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Start Over Author "Tantardini F" Topic chlamydophila infections
2 results on '"Tantardini F"'

1. Severe asthma exacerbation: role of acute Chlamydophila pneumoniae and Mycoplasma pneumoniae infection.

Author

Cosentini R, Tarsia P, Canetta C, Graziadei G, Brambilla AM, Aliberti S, Pappalettera M, Tantardini F, and Blasi F

Subjects
Acute Disease, Adult, Chlamydophila Infections diagnosis, Chlamydophila Infections physiopathology, Female, Forced Expiratory Volume physiology, Humans, Lung microbiology, Lung physiopathology, Male, Middle Aged, Peak Expiratory Flow Rate physiology, Pneumonia, Bacterial diagnosis, Pneumonia, Bacterial physiopathology, Pneumonia, Mycoplasma diagnosis, Pneumonia, Mycoplasma physiopathology, Prognosis, Prospective Studies, Severity of Illness Index, Spirometry, Asthma complications, Chlamydophila Infections complications, Pneumonia, Bacterial complications, Pneumonia, Mycoplasma complications
Abstract

Background: Chlamydophila pneumoniae and Mycoplasma pneumoniae are associated with acute exacerbation of bronchial asthma (AEBA). The aim of this study was to evaluate the correlation between these acute bacterial infections and the severity of AEBA., Methods: We prospectively analysed consecutive patients admitted to the Emergency Department with acute asthma exacerbation. In every patient peak expiratory flow (PEF) measurement was performed on admission, and spirometry during follow-up. Serology for Chlamydophila and Mycoplasma pneumoniae was performed on admission and after 4-8 weeks., Results: Fifty-eight patients completed the study. Acute atypical infections (AAI) was observed in 22/58 cases; we found single acute C. pneumoniae in 19 cases, single acute M. pneumoniae in 2 cases, and double acute infection in one case. Functional impairment on admission was greater in patients with AAI than in patients without AAI (PEF 205 +/- 104 L/min vs 276 +/- 117 p = 0.02) and persisted until visit 2 (FEV1% 76.30 +/- 24.54 vs FEV1% 92.91 +/- 13.89, p = 0.002). Moreover, the proportion of patients who presented with severe AEBA was significantly greater in the group with AAI than in the group without AAI (15/22 vs 12/36, p = 0.01; OR 4.29, 95% CI 1.38-13.32)., Conclusion: Our data suggest an association between acute atypical infection and a more severe AEBA.

Published
2008
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2. Severe asthma exacerbation: role of acute Chlamydophila pneumoniae and Mycoplasma pneumoniae infection

Author

Ciro Canetta, Anna Maria Brambilla, Maria Pappalettera, Paolo Tarsia, Roberto Cosentini, Francesco Blasi, Francesca Tantardini, Stefano Aliberti, Giovanna Graziadei, Cosentini, R, Tarsia, P, Canetta, C, Graziadei, G, Brambilla, A, Aliberti, S, Pappalettera, M, Tantardini, F, and Blasi, F

Subjects
Spirometry, Pulmonary and Respiratory Medicine, Adult, Male, Mycoplasma pneumoniae, medicine.medical_specialty, Exacerbation, Prognosi, Peak Expiratory Flow Rate, medicine.disease_cause, Severity of Illness Index, Serology, Internal medicine, Forced Expiratory Volume, Severity of illness, Pneumonia, Mycoplasma, medicine, Pneumonia, Bacterial, Humans, Prospective Studies, Chlamydophila Infections, Lung, Asthma, lcsh:RC705-779, medicine.diagnostic_test, MED/10 - MALATTIE DELL'APPARATO RESPIRATORIO, business.industry, Research, lcsh:Diseases of the respiratory system, Middle Aged, medicine.disease, Prognosis, respiratory tract diseases, Pneumonia, Prospective Studie, Chlamydophila pneumoniae, Immunology, Acute Disease, Female, MED/09 - MEDICINA INTERNA, business, Human
Abstract

Background Chlamydophila pneumoniae and Mycoplasma pneumoniae are associated with acute exacerbation of bronchial asthma (AEBA). The aim of this study was to evaluate the correlation between these acute bacterial infections and the severity of AEBA. Methods We prospectively analysed consecutive patients admitted to the Emergency Department with acute asthma exacerbation. In every patient peak expiratory flow (PEF) measurement was performed on admission, and spirometry during follow-up. Serology for Chlamydophila and Mycoplasma pneumoniae was performed on admission and after 4–8 weeks. Results Fifty-eight patients completed the study. Acute atypical infections (AAI) was observed in 22/58 cases; we found single acute C. pneumoniae in 19 cases, single acute M. pneumoniae in 2 cases, and double acute infection in one case. Functional impairment on admission was greater in patients with AAI than in patients without AAI (PEF 205 ± 104 L/min vs 276 ± 117 p = 0.02) and persisted until visit 2 (FEV1% 76.30 ± 24.54 vs FEV1% 92.91 ± 13.89, p = 0.002). Moreover, the proportion of patients who presented with severe AEBA was significantly greater in the group with AAI than in the group without AAI (15/22 vs 12/36, p = 0.01; OR 4.29, 95% CI 1.38–13.32). Conclusion Our data suggest an association between acute atypical infection and a more severe AEBA.

Published
2007

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