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PubMed1989

[Prognosis in joint inflammation after acute respiratory diseases].

A group of 25 patients with arthritis after acute respiratory disease (ARD) was followed up, on average for 4.7 years, with regard to the short-term and long-term prognosis. The patients developed arthritis 1-4 weeks after ARD and it affected mainly or exclusively the joints of the lower extremities, in particular the talocrural ones. After a mean period of five weeks the arthritis receded completely. 60% of the patients were HLA B27+, the number of affected joints in these patients was greater than in HLA B27- patients. HLA B27+ subjects are more likely to develop arthritis after ARD than HLA B27- subjects (relative risk = 6.35). In the long-term prognosis articular changes were found in 6/22 patients (5 were HLA B27+): three times sacroileitis was found, twice a relapse of arthritis after repeated ARD and once systemic lupus erythematosus. As to laboratory tests, arthritis after ARD was associated with a transient response of reactants of the acute phase and serum IgG. High values of IgA and immunocomplexes, on the other hand, persisted throughout the investigation in 41% and 28% of the patients resp.

Acute Disease↗
PubMed1977

[Atmospheric pollution and acute respiratory diseases. Denain and Quievrechain epidemiological study (author's transl)].

The subject of this study is to evaluate a possible relation between air pollution levels and acute diseases with a special interest in acute respiratory diseases. The study was performed in two towns located in the "département du Nord, France", (Denain and Quievrechain) with mid levels of air pollution. A slight but statistically significant relation was found though the study was performed during an unusually mild winter season. Meteorological conditions have been taken in account in the evaluation of the relation.

Acute Disease↗
PubMed1985

Isolation, propagation, and characterization of a newly recognized pathogen, cilia-associated respiratory bacillus of rats, an etiological agent of chronic respiratory disease.

A Gram-negative, filamentous, rod-shaped bacillus which failed to grow in cell-free media was isolated in apparently pure culture from the bronchial scraping and washing of a laboratory rat suffering from chronic respiratory disease by inoculating embryonated chicken eggs via the allantoic route. None of the embryos died during 20 serial passages at weekly intervals. The bacillus was reisolated in embryonated eggs from cesarean-derived barrier-maintained N:SD(SD) rats 8 and 12 weeks after intranasal inoculation with 10th-passage allantoic fluid. The inoculated rats were housed in Horsfall-type units and remained free from other known respiratory pathogens, including mycoplasmas and murine viruses, throughout the study. The bacillus colonized the ciliated epithelial cells of the respiratory tract and caused a marked peribronchial infiltration and hyperplasia of mononuclear cells which progressed with time. The bacillus, ca. 0.2 micron wide by 4 to 6 micron long, stained very poorly with basic aniline dyes but was readily demonstrated with the Warthin-Starry silver technique. It was heat labile (56 degrees C for 30 min); spore forms were not observed. It withstood freeze-thawing and was successfully stored at -70 degrees C. Although no visible means of locomotion was observed with the electron microscope, a slow gliding motility, sometimes with bending and flexing of bacilli apparently adherent to the glass surface, was observed with phase microscopy. As an etiological agent of chronic respiratory disease of rats, this cilia-associated respiratory bacillus (tentatively designated the CAR bacillus) may be the first recognized gliding bacterium known to cause disease in a warm-blooded vertebrate.

Animals↗
PubMedDate not supplied

Adenovirus type 7h respiratory infections: a report of 29 cases of acute lower respiratory disease.

Twenty-nine cases of pediatric acute lower respiratory disease associated with adenovirus genome type 7h were evaluated retrospectively. They constituted 2.4% of 1233 cases of acute respiratory infections treated in five hospitals in Buenos Aires, between September 1984 and September 1988. Pneumonia and bronchiolitis were the principal diagnoses. The mean age of patients was 8.8 months and 82.7% of the children were less than one year of age. None of the patients had previously been exposed to measles or was immunocompromised. A mixed infection, viral or bacterial, was demonstrated in 8 of the 29 patients. Sixteen children developed a severe pulmonary disease which required intensive care. Ten with a clinical diagnosis of multifocal pneumonia and necrotizing bronchiolitis died. Extrapulmonary manifestations were observed in the most severe cases. Observations suggest a possible high pathogenicity of adenovirus type 7h and emphasize the need for adequate control and case management programs.

