggested algorithm for assessment may be a useful tool to support the decision of whether to proceed or to postpone surgery.


1999 ◽  
Vol 73 (4) ◽  
pp. 311-317 ◽  
Author(s):  
Akemi OMORI ◽  
Toshiaki YOSHIDA ◽  
Kana FURUKAWA ◽  
Atsushi TAKAHASHI ◽  
Syunichi MOCHINAGA ◽  
...  

2021 ◽  
Vol 41 (1) ◽  
pp. 111-114
Author(s):  
Shatanik Sarkar ◽  
Chaitali Patra ◽  
Shibani Pal ◽  
Arkapriya Pramanik

Recurrent respiratory tract infections, a cause of concern for both parents and paediatricians, can have various etiologies entitled to different organ systems. Diagnosing the exact cause warrants both clinical acumen and timely investigations. Here, we are reporting an infant with recurrent respiratory tract infections, where adequate clinical examination prompted us to diagnose the extra-respiratory cause with simple investigations.


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