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2. C-Reactive Protein Concentration in Steady-State Bronchiectasis: Prognostic Value of Future Severe Exacerbations. Data From the Spanish Registry of Bronchiectasis (RIBRON)

Author

Rolon, Annie Navarro, Minguez, Patricia, Amaro, Rosanel, Cervera, Angela, Blanco, Marina, Gomez, Ainhoa, Llorca, Eleuterio, Padilla, Alicia, Rosales, Edmundo, Carrasco, Laura, Razquin, Marcelo, Posadas, Tomás, Oscullo, Grace, Zaldivar, Enrique, Villa, Carmen, Dobarganes, Yadira, Girón, Rosa, Olveira, Casilda, Maíz, Luis, García-Clemente, Marta, Sibila, Oriol, Golpe, Rafael, Rodríguez, Juan, Barreiro, Esther, Rodriguez, Juan Luis, Menéndez, Rosario, Prados, Concepción, de la Rosa, David, and Martinez-García, Miguel Angel

Published
2021
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5. Prevalence, geographic risk factor, and development of a standardized protocol for fungal isolation in cystic fibrosis: Results from the international prospective study “MFIP”

Author

Delhaes, Laurence, Touati, Kada, Faure-Cognet, Odile, Cornet, Muriel, Botterel, Françoise, Dannaoui, Eric, Morio, Florent, Le Pape, Patrice, Grenouillet, Fréderic, Favennec, Loic, Le Gal, Solène, Nevez, Gilles, Duhamel, Alain, Borman, Andrew, Saegeman, Veroniek, Lagrou, Katrien, Gomez, Elia, Carro, Maiz-Luis, Canton, Rafael, Campana, Silvia, Buzina, Walter, Chen, Sharon, Meyer, Wieland, Roilides, Emmanuel, Simitsopoulou, Maria, Manso, Esther, Cariani, Lisa, Biffi, Arianna, Fiscarelli, Ersilia, Ricciotti, Gabriella, Pihet, Marc, and Bouchara, Jean-Philippe

Published
2019
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6. Bronchiectasis: Changes in the Characterization of Patients During 20 Years of Follow-up. Data from the Spanish Bronchiectasis Registries

Author

Martínez-García, Miguel Ángel, primary, Oscullo, Grace, additional, Gómez-Olivas, Jose Daniel, additional, Olveira, Casilda, additional, Girón, Rosa, additional, García-Clemente, Marta, additional, Máiz, Luis, additional, Sibila, Oriol, additional, Golpe, Rafael, additional, Rodríguez-Hermosa, Juan Luis, additional, Barreiro, Esther, additional, Méndez, Raúl, additional, Prados, Concepción, additional, Rodríguez-López, Juan, additional, and de la Rosa, David, additional

Published
2023
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7. Bronchopulmonary infection–colonization patterns in Spanish cystic fibrosis patients: Results from a national multicenter study

Author

Solé, Amparó, Cortell, Isidoro, Asensio, Oscar, García, Gloria, Martínez, María Teresa, Cols, María, Salcedo, Antonio, Vázquez, Carlos, Baranda, Félix, Girón, Rosa, Quintana, Esther, Delgado, Isabel, de Miguel, María Ángeles, García, Marta, Oliva, Concepción, Prados, María Concepción, Barrio, María Isabel, Pastor, María Dolores, Olveira, Casilda, de Gracia, Javier, Álvarez, Antonio, Escribano, Amparo, Castillo, Silvia, Figuerola, Joan, Togores, Bernat, Oliver, Antonio, López, Carla, de Dios Caballero, Juan, Tato, Marta, Máiz, Luis, Suárez, Lucrecia, Cantón, Rafael, del Campo, Rosa, Royuela, Ana, Solé, Amparo, Quintana-Gallego, Esther, Cobo, Marta, and de la Pedrosa, Elia Gómez G.