Acute Disease↗
PubMed1970

The prevalence of chronic respiratory disease in the male physicians of London, Ontario.

a survey of respiratory disease among male physicians of London, Ontario, resulted in a 96.3% response.The age-standardized rates of chronic bronchitis were not very different from others reported in the recent medical literature, taking into account smoking habits, but the overall prevalence of bronchial asthma was high (7.4%), with a low prevalence in the category "obstructive lung disease". The possibility of overlap or interchange in these diagnoses is raised, although the diagnosis of bronchial asthma in this particular group is believed to be well established in every case.A history of seasonal hay fever was given by 19.4%.One of 88 (1%) non-smokers had bronchitis, whereas six of them (7%) had asthma.Rhonchi heard in the chest, on a single examination, appeared to be most closely related to current smoking habits, ventilatory function tests and also to a clinical diagnosis of chronic bronchitis or obstructive lung disease, but not to bronchial asthma.

Adult↗
PubMed2000

What have transgenic and knockout animals taught us about respiratory disease?

Over the past decade there has been a significant shift to the use of murine models for investigations into the molecular basis of respiratory diseases, including asthma and chronic obstructive pulmonary disease. These models offer the exciting prospect of dissecting the complex interaction between cytokines, chemokines and growth related peptides in disease pathogenesis. Furthermore, the receptors and the intracellular signalling pathways that are subsequently activated are amenable for study because of the availability of monoclonal antibodies and techniques for targeted gene disruption and gene incorporation for individual mediators, receptors and proteins. However, it is clear that extrapolation from these models to the human condition is not straightforward, as reflected by some recent clinical disappointments. This is not necessarily a problem with the use of mice itself, but results from our continued ignorance of the disease process and how to improve the modelling of complex interactions between different inflammatory mediators that underlie clinical pathology. This review highlights some of the strengths and weaknesses of murine models of respiratory disease.

Animals↗
PubMed2004

Antimicrobial prescribing patterns for respiratory diseases including tuberculosis in Russia: a possible role in drug resistance?

BACKGROUND: Inappropriate antibiotic prescribing exposes patients to the risk of side effects and encourages the development of drug resistance across antimicrobial groups used for respiratory infections including tuberculosis (TB). AIM: Determine among Russian general practitioners and specialists: (1) sources of antimicrobial prescribing information; (2) patterns of antimicrobial prescribing for common respiratory diseases and differences between primary and specialist physicians; (3) whether drug resistance in TB might be linked to over-prescribing of anti-TB drugs for respiratory conditions. METHODS: Point-prevalence cross-sectional survey involving all 28 primary care, general medicine and TB treatment institutions in Samara City, Russian Federation. In this two-stage study, a questionnaire was used to examine doctors' antimicrobial (including TB drugs) prescribing habits, sources of prescribing information, management of respiratory infections and a case scenario ('common cold'). This was followed by a case note review of actual prescribing for consecutive patients with respiratory diseases at three institutions. RESULTS: Initial questionnaires were completed by 81.3% (425/523) of physicians with 78.4% working in primary care. Most doctors used standard textbooks to guide their antimicrobial practice but 80% made extensive use of pharmaceutical company information. A minority of 1.7% would have inappropriately prescribed antibiotics for the case and 0.8-1.8% of respondents would have definitely prescribed TB drugs for non-TB conditions. Of the 495 respiratory cases, 25% of doctors prescribed an antibiotic for a simple upper respiratory tract infection and of 8 patients with a clinical diagnosis of TB, 4 received rifampicin monotherapy alone. Ciprofloxacin was widely but inappropriately used. CONCLUSION: Doctors rely on information provided by pharmaceutical companies; there was inappropriate antibiotic prescribing.

