Preview

PULMONOLOGIYA

Advanced search

Antibacterial therapy in patients with bronchial asthma and latent Mycoplasma pneumoniae infection

https://doi.org/10.18093/0869-0189-2007-0-1-64-68

Abstract

Influence of Mycoplasma pneumoniae (Мр) infection on asthma course and quality of life (QoL) of asthmatic patients was studied. Mp infection was diagnosed using specific immunoglobulins and PCR. The 6-week course of antibacterial therapy with azithromycin (Zitrolidum) was administered followed by analysis of clinical features and QoL. The latter was done using the AQLQ questionnaire with consideration of gender, asthma severity, contamination with and Мp eradication. Negative influence of Мp on clinical course of asthma and QoL was found. Therapy with Zitrolidum led to Мp eradication in 43 % of the cases, clinical improvement and increasing QoL in successfully treated patients. The results allow recommendation of azithromycin as a possible addition to the basic therapy of patients with severe asthma and laboratory signs of Mp infection.

About the Authors

R. F. Khamitov
Казанский государственный медицинский университет МЗ РФ
Russian Federation


L. Yu. Palmova
Казанский государственный медицинский университет МЗ РФ
Russian Federation


V. G. Novozhenov
Государственный институт усовершенствования врачей МО РФ
Russian Federation


References

1. Blasi F., Cosentini R., Tarsia P., Allegra L. Potential role of antibiotics in the treatment of asthma. Curr. Drug Targets Inflamm. Allergy; 2004; 3 (3). 237–242.

2. Chu H.W., Kraft M., Rex M.D., Martin R.J. Evaluation of blood vessels and edema in the airways of asthma patients: regulation with clarithromycin treatment. Chest 2001; 120 (2): 416–422.

3. Friedek D., Ekiel A., Szulakowski P., Romanik M. Antibodies seroprevalence for mycoplasma pneumoniae antigens in patients with bronchial asthma. Wiad. Lek. 2002; 55 (3–4): 158–163.

4. Johnston S.L., Blasi F., Black P.N. et al. The effect of telithromycin in acute exacerbations of asthma. N. Engl. J. Med. 2006; 354 (15): 1589–1600.

5. Kraft M. The role of bacterial infections in asthma. Clin. Chest Med. 2000; 21 (2): 301–313.

6. Kraft M., Cassell G.H., Pak J., Martin R.J. Mycoplasma pneumoniae and Chlamydia pneumoniae in asthma: effect of clarithromycin. Chest 2002; 121 (6): 1782–1788.

7. Lieberman D., Lieberman D., Printz S. et al. Atypical pathogen infection in adults with acute exacerbation of bronchial asthma. Am. J. Respir. Crit. Care Med. 2003; 167 (3): 406–410.

8. Martin R.J., Kraft M., Chu H.W. et al. A link between chronic asthma and chronic infection. J. Allergy Clin. Immunol. 2001; 107 (4): 595–601.

9. Park S.J., Lee Y.C., Rhee Y.K., Lee H.B. Seroprevalence of Mycoplasma pneumoniae and Chlamydia pneumoniae in stable asthma and chronic obstructive pulmonary disease. J. Korean Med. Sci. 2005; 20 (2): 225–228.

10. Sutherland E.R., Brandorff J.M., Martin R.J. Atypical bacterial pneumonia and asthma risk. J. Asthma 2004; 41 (8): 863–868.

11. Хамитов Р.Ф. Влияние латентной Chlamydophila pneumoniae и Mycoplasma pneumoniae-инфекций и их эрадикации на особенности течения бронхиальной астмы и качество жизни пациентов: Дис. … д-ра мед. наук. М.; 2002.


Review

For citations:


Khamitov R.F., Palmova L.Yu., Novozhenov V.G. Antibacterial therapy in patients with bronchial asthma and latent Mycoplasma pneumoniae infection. PULMONOLOGIYA. 2007;(1):64-68. (In Russ.) https://doi.org/10.18093/0869-0189-2007-0-1-64-68

Views: 288


ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)