The Role of Macrolides in Childhood Non-Cystic Fibrosis-Related Bronchiectasis

Non-cystic fibrosis-related bronchiectasis is a chronic inflammatory lung disease, which is regarded as an “orphan” lung disease, with little research devoted to the study of this condition. Bronchiectasis results in impaired quality of life and mortality if left untreated. The tools available in th...

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Main Authors: R. Masekela, R. J. Green
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/134605
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author R. Masekela
R. J. Green
author_facet R. Masekela
R. J. Green
author_sort R. Masekela
collection DOAJ
description Non-cystic fibrosis-related bronchiectasis is a chronic inflammatory lung disease, which is regarded as an “orphan” lung disease, with little research devoted to the study of this condition. Bronchiectasis results in impaired quality of life and mortality if left untreated. The tools available in the armamentarium for the management of bronchiectasis entail antibiotic therapy traditionally used to treat exacerbations, stratagems to improve mucociliary clearance, and avoidance of toxins. Macrolides have been known for the last two decades to have not only anti-bacterial effects but immunomodulatory properties as well. In cystic fibrosis, the use of macrolides is well documented in subjects colonized with Pseudomonas aeruginosa, to improve quality of life and lung function. There is currently emerging evidence to suggest the benefit of macrolides in subjects not colonized with Pseudomonas aeruginosa. This beneficial effect has been less explored in the context of bronchiectasis from other causes. The purpose of this paper is to review the current literature on the use of macrolides in non-cystic fibrosis related bronchiectasis in paediatrics.
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spelling doaj-art-737d3d134e3d480696e6b1637752dede2025-08-20T03:33:49ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/134605134605The Role of Macrolides in Childhood Non-Cystic Fibrosis-Related BronchiectasisR. Masekela0R. J. Green1Paediatric Pulmonology Division, Department of Paediatrics and Child Health, Steve Biko Academic Hospital, University of Pretoria, Pretoria 0001, South AfricaPaediatric Pulmonology Division, Department of Paediatrics and Child Health, Steve Biko Academic Hospital, University of Pretoria, Pretoria 0001, South AfricaNon-cystic fibrosis-related bronchiectasis is a chronic inflammatory lung disease, which is regarded as an “orphan” lung disease, with little research devoted to the study of this condition. Bronchiectasis results in impaired quality of life and mortality if left untreated. The tools available in the armamentarium for the management of bronchiectasis entail antibiotic therapy traditionally used to treat exacerbations, stratagems to improve mucociliary clearance, and avoidance of toxins. Macrolides have been known for the last two decades to have not only anti-bacterial effects but immunomodulatory properties as well. In cystic fibrosis, the use of macrolides is well documented in subjects colonized with Pseudomonas aeruginosa, to improve quality of life and lung function. There is currently emerging evidence to suggest the benefit of macrolides in subjects not colonized with Pseudomonas aeruginosa. This beneficial effect has been less explored in the context of bronchiectasis from other causes. The purpose of this paper is to review the current literature on the use of macrolides in non-cystic fibrosis related bronchiectasis in paediatrics.http://dx.doi.org/10.1155/2012/134605
spellingShingle R. Masekela
R. J. Green
The Role of Macrolides in Childhood Non-Cystic Fibrosis-Related Bronchiectasis
Mediators of Inflammation
title The Role of Macrolides in Childhood Non-Cystic Fibrosis-Related Bronchiectasis
title_full The Role of Macrolides in Childhood Non-Cystic Fibrosis-Related Bronchiectasis
title_fullStr The Role of Macrolides in Childhood Non-Cystic Fibrosis-Related Bronchiectasis
title_full_unstemmed The Role of Macrolides in Childhood Non-Cystic Fibrosis-Related Bronchiectasis
title_short The Role of Macrolides in Childhood Non-