Anti-Bacterial Agents↗
PubMed1993

Compressed air diving and respiratory disease. A discussion document of the Thoracic Society of Australia and New Zealand.

OBJECTIVE: To review the pathophysiology and respiratory complications of compressed air diving, and to formulate guidelines for assessing respiratory fitness to dive so that diving candidates can be advised of the risks associated with respiratory disease, in particular asthma. DATA SOURCES: Specialist medical journals in the areas of respiratory medicine, physiology and diving medicine. Morbidity and mortality statistics were obtained from international diving bodies, diving medicine scientific meetings, and papers. SYNTHESIS: The major complications of underwater diving in subjects with compromised respiratory function are drowning, pulmonary barotrauma and arterial gas embolism. Diving candidates with a history of asthma, pneumothorax, obstructive or restrictive lung disease, lung cysts or thoracic trauma should be advised not to dive in view of these risk factors. CONCLUSIONS: Several respiratory diseases carry an increased risk of morbidity and mortality from compressed air diving. An accurate history and measurement of lung function are an essential part of assessing fitness to dive, both to advise potential divers appropriately and to reduce risks associated with this increasingly popular recreational activity.

Asthma↗
PubMed2002

A modified live Mycoplasma gallisepticum vaccine to protect chickens from respiratory disease.

The aim of this study was to assess the efficacy of a modified live Mycoplasma gallisepticum vaccine (GT5) for the protection of chickens against infection and respiratory disease. GT5 was constructed by the reconstitution of the avirulent high passage R (R(high)) strain with the gene encoding the major cytadhesin GapA. GT5 expressed GapA on its surface yet retained the phenotypic characteristics of the parental R(high) strain. Birds vaccinated with GT5 were protected upon challenge with the virulent low passage R (R(low)) strain as evidenced by a complete absence of tracheal lesions 2 and 4 weeks post-challenge, in contrast to sham immunized/challenged control birds. Modest amounts of IgG, and little, if any secretory IgA or IgM anti-M. gallisepticum were found in tracheal washings following vaccination. However, copious amounts of specific IgA were found following challenge, especially in sham immunized birds. This suggests that the tracheal IgG elicited by GT5 vaccination may have been responsible for blocking the initial colonization of R(low), thereby resulting in protection.

Animals↗
PubMed2005

Frequency and correlates of adverse events in a respiratory diseases hospital in Mexico city.

OBJECTIVES: To estimate the frequency of severe adverse events (AEs) during hospital stay as well as their type and correlates in a referral hospital for respiratory diseases, using methods similar to those used in the Harvard Medical Malpractice Study. DESIGN: Retrospective review of medical records in a stratified sample of 836 patients drawn from a total of 4,555 hospital admissions registered during the year 2001. SETTING: A referral tertiary-care hospital for patients with respiratory diseases located in Mexico City. MAIN OUTCOME MEASURES: Weighted prevalence of AEs and odds ratios for correlates. RESULTS: The overall weighted prevalence for AEs was 9.1% (95% confidence interval, 7.5 to 10.4%). Of these patients, 17% had a related transient disability, 52% had a prolonged hospital stay, and 26% had an AE that according to the reviewers contributed to their death. Of the total number of AEs, 74% were qualified as potentially preventable. Among all types of AEs, we identified as most relevant for a chest hospital the delayed surgical treatment of empyema, representing 11% of the total. CONCLUSIONS: The frequency of AEs in a tertiary-care respiratory hospital is similar to that reported in general hospitals. A strategy to improve the treatment of empyema is needed.

Adult↗
PubMed2000

Ferret respiratory diseases.

Ferret behavior often brings them into close contact with potential respiratory pathogens and traumatic insults. Although respiratory disease accounts for a small percentage of cases, they are usually dramatic. Acute and chronic conditions occur, and many lesions are confined to the upper or lower respiratory tree but may not involve both. Pathogens such as influenza A account for a large percentage of upper respiratory infections and often mirror the "flu" season of humans. Traumatic insults to the head and chest are relatively common and account for many veterinary visits. Numerous diseases affecting the upper and lower respiratory systems are discussed, with suggestions for diagnostics and therapies.

