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- W2370491159 abstract "Objective Airway inflammation is considered to be the cause of asthma. The inflammatory component of asthma is usually assessed indirectly by symptoms and spirometry, which may often be inaccurate. The introduction of induced sputum noninvasively makes it possible to examine the inflammatory components. The examination of sputum cell counts can now be a direct and reliable method to measure indices of airway inflammation. The aim of this study was to evaluate the clinical application of the detection of sputum inflammatory cells reflecting the state of airway inflammation in asthmatic children. Methods Sputum was collected from 105 children with asthma attending the respiratory clinic and in the ward at Beijing Children′s Hospital. The children aged 4 to 14 years, the average age was 8.8 years; 70 of them were male and 35 were female. The causes of asthma attack were divided into 2 group: respiratory infection (n=30, 28.6%) and non-respiratory infection (n=75, 71.4%). The application of inhaled corticosteroids therapy was divided into 3 group: non-preventing therapy (n=73, 69.5%), background asthma therapy (n=12, 11.4%) or irregular inhaled preventing (n=20, 19.1%). The asthma attacks had 3 inflammatory cell patterns: eosinophilic (n=48, 45.7%), combined eosinophilic/neutrophilic (E/N; n=18, 17.1%) or noneosinophilic (n=39, 37.1%). Sputum samples were obtained by spontaneous expectoration or by hypertonic saline aerosol induction. Sputum smear was stained with May-Grunwald′s plus Gimsa and Papanicolaou′s methods. Differential inflammatory cells counts were performed by counting 500 cells under the light microscope, while patients were tested for allergy by skin print test and pulmonary function. Results The percentage of eosinophils in sputum of asthmatic children with respiratory infection was significantly lower than that without respiratory infection (median 4% vs 13%, P=0.001). Contrarily, the percentage of neutrophils in sputum of children with cause of respiratory tract infection was significantly higher compared with asthmatic children of non-infection cause (median 74% vs 30%, P=0.001). Sputum eosinophils in patients with inhaled corticosteroids as background asthma therapy (median 1%) was significantly different from sputum eosinophils in patients with irregular inhaled preventer (median 15%, P=0.009) or non-preventing therapy (median 7%, P=0.03). Twelve of 18 (67%) patients in the mixed E/N group had moderate and severe asthma attacks, and had a lower forced expiratory volume in one second (FEV 1)% predicted than that in eosinophilic group or noneosinophilic group (mean 66.09% vs 84.16% or 84.90%, P0.05). Conclusion Sputum inflammatory cells may be a useful marker reflecting the state of airway inflammation in assessment of the therapeutic efficacy." @default.
- W2370491159 created "2016-06-24" @default.
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- W2370491159 date "2001-01-01" @default.
- W2370491159 modified "2023-09-23" @default.
- W2370491159 title "The relationship between sputum inflammatory cells and asthma state in children" @default.
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