Scientific Online Resource System

Journal of the Union of Scientists - Varna. Medicine and Ecology Series

Bacterial pulmonary colonization with Pseudomonas aeruginosa in cystic fibrosis patients

Margarita Nikolova, Yoana Dyankova, Ivan Hristov, Miglena Georgieva

Abstract

Introduction: Cystic fibrosis (CF) is the most common life-limiting autosomal recessive condition in Caucasians. Lung damage is the main determinant of morbidity and mortality. The most important factor for chronic lung infection is the colonization with Pseudomonas aeruginosa.

Aim: Understanding the nature of the infection with Pseudomonas aeruginosa and its factors of virulence and compiling statistics on age-related bacterial pulmonary colonization in patients with cystic fibrosis in Expert Center-Varna.

Methods: Review of the medical literature and microbiological examination (sputum specimen, oropharyngeal swabs, BAL) of patients with cystic fibrosis at the Expert Center-Varna.

Results: With increasing age of the patient with cystic fibrosis there has also been an increase in the rate of pulmonary colonization with Pseudomonas aeruginosa - up to 85% in patients over 18 years of age.

Conclusion: Pseudomonas aeruginosa is largely responsible for morbidity and mortality in chronically infected cystic fibrosis patients. Therefore, prevention and early diagnosis are vital to the prognosis of these patients.


Keywords

cystic fibrosis, Pseudomonas aeruginosa, lung infection, colonization, diagnosis

Full Text


References

Мърхова, М., Костадинова, С., Бактериални биофилми - физиология и екология. Сборник с доклади от Юбилейна научна конференция по екология; Ноември 2008, стр. 275-284.

Трифонова, А., Савов, Е., Гергова, И., Бактериални инфекции при муковисцидоза. InSpiro, брой №3(15), септември 2011, стр. 15-19.

Шмилев, Т. и колектив, Клинична пулмология в детската възраст, Второ издание, 2017г. Глава 45, стр. 473-487.

Antoniou, S., & Elston, C., (2016), Cystic fibrosis. Medicine, 44(5), 321-325.

Ballmann, M., Rabsch, P., von der Hardt, H., Long-term follow up of changes in FEV1 and treatment intensity during Pseudomonas aeruginosa colonization in patients with cystic fibrosis., Thorax 1998; 53 (9):732-7.

Davies, JC., Pseudomonas Aeruginosa in cystic fibrosis: pathogenesis and persistence. Paediatr Respir Rev, 2002 Jun ;3(2): 128-34.

ECFS Patient Registry, Annual Data Report., 2017, p. 60-69.

Hendiani, S., Ponour, M., Kashef, N., Quorum – sensing – regulated virulence factors in Pseudomonas Aeruginosa are affected by sub – lethal photodynamic inactivation., Photodiagnosis and Photodynamic Therapy 26 (2019) 8-12.

Johansen, HK., Gotzsche, PC., Vaccines for preventing infection with Pseudomonas Aeruginosa in cystic fibrosis. Cochrane Database Syst Rev. 2015 Aug 23; (8).

Mauch, RM., Levy, CE., Serum antibodies to Pseudomonas Aeruginosa in cystic fibrosis as a diagnostic tool: a systematic review. J Cyst Fibrios., 2014; Sep; 13(5): 499-507.

Moore, JE., Mastoridis, Clinical implications of Pseudomonas Aeruginosa location in the lungs of patients with cystic fibrosis. PJ ClinPharmTher. 2017 Jun; 42(3):259-267.

Palmer, GG., Whitely, M., Metabolism and pathogenicity of Pseudomonas aeruginosa infections in the lungs of individuals with cystic fibrosis. Micriol Spectr. 2015 Aug.

Petrova, G., Perenovska, P., Lesichkova, S., Miteva, D., Lazova, S., Issaev, V., Strateva, T., Is diagnostic of Pseudomonas Aeruginosa deficient in Bulgarian CF patients. Journal of Cystic Fibrosis, Volume 16, Supplement 1, June 2017, Page S108.

Pressler, T., Bohmova, C., Conway, S., Dumcius, S., Hjelte, L., Hoiby, N., Kollberg, H., Tummler, B., Vavrova, V., Chronic Pseudomonas aeruginosa infection definition: EuroCareCF Working Group report. J Cyst Fibros. 2011 Jun; 10 Suppl 2: S75-8.

Schelstraete, P., Haerynk, F., Vandaele, S., Deseyne, S., De Baets, F.; Eradication therapy for Pseudomonas aeruginosa colonization episodes in cystic fibrosis patients not chronically colonized by P. Aeruginosa. J Cyst Fibros. 2013 Jan; 12(1):1-8.

Talwalkar, JS., Murray, TS., The Approach to Pseudomonas aeruginosa in Cystic Fibrosis. Clin Chest Med. 2016 Mar; 37(1):69-81.




DOI: http://dx.doi.org/10.14748/isuvsme.v24i1.6191

Refbacks

Font Size


|