Animals↗
PubMed2003

Does living in a cold climate or recreational skiing increase the risk for obstructive respiratory diseases or symptoms?

OBJECTIVES: Respiratory symptoms and obstructive pulmonary diseases experienced during exercise and in cold weather were analysed in a large postal questionnaire study of a general adult population living in a cold climate. The aim of this study was to assess the prevalence of shortness of breath (SOB) during exercise, or in cold weather, and to find out if the risks (odds ratio=OR) for asthma, chronic bronchitis, or SOB during exercise, or in cold weather, were affected by recreational cross-country skiing, or by outdoor work in a cold climate. RESULTS: Of the 7937 invited persons, 84% responded; 876 of them were outdoor workers and 1497 were recreational cross-country skiers. Of the non-smoking responders, asthmatic subjects had the highest prevalence of SOB during exercise in cold weather (78%-82%), but allergic and bronchitic persons also had significantly higher prevalence rates (22%-38% and 27%-59%, respectively) than healthy persons (10%-19%). In all categories, the prevalence of SOB was significantly higher among current smokers than among ex- or non-smokers. Risk factor analysis revealed increased risks for respiratory conditions among those who had a family history of obstructive airway disease, or allergy. Skiers did not have a significantly increased risk for asthma, or respiratory symptoms. Among outdoor workers the risk for SOB during exercise in cold weather, OR 1.23 (CI 1.03-1.47), and for chronic bronchitis, OR 1.77 (CI 1.21-2.60), was higher than among indoor workers. CONCLUSIONS: In conclusion, the risk for chronic bronchitis and bronchitic symptoms was elevated among outdoor workers, but not among regular recreational cross-country skiers, and the risk for asthma was not significantly elevated by regular exercising, or by working in a cold climate.

Adult↗
PubMed1989

Evaluation of the efficacy of chlortetracycline for the control of chronic respiratory disease caused by Escherichia coli and Mycoplasma gallisepticum.

Using different variations of challenge, three trials were conducted to evaluate the efficacy of chlortetracycline in the control of chronic respiratory disease (CRD) caused by Escherichia coli and Mycoplasma gallisepticum. Experimentally infected birds were offered either food containing chlortetracycline at 300 ppm or water containing the drug at 120 mg litre-1. In each trial, medicated food and water were effective in the control of CRD as assessed by reduction in clinical signs, lower mortality and reduced severity of air sacculitis and other post mortem lesions. Weight gain was also improved by both forms of medication. M gallisepticum antibodies were demonstrated in surviving birds.

Air Sacs↗
PubMed1988

Respiratory diseases in pregnancy.

Pregnant women with respiratory problems pose a special challenge. Pregnancy alters lung function and the natural history of common pulmonary disorders. Respiratory problems in pregnancy must be approached with an understanding of the unique, inter-dependent physiologic and psychological status of mother and fetus.

Asthma↗
PubMedDate not supplied

Pathophysiology and pharmacotherapy of common upper respiratory diseases.

The response of the upper respiratory tract to many environmental factors can be used both to analyze the body's inflammatory process and to choose appropriate therapy. The nose is the major pathway to the lungs, upper airways, sinuses, middle ears, and other parts of the body, and its reactions often represent a major portion of the problem. The most common upper respiratory illnesses are upper respiratory infections (URIs), primarily viral, followed by secondary bacterial infections. Approximately 20% of the total population may manifest allergic rhinitis, which is mediated by immunoglobulin E. This condition is often referred to as hay fever, although there is no direct allergy to hay, and there is no fever. The differential diagnosis includes nonallergic rhinitis with eosinophils, which mimics the pathophysiology of allergic rhinitis but yields negative results on skin testing; vasomotor and hormonal rhinitis; and rhinitis medicamentosa, the rebound congestion associated with overuse of topical adrenergic agents. Therapeutic options include avoiding causative agents, immunotherapy, and pharmacotherapy. Antihistamines produce excellent results in allergic rhinitis when sneezing and itching are present, but are of minimal value as decongestants. The alpha-adrenergic agonists are the optimum choices for congestion associated with viral URIs, and allergic or nonallergic rhinitis. Of major importance are accurate diagnosis, selection of appropriate therapy, and patient compliance.

