囊性纤维化儿童肺恶化的门诊管理。

IF 2.9 3区 医学 Q2 RESPIRATORY SYSTEM Expert Review of Respiratory Medicine Pub Date : 2023-04-01 DOI:10.1080/17476348.2023.2202852
Lucy Perrem, Isaac Martin, Felix Ratjen
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引用次数: 0

摘要

肺恶化是囊性纤维化(CF)儿童的常见事件,通常在门诊使用口服抗生素治疗。即使这些轻微的临床事件也有临床意义,并有助于肺部疾病的进展。涵盖领域:本综述讨论了在缺乏标准化定义的情况下诊断儿童肺恶化所面临的挑战。它描述了一种管理这些事件的方法,并强调了知识差距和未来研究方向。撰写这篇叙述性综述的信息收集自:1)PubMed搜索[关键词:恶化,儿童,囊性纤维化],该搜索不受日期限制;2)对检索文献的参考文献进行手动搜索;3)对文献和囊性纤维化管理的个人专业知识。专家意见:肺恶化需要及时诊断和处理,以保持肺功能。需要做更多的工作来了解CFTR调制器对这些事件的频率和严重程度的影响,以及它们如何影响管理方法。在CF护理的新时代,有必要将敏感的结果测量纳入临床护理,以告知治疗决策和跟踪治疗反应。
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Outpatient management of pulmonary exacerbations in children with cystic fibrosis.

Introduction: Pulmonary exacerbations are common events in children with cystic fibrosis (CF) and are usually treated with oral antibiotics on an outpatient basis. Even these mild clinical events are clinically meaningful and contribute to the progression of lung disease.

Areas covered: This review discusses the challenges in diagnosing pulmonary exacerbations in children in the absence of a standardized definition. It describes an approach to the management of these events and emphasizes knowledge gaps and areas of future research directions. Information to write this narrative review was collected from 1) a PubMed search [keywords: exacerbation, children, cystic fibrosis] that was not limited by date 2) a hand search of references of retrieved literature 3) personal expertise of the literature and the management of cystic fibrosis.

Expert opinion: Pulmonary exacerbations require prompt diagnosis and management to preserve lung function. More work is needed to understand the impact of CFTR modulators on the frequency and severity of these events and how they influence approaches to management. In a new era of CF care, there is a need to incorporate sensitive outcome measures into clinical care to inform treatment decisions and track treatment response.

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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
90
期刊介绍: Coverage will include the following key areas: - Prospects for new and emerging therapeutics - Epidemiology of disease - Preventive strategies - All aspects of COPD, from patient self-management to systemic effects of the disease and comorbidities - Improved diagnostic methods, including imaging techniques, biomarkers and physiological tests. - Advances in the treatment of respiratory infections and drug resistance issues - Occupational and environmental factors - Progress in smoking intervention and cessation methods - Disease and treatment issues for defined populations, such as children and the elderly - Respiratory intensive and critical care - Updates on the status and advances of specific disease areas, including asthma, HIV/AIDS-related disease, cystic fibrosis, COPD and sleep-disordered breathing morbidity
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