Published
2016
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9. Impact of Chronic Bronchial Infection by Staphylococcus aureus on Bronchiectasis

Author

García Clemente, Marta, primary, Olveira, Casilda, additional, Girón, Rosa, additional, Máiz, Luis, additional, Sibila, Oriol, additional, Golpe, Rafael, additional, Menéndez, Rosario, additional, Rodríguez, Juan, additional, Barreiro, Esther, additional, Rodríguez Hermosa, Juan Luis, additional, Prados, Concepción, additional, De la Rosa, David, additional, Carbajal, Claudia Madrid, additional, Solís, Marta, additional, and Martínez-García, Miguel Ángel, additional

Published
2022
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10. Blood Neutrophil Counts Define Specific Clusters of Bronchiectasis Patients: A Hint to Differential Clinical Phenotypes

Author

Wang, Xuejie, primary, Olveira, Casilda, additional, Girón, Rosa, additional, García-Clemente, Marta, additional, Máiz, Luis, additional, Sibila, Oriol, additional, Golpe, Rafael, additional, Menéndez, Rosario, additional, Rodríguez-López, Juan, additional, Prados, Concepción, additional, Martinez-García, Miguel Angel, additional, Rodriguez, Juan Luis, additional, de la Rosa, David, additional, Qin, Liyun, additional, Duran, Xavier, additional, Garcia-Ojalvo, Jordi, additional, and Barreiro, Esther, additional

Published
2022
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12. Systemic Inflammatory Biomarkers Define Specific Clusters in Patients with Bronchiectasis: A Large-Cohort Study

Author

Wang, Xuejie, primary, Villa, Carmen, additional, Dobarganes, Yadira, additional, Olveira, Casilda, additional, Girón, Rosa, additional, García-Clemente, Marta, additional, Máiz, Luis, additional, Sibila, Oriol, additional, Golpe, Rafael, additional, Menéndez, Rosario, additional, Rodríguez-López, Juan, additional, Prados, Concepción, additional, Martinez-García, Miguel Angel, additional, Rodriguez, Juan Luis, additional, de la Rosa, David, additional, Duran, Xavier, additional, Garcia-Ojalvo, Jordi, additional, and Barreiro, Esther, additional

Published
2022
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13. Phenotypic Clustering in Non-Cystic Fibrosis Bronchiectasis Patients: The Role of Eosinophils in Disease Severity

Author

Wang, Xuejie, primary, Villa, Carmen, additional, Dobarganes, Yadira, additional, Olveira, Casilda, additional, Girón, Rosa, additional, García-Clemente, Marta, additional, Máiz, Luis, additional, Sibila, Oriol, additional, Golpe, Rafael, additional, Menéndez, Rosario, additional, Rodríguez-López, Juan, additional, Prados, Concepción, additional, Martinez-García, Miguel Angel, additional, Rodriguez, Juan Luis, additional, de la Rosa, David, additional, Duran, Xavier, additional, Garcia-Ojalvo, Jordi, additional, and Barreiro, Esther, additional

Published
2021
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15. Sex bias in diagnostic delay in bronchiectasis: An analysis of the Spanish Historical Registry of Bronchiectasis

Author

Girón, Rosa Ma, Gracia Roldán, Javier de, Olveira, Casilda, Vendrell, Montserrat, Martínez-García, Miguel Ángel, de la Rosa Carrillo, David, Máiz, Luis, Ancochea, Julio, Vázquez, Liliana, Borderías, Luis, Polverino, Eva, Martínez-Moragón, Eva, Rajas, Olga, Soriano, Joan B., and Universitat Autònoma de Barcelona

Subjects
Pulmonary and Respiratory Medicine, Adult, Male, Pediatrics, medicine.medical_specialty, Delayed Diagnosis, Time Factors, Bronchi, gender bias, 03 medical and health sciences, Pulmonary Disease, Chronic Obstructive, 0302 clinical medicine, Sex Factors, Bias, Bronchiectasis, diagnostic delay, gender bias, gender gap, sex bias, medicine, Gender bias, sex bias, Humans, 030212 general & internal medicine, Registries, Age of Onset, Tuberculosis, Pulmonary, Aged, Aged, 80 and over, Bronchiectasis, business.industry, Smoking, Sputum, gender gap, Middle Aged, medicine.disease, diagnostic delay, Original Papers, Haemophilus influenzae, Asthma, Sex bias, 030228 respiratory system, Spain, Female, Gender gap, business
Abstract

