Among patients hospitalised for acute exacerbations of chronic obstructive pulmonary disease (COPD), those who received antibiotics in the first two hospital days had improved outcomes, according to a new American study. In the study, doctors examined the association between the use of antibiotics and outcomes among patients hospitalised for acute exacerbations of COPD at 413 [...]
Racial disparities in asthma exist among children
Within a comprehensive health insurance system, black and Hispanic children appear more likely than white children to have worse outcomes for their asthma, according to a new study. Researchers analysed data from 822,900 children aged 2 through 17 years who were covered by the same health insurance programme. Asthma prevalence, treatment patterns and outcomes were [...]
Differentiating and treating COPD
Dr Richard Costello of Beaumont Hospital, Dublin, writes that although COPD is difficult to diagnose, there are a growing number of treatments available to tackle the condition The detection of chronic obstructive pulmonary disease (COPD) starts with suspicion. In clinical practice, it can be extremely hard to detect, and therefore manage, COPD. In some cases, [...]
Azithromycin in CF does not help lung function
Children and adolescents with cystic fibrosis (CF) who received the antibiotic azithromycin did not experience improved lung function, compared to patients who received placebo, according to a new study. There has been increasing evidence over the past decade that azithromycin benefits individuals with CF. “Azithromycin is recommended as therapy for CF patients with chronic Pseudomonas [...]
Beta-blockers link with lung disease benefits
Patients with chronic obstructive pulmonary disease (COPD) may have fewer respiratory flare-ups and longer survival if they take beta-blocker medications, according to a new report. The report followed a study in which doctors in the Netherlands examined data from electronic medical records of 2,230 patients with COPD who visited 23 general medical practices between 1996 [...]
Guide to relievers for asthma control
Clinical Update: Asthma – Taking treatment for asthma regularly is important, said Dr Patrick Manning, Consultant Respiratory Physician at the Bon Secours Hospital in Dublin. Dr Manning is also Chair of the Asthma Society of Ireland’s Medical Committee. The aim is to control asthma symptoms. A variable plan that is tailored to a person’s current [...]
Medications under-used in treatment of COPD
Clinical Update: Asthma – Chronic obstructive pulmonary disease (COPD) is an under-diagnosed condition and medications are under-used, said Dr Tim McDonnell, Consultant Respiratory Physician at St Vincent’s University Hospital. In the UK, one million patients are known to have the disease. However, two million people who have COPD are thought to be undiagnosed. Tiotropium (Spiriva), [...]
Asthma must be treated early
Clinical Update: Asthma – Asthmatics are chronically undertreated and the longer the condition remains untreated, the more treatment resistant it subsequently becomes. Children who do not have their asthma treated are more likely to have persistent asthma into adulthood. Occupational asthma studies show that people who are not removed within two years from occupations that [...]
International relief efforts fragmented, US surgeons warn
Despite the frightening regularity of humanitarian disasters like the earthquake in Haiti, which occurred earlier this year in January, international responses remain fragmented and must be improved, according to a group of American trauma surgeons, writing in the British Medical Journal. The surgeons warned that an unco-ordinated push to get people and equipment into the [...]
High rates of drug-resistant TB among prisoners
Prisoners in the UK are significantly more likely to have drug-resistant TB than other people with the disease, suggests research published in the Journal of Epidemiology and Community Health. And one in four of TB cases fall through the healthcare net once they leave prison, researchers at the London-based Health Protection Agency Centre for Infections [...]