Effect of azithromycin combined with fluticasone propionate aerosol inhalation on immune function in children with chronic cough caused by Mycoplasma pneumoniae infection.

IF 2.6 3区 医学 Q1 PEDIATRICS European Journal of Pediatrics Pub Date : 2025-01-27 DOI:10.1007/s00431-024-05961-1
Xin Yang, Lihua Gao
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Abstract

This research aimed to describe the effect of azithromycin combined with fluticasone propionate aerosol inhalation on immune function in children with chronic cough caused by Mycoplasma pneumoniae (MP) infection. This study was a retrospective analysis in which 110 children with chronic cough caused by MP infection were divided into two groups based on different treatment methods: 58 cases in the control group treated with azithromycin dry suspension and 52 cases in the intervention group treated with azithromycin dry suspension and fluticasone propionate inhalation aerosol. Lung function, inflammatory factors, immune indicators, laboratory-related indicators, adverse reactions, and therapeutic effects were compared between the two groups. Compared with the pre-treatment period, levels of FEV1, FVC, and PEF increased post-treatment in both groups, with higher levels observed in the intervention group (all P < 0.05). IL-17, IL-6, and IL-10 levels decreased post-treatment in both groups, with the intervention group showing lower levels (all P < 0.05). The levels of IgG, IgA, IgM, CRP, ESR, and PCT decreased in both groups, with the intervention group showing lower levels (all P < 0.05). Higher treatment effectiveness rates were observed in the intervention group compared to the control group (P < 0.05). The incidence of adverse reactions did not differ significantly between the two groups (P > 0.05).

Conclusion: Azithromycin dry suspension combined with fluticasone propionate aerosol inhalation in children with chronic cough due to MP infection reduces inflammatory factors, improves immune function, and enhances treatment efficacy.

What is known: • The addition of oral azithromycin has demonstrated significant efficacy in treating cough caused by chronic respiratory disease, and inhaling fluticasone propionate has a more significant systemic impact than other corticosteroids.

What is new: • Azithromycin dry suspension combined with fluticasone propionate aerosol inhalation in children with chronic cough due to MP infection reduces inflammatory factors, improves immune function, and enhances treatment efficacy.

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阿奇霉素联合丙酸氟替卡松雾化吸入对肺炎支原体感染慢性咳嗽患儿免疫功能的影响。
本研究旨在探讨阿奇霉素联合丙酸氟替卡松雾化吸入对肺炎支原体(MP)感染慢性咳嗽患儿免疫功能的影响。本研究对110例MP感染所致慢性咳嗽患儿进行回顾性分析,根据治疗方法不同分为两组:对照组58例采用阿奇霉素干混悬液治疗,干预组52例采用阿奇霉素干混悬液联合丙酸氟替卡松雾化吸入治疗。比较两组患者肺功能、炎症因子、免疫指标、实验室相关指标、不良反应及治疗效果。治疗后两组患者FEV1、FVC、PEF水平均较治疗前升高,且干预组高于治疗前(P均为0.05)。结论:阿奇霉素干混悬液联合丙酸氟替卡松气雾剂吸入治疗MP感染慢性咳嗽患儿可降低炎症因子,改善免疫功能,提高疗效。已知情况:•口服阿奇霉素对治疗慢性呼吸道疾病引起的咳嗽有显著疗效,吸入丙酸氟替卡松比其他皮质类固醇具有更显著的全身影响。新发现:•阿奇霉素干混悬液联合丙酸氟替卡松气雾剂吸入治疗MP感染慢性咳嗽患儿,可降低炎症因子,改善免疫功能,提高治疗效果。
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来源期刊
CiteScore
5.90
自引率
2.80%
发文量
367
审稿时长
3-6 weeks
期刊介绍: The European Journal of Pediatrics (EJPE) is a leading peer-reviewed medical journal which covers the entire field of pediatrics. The editors encourage authors to submit original articles, reviews, short communications, and correspondence on all relevant themes and topics. EJPE is particularly committed to the publication of articles on important new clinical research that will have an immediate impact on clinical pediatric practice. The editorial office very much welcomes ideas for publications, whether individual articles or article series, that fit this goal and is always willing to address inquiries from authors regarding potential submissions. Invited review articles on clinical pediatrics that provide comprehensive coverage of a subject of importance are also regularly commissioned. The short publication time reflects both the commitment of the editors and publishers and their passion for new developments in the field of pediatrics. EJPE is active on social media (@EurJPediatrics) and we invite you to participate. EJPE is the official journal of the European Academy of Paediatrics (EAP) and publishes guidelines and statements in cooperation with the EAP.
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