Diagnostic delay is common in most respiratory diseases, particularly in bronchiectasis. However, sex bias in diagnostic delay has not been studied to date. Objective: Assessment of diagnostic delay in bronchiectasis by sex. Methods: The Spanish Historical Registry of Bronchiectasis recruited adults diagnosed with bronchiectasis from 2002 to 2011 in 36 centres in Spain. From a total of 2113 patients registered we studied 2099, of whom 1125 (53.6%) were women. Results: No differences were found for sex or age (61.0 ± 20.6, p = 0.88) or for localization of bronchiectasis ( p = 0.31). Bronchiectasis of unknown aetiology and secondary to asthma, childhood infections and tuberculosis was more common in women (all ps < 0.05). More men than women were chronic obstructive pulmonary disease-related bronchiectasis and colonized by Haemophilus influenzae ( p < 0.001 for both). Onset of symptoms was earlier in women. The diagnostic delay for women with bronchiectasis was 2.1 years more than for men ( p = 0.001). Discussion: We recorded a substantial delay in the diagnosis of bronchiectasis. This delay was significantly longer in women than in men (>2 years). Independent factors associated with this sex bias were age at onset of symptoms, smoking history, daily expectoration and reduced lung function.

Published
2017

19. Factors Associated to the Presence of Pneumothorax in Cystic Fibrosis Patients in the City of Madrid

Author

Barrio Isabel, Máiz Luis, Martínez María Teresa, Gómez Carrera Luis, Salcedo Antonio, Girón Rosa, García Hernández Gloria, Prados Concepción, Álvarez-Sala Rodolfo, and Carpio Carlos

Subjects
Vital capacity, medicine.medical_specialty, business.industry, respiratory system, medicine.disease, Cystic fibrosis, respiratory tract diseases, Surgery, Pulmonary function testing, Pleural disease, FEV1/FVC ratio, surgical procedures, operative, Pneumothorax, medicine, In patient, business, Body mass index
Abstract

Background: To identify risk factors associated with pneumothorax and to determine the prognosis of cystic fibrosis patients following an episode of pneumothorax in the city of Madrid. Methods: Records of 17 patients (10 males; age 24.4 ± 17.5 years) and 32 controls, and a total of 44 pneumothorax episodes were studied. We have analyzed the characteristics of the pneumothorax, the microbiology, the lung function tests (LFT) and the prognosis of patients. Two controls with cystic fibrosis and without pneumothorax matched for sex and age were selected. Results: Eight male and three female patients with pneumothorax were older than 18 years. The mean age of the first pneumothorax episode was 18.3 years (±9.6). The group with pneumothorax had a mean body mass index of 19.2(±2.42 kg/m2) and in the control group it was 26.5 (±1.98 kg/m2). Pseudomonas aeruginosa was present in fourteen patients (82%) with pneumothorax and in eleven patients (34.4%) in the control group (p = 0.002). Pneumothorax predominantly occurred in the coldest seasons. There was a significant drop in both forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) after the pneumothorax. In the same way, FEV1 and FVC were greater in the control group. Six patients (35.4%) with pneumothorax and two patients in the control group have died (p < 0.05). Conclusions: Patients with pneumothorax are more likely to have P. aeruginosa colonization. LFT drop after an episode of pneumohorax. Patients with pneumothorax have worse LFT than patients without pneumothorax. Mortality is greater in patients with pneumothorax.

Published
2011

20. Emergence of cfr-Mediated Linezolid Resistance in a Methicillin-Resistant Staphylococcus aureus Epidemic Clone Isolated from Patients with Cystic Fibrosis

Author

de Dios Caballero, Juan, Pastor, María Dolores, Vindel, Ana, Máiz, Luis, Yagüe, Genoveva, Salvador, Carme, Cobo, Marta, Morosini, María-Isabel, del Campo, Rosa, and Cantón, Rafael

Subjects
Adult, Methicillin-Resistant Staphylococcus aureus, Ribosomal Proteins, Adolescent, Cystic Fibrosis, Linezolid, Microbial Sensitivity Tests, biochemical phenomena, metabolism, and nutrition, Staphylococcal Infections, bacterial infections and mycoses, Anti-Bacterial Agents, RNA, Ribosomal, 23S, Young Adult, Bacterial Proteins, Drug Resistance, Bacterial, Humans, Female
Abstract

Resistance to linezolid (LZD) in methicillin-resistant Staphylococcus aureus (MRSA) isolates from patients with cystic fibrosis (CF) is due mainly to ribosomal mutations. We report on four CF patients with LZD-resistant MRSA bronchopulmonary infections by strains carrying the cfr gene. Strains from one patient also harbored the G2576U mutation (23S rRNA) and the G139R substitution (L3 protein). All strains belonged to the epidemic clone ST125 MRSA IVc. Our results support the monitoring of LZD resistance emergence in CF and non-CF MRSA isolates.

