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- W2075159143 abstract "Laube et al from The Johns Hopkins Medical Institutions have a history of studying mucociliary clearance in vivo in children with cystic fibrosis (CF). In this issue of The Journal, the authors generated the hypothesis that mucus removal is impaired in children with CF who have been recently infected with Pseudomonas aeruginosa. To investigate this question, they compared mucociliary clearance, cough clearance, and forced expiratory volume in 1 second (FEV1) in children with CF and mild lung disease. The group was divided into those who were P aeruginosa negative and those who were P aeruginosa positive. The study was performed using gamma camera imaging of the right lung, following inhalation of 99m technetium sulfur-colloid. The results show that although there were no differences between the groups in mucociliary clearance in 60 minutes, mucociliary clearance in 24 hours, mean computed tomography (CT) scores, or FEV1, the total mucociliary clearance was significantly decreased in P aeruginosa positive children at 90 minutes. In addition, there were negative correlations between mucociliary clearance and total lung CT scores. They conclude that infection with P aeruginosa is associated with a significant slowing of mucociliary clearance in children with mild CF and that it might be a more sensitive indicator than measurements of FEV1.Article page 839▶ Laube et al from The Johns Hopkins Medical Institutions have a history of studying mucociliary clearance in vivo in children with cystic fibrosis (CF). In this issue of The Journal, the authors generated the hypothesis that mucus removal is impaired in children with CF who have been recently infected with Pseudomonas aeruginosa. To investigate this question, they compared mucociliary clearance, cough clearance, and forced expiratory volume in 1 second (FEV1) in children with CF and mild lung disease. The group was divided into those who were P aeruginosa negative and those who were P aeruginosa positive. The study was performed using gamma camera imaging of the right lung, following inhalation of 99m technetium sulfur-colloid. The results show that although there were no differences between the groups in mucociliary clearance in 60 minutes, mucociliary clearance in 24 hours, mean computed tomography (CT) scores, or FEV1, the total mucociliary clearance was significantly decreased in P aeruginosa positive children at 90 minutes. In addition, there were negative correlations between mucociliary clearance and total lung CT scores. They conclude that infection with P aeruginosa is associated with a significant slowing of mucociliary clearance in children with mild CF and that it might be a more sensitive indicator than measurements of FEV1. Article page 839▶ Mucus Removal Is Impaired in Children with Cystic Fibrosis Who Have Been Infected by Pseudomonas aeruginosaThe Journal of PediatricsVol. 164Issue 4PreviewTo determine if mucus removal is impaired in children with cystic fibrosis (CF) who have been recently infected with Pseudomonas aeruginosa. Full-Text PDF" @default.
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- W2075159143 date "2014-04-01" @default.
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- W2075159143 title "Impaired mucociliary clearance in cystic fibrosis and P aeruginosa" @default.
- W2075159143 doi "https://doi.org/10.1016/j.jpeds.2014.02.010" @default.
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