No benefit of longer eradication therapy of Pseudomonas aeruginosa primoinfections in pediatric cystic fibrosis

BMC Res Notes. 2019 Mar 4;12(1):115. doi: 10.1186/s13104-019-4157-8.

Abstract

Objective: Patients with cystic fibrosis are more susceptible than members of the general population to lung infections. Infections with Pseudomonas aeruginosa require particular attention, because they may accelerate the deterioration of lung function if not adequately treated. This study assessed the eradication rate of P. aeruginosa primoinfections, with a protocol of inhaled tobramycin and oral ciprofloxacin over a 3 months' period.

Results: Retrospective single-center study from June 1st, 2007 to December 31st, 2015. Inclusion of 28 pediatric patients (11 females, 17 males), with a total of 49 primoinfections. Overall success rate of 67.3%, which is similar or even inferior to figures published in the literature.

Keywords: Cystic fibrosis; Eradication protocol; Primoinfection; Pseudomonas aeruginosa.

MeSH terms

  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / pharmacology*
  • Child
  • Ciprofloxacin / administration & dosage
  • Ciprofloxacin / pharmacology*
  • Clinical Protocols*
  • Cystic Fibrosis* / complications
  • Female
  • Humans
  • Male
  • Outcome and Process Assessment, Health Care*
  • Pseudomonas Infections / drug therapy*
  • Pseudomonas Infections / etiology
  • Pseudomonas aeruginosa / drug effects*
  • Retrospective Studies
  • Time Factors
  • Tobramycin / administration & dosage
  • Tobramycin / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Ciprofloxacin
  • Tobramycin