Published
2015

22. Bronchopulmonary infection–colonization patterns in Spanish cystic fibrosis patients: Results from a national multicenter study

Author

de Dios Caballero, Juan, primary, del Campo, Rosa, additional, Royuela, Ana, additional, Solé, Amparo, additional, Máiz, Luis, additional, Olveira, Casilda, additional, Quintana-Gallego, Esther, additional, de Gracia, Javier, additional, Cobo, Marta, additional, de la Pedrosa, Elia Gómez G., additional, Oliver, Antonio, additional, Cantón, Rafael, additional, Solé, Amparó, additional, Cortell, Isidoro, additional, Asensio, Oscar, additional, García, Gloria, additional, Martínez, María Teresa, additional, Cols, María, additional, Salcedo, Antonio, additional, Vázquez, Carlos, additional, Baranda, Félix, additional, Girón, Rosa, additional, Quintana, Esther, additional, Delgado, Isabel, additional, de Miguel, María Ángeles, additional, García, Marta, additional, Oliva, Concepción, additional, Prados, María Concepción, additional, Barrio, María Isabel, additional, Pastor, María Dolores, additional, Álvarez, Antonio, additional, Escribano, Amparo, additional, Castillo, Silvia, additional, Figuerola, Joan, additional, Togores, Bernat, additional, López, Carla, additional, de Dios Caballero, Juan, additional, Tato, Marta, additional, and Suárez, Lucrecia, additional

Published
2016
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25. Emergence of a mutL Mutation Causing Multilocus Sequence Typing–Pulsed-Field Gel Electrophoresis Discrepancy among Pseudomonas aeruginosa Isolates from a Cystic Fibrosis Patient

Author

García-Castillo, María, primary, Máiz, Luis, additional, Morosini, María-Isabel, additional, Rodríguez-Baños, Mercedes, additional, Suarez, Lucrecia, additional, Fernández-Olmos, Ana, additional, Baquero, Fernando, additional, Cantón, Rafael, additional, and del Campo, Rosa, additional

Published
2012
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27. Emergence of cfr-Mediated Linezolid Resistance in a Methicillin-Resistant Staphylococcus aureusEpidemic Clone Isolated from Patients with Cystic Fibrosis

Author

de Dios Caballero, Juan, Pastor, María Dolores, Vindel, Ana, Máiz, Luis, Yagüe, Genoveva, Salvador, Carme, Cobo, Marta, Morosini, María-Isabel, del Campo, Rosa, and Cantón, Rafael

Abstract

ABSTRACTResistance to linezolid (LZD) in methicillin-resistant Staphylococcus aureus(MRSA) isolates from patients with cystic fibrosis (CF) is due mainly to ribosomal mutations. We report on four CF patients with LZD-resistant MRSA bronchopulmonary infections by strains carrying the cfrgene. Strains from one patient also harbored the G2576U mutation (23S rRNA) and the G139R substitution (L3 protein). All strains belonged to the epidemic clone ST125 MRSA IVc. Our results support the monitoring of LZD resistance emergence in CF and non-CF MRSA isolates.

Published
2016
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28. Subcutaneous implant with etonogestrel (Implanon®) for catamenial exacerbations in a patient with cystic fibrosis: a case report.