Adult↗
PubMed2003

Risk factors for mortality associated with respiratory disease among Menz and Horro sheep in Ethiopia.

A retrospective case-control study was conducted on 6718 sheep of two breeds (2772 Horro and 3946 Menz) on risk factors for mortality associated with respiratory disease (MARD) in Ethiopia, based on data collected between October 1993 and December 1997. Potential risk factors examined were breed, gender, age, month, and air temperatures.Fifty-four per cent of total deaths in the flock could be attributed to respiratory disease and the annual MARD rate ranged between 6.3 and 19.0%. There was significant breed (P<0.0001) and gender (P<0.0001) difference in MARD. The Horro breed had a higher (P<0.0001) annual MARD than the Menz breed (16.5+/-0.18 vs. 12.4+/-0.15%). A higher (P<0.0001) proportion of males suffered than females (15.1+/-0.23% vs. 13.8+/-0.13%). Age was also an important risk factor for MARD: there was a strong polynomial relationship (R(2)=0.91, P<0.0001) between MARD and age; the risk of being young if a sheep was a MARD case was high. MARD was high between October and March but relatively low between the months of April and September. There was a significant (P<0.05) negative cubic relationship (R(2)=0.49) between monthly MARD and monthly average minimum air temperatures. There was also a significant (P<0.01) positive exponential relationship (R(2)=0.61) between monthly MARD and average monthly daily deviation between maximum and minimum air temperatures. Timely health and management interventions focusing on these factors are necessary to alleviate losses from MARD. Understanding variations in MARD risk within a population can enhance early response to potential outbreaks, reducing losses.

Animals↗
PubMed1995

Gastro-oesophageal reflux and chronic respiratory disease in infants and children: treatment with cisapride.

Gastro-oesophageal reflux (GOR) has been implicated in such clinical phenomena as aspiration pneumonia, bronchospasm or wheezing, apnea, stridor, and hoarseness. Various tests have been used as an aid to diagnosing patients with chronic respiratory disease where GOR is a causal factor. Different forms of conservative treatment have been tried for GOR, including cisapride. Several studies have evaluated its effect on the pH profile and respiratory symptoms in patients with chronic respiratory disease and have demonstrated improvement of nocturnal wheezing, cough, and irritability. Our experience with cisapride is positive in children with GOR. Patients refractory to medical treatment have been surgically treated with good results.

Anti-Ulcer Agents↗
PubMed1987

Aspergillus and other human respiratory disease agents in turkey confinement houses.

The atmosphere of a turkey confinement house on a large Minnesota farm was examined over the course of a year in order to determine levels of airborne contaminants and to evaluate the hazard potential posed by the contaminants to farm workers. Air concentrations of total and respirable dust, ammonia, carbon monoxide, hydrogen sulfide, nitrogen dioxide, methane, and Aspergillus (a fungal respiratory disease agent) were evaluated. Inter- and intra-seasonal variations in confinement house contaminant concentrations were observed. The highest concentrations of dust, ammonia and Aspergillus occurred during the winter months when dust levels averaged 9.3 mg/m3 and ammonia levels averaged 35 parts per million (ppm). Aspergillus levels were lower than expected, never exceeding 73 colony forming units per cubic meter (cfu/m3). Ammonia levels were found to be particularly high during tilling of the confinement house when concentrations greater than 100 ppm were reached. Concentrations of carbon monoxide, hydrogen sulfide, nitrogen dioxide and methane were below detectable levels.

Agricultural Workers' Diseases↗