Author

Lamas, Adelaida, Máiz, Luis, de Valbuena, Marta Ruiz, González-Casbas, José Manuel, and Suárez, Lucrecia

Abstract

Background: Cystic Fibrosis (CF) is a genetic disease with equal prevalence across sexes. However, women present worse lung function with faster function decline, earlier onset of bacterial colonization, more frequent pulmonary exacerbations (PE), greater bronchial hyper-responsiveness, and higher mortality rates after puberty than men. The etiology of this gender disparity remains elusive but female hormones have been implicated in several studies. Case presentation: A 20-year-old female with CF with severe recurrent PE, always related to the menstrual cycle since menarche, combined with lung function decline requiring multiple courses of intravenous antibiotics. We report the cessation of PE and recovery of pulmonary function following the insertion of a subcutaneous implant with 68 mg of etonogestrel (Implanon®, Organon Española S.A. Laboratories, Madrid, Spain). Conclusion: Our case report supports the key role of female hormones in the development of PE and in the decline of lung function in a woman with CF. When appropriate, hormonal manipulation through contraceptive methods should be considered as potential treatment. [ABSTRACT FROM AUTHOR]

Published
2014
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29. Emergence of a mutLMutation Causing Multilocus Sequence Typing–Pulsed-Field Gel Electrophoresis Discrepancy among Pseudomonas aeruginosaIsolates from a Cystic Fibrosis Patient

Author

García-Castillo, María, Máiz, Luis, Morosini, María-Isabel, Rodríguez-Baños, Mercedes, Suarez, Lucrecia, Fernández-Olmos, Ana, Baquero, Fernando, Cantón, Rafael, and del Campo, Rosa

Abstract

ABSTRACTA multilocus sequence type (MLST) shift (from ST242 to ST996) was detected in Pseudomonas aeruginosaisolates with a uniform pulsed-field gel electrophoresis (PFGE) pattern obtained from a chronically colonized patient. MLST mutational change involved the mutLgene with the consequent emergence of a hypermutable phenotype. This observation challenges the required neutrality of mutLas an appropriate marker in MLST and alerts researchers to the limitations of MLST-only-based population studies in chronic infections under constant antibiotic selective pressure.

Published
2012
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31. Sex bias in diagnostic delay in bronchiectasis: An analysis of the Spanish Historical Registry of Bronchiectasis.

Author

Girón RM, de Gracia Roldán J, Olveira C, Vendrell M, Martínez-García MÁ, de la Rosa D, Máiz L, Ancochea J, Vázquez L, Borderías L, Polverino E, Martínez-Moragón E, Rajas O, and Soriano JB

Subjects
Adult, Age of Onset, Aged, Aged, 80 and over, Asthma complications, Bias, Bronchi microbiology, Bronchiectasis physiopathology, Female, Haemophilus influenzae isolation & purification, Humans, Male, Middle Aged, Pulmonary Disease, Chronic Obstructive complications, Registries, Sex Factors, Smoking, Spain, Sputum, Time Factors, Tuberculosis, Pulmonary complications, Bronchiectasis diagnosis, Bronchiectasis etiology, Delayed Diagnosis statistics & numerical data
Abstract

Diagnostic delay is common in most respiratory diseases, particularly in bronchiectasis. However, sex bias in diagnostic delay has not been studied to date., Objective: Assessment of diagnostic delay in bronchiectasis by sex., Methods: The Spanish Historical Registry of Bronchiectasis recruited adults diagnosed with bronchiectasis from 2002 to 2011 in 36 centres in Spain. From a total of 2113 patients registered we studied 2099, of whom 1125 (53.6%) were women., Results: No differences were found for sex or age (61.0 ± 20.6, p = 0.88) or for localization of bronchiectasis ( p = 0.31). Bronchiectasis of unknown aetiology and secondary to asthma, childhood infections and tuberculosis was more common in women (all ps < 0.05). More men than women were chronic obstructive pulmonary disease-related bronchiectasis and colonized by Haemophilus influenzae ( p < 0.001 for both). Onset of symptoms was earlier in women. The diagnostic delay for women with bronchiectasis was 2.1 years more than for men ( p = 0.001)., Discussion: We recorded a substantial delay in the diagnosis of bronchiectasis. This delay was significantly longer in women than in men (>2 years). Independent factors associated with this sex bias were age at onset of symptoms, smoking history, daily expectoration and reduced lung function.

Published
2017
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32. Emergence of cfr-Mediated Linezolid Resistance in a Methicillin-Resistant Staphylococcus aureus Epidemic Clone Isolated from Patients with Cystic Fibrosis.

Author

de Dios Caballero J, Pastor MD, Vindel A, Máiz L, Yagüe G, Salvador C, Cobo M, Morosini MI, del Campo R, and Cantón R

Subjects
Adolescent, Adult, Female, Humans, Methicillin-Resistant Staphylococcus aureus drug effects, Methicillin-Resistant Staphylococcus aureus isolation & purification, Microbial Sensitivity Tests, RNA, Ribosomal, 23S genetics, Ribosomal Protein L3, Ribosomal Proteins genetics, Staphylococcal Infections drug therapy, Young Adult, Anti-Bacterial Agents pharmacology, Bacterial Proteins genetics, Cystic Fibrosis microbiology, Drug Resistance, Bacterial genetics, Linezolid pharmacology, Methicillin-Resistant Staphylococcus aureus genetics
Abstract

Resistance to linezolid (LZD) in methicillin-resistant Staphylococcus aureus (MRSA) isolates from patients with cystic fibrosis (CF) is due mainly to ribosomal mutations. We report on four CF patients with LZD-resistant MRSA bronchopulmonary infections by strains carrying the cfr gene. Strains from one patient also harbored the G2576U mutation (23S rRNA) and the G139R substitution (L3 protein). All strains belonged to the epidemic clone ST125 MRSA IVc. Our results support the monitoring of LZD resistance emergence in CF and non-CF MRSA isolates., (Copyright © 2016, American Society for Microbiology. All Rights Reserved.)

Published
2015
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33. Population structure, antimicrobial resistance, and mutation frequencies of Streptococcus pneumoniae isolates from cystic fibrosis patients.

Author

del Campo R, Morosini MI, de la Pedrosa EG, Fenoll A, Muñoz-Almagro C, Máiz L, Baquero F, and Cantón R

Subjects
Child, Child, Preschool, Drug Resistance, Microbial, Female, Humans, Incidence, Infant, Male, Microbial Sensitivity Tests, Mutation, Phylogeny, Pneumococcal Infections epidemiology, Retrospective Studies, Streptococcus pneumoniae drug effects, Cystic Fibrosis microbiology, Pneumococcal Infections diagnosis, Streptococcus pneumoniae genetics, Streptococcus pneumoniae isolation & purification
Abstract

Forty-eight Streptococcus pneumoniae isolates recovered from sputum samples from 26 cystic fibrosis (CF) patients attending our CF unit (1995 to 2003) were studied. Mean yearly incidence of isolation was 5.5%, and all were strains recovered from young patients (< or = 12 years). The isolation was linked to clinical exacerbation in 35% of the cases, but only 27% of these were not accompanied by other CF pathogens. Fifty percent of the patients presented with two to four isolates over the studied period. Pulsed-field gel electrophoresis-SmaI digestion revealed a high heterogeneity (32 pulsotypes among 48 isolates) and the persistence over a 6-month period of a single clone (clone A) in two patients. This clone, presenting a varied multiresistance phenotype, was identified as the Spain23F-1 clone and was also recognized in six other patients, including two out of nine patients from the CF unit of Sant Joan de Deu Hospital, Barcelona, Spain. In our isolates, 16 different serotypes were recognized, the most frequent being 23F (33.3%), 19F (18.8%), 6A (6.2%), and 6B (6.2%). High overall resistance rates were observed: to penicillin, 73%; to cefotaxime, 33%; to erythromycin, 42%; to tetracycline, 58%; to chloramphenicol, 48%; and to trimethoprim-sulfamethoxazole, 67%. Resistance to fluoroquinolones was not detected. Multiresistance was a common feature (60%). The percentage of S. pneumoniae strains with increased frequencies of mutation to rifampin resistance (> or = 7.5 x 10(-8)) was significantly higher (P = 0.02) in CF (60%) than among non-CF (37%) isolates in the same institution (M. I. Morosini et al., Antimicrob. Agents Chemother. 47:1464-1467, 2003). Even though a clear association with acute exacerbations could not be observed, long-term clonal persistence and variability, high frequency of antibiotic resistance, and hypermutability indicate the plasticity for adaptation of S. pneumoniae to the CF lung environment.

Published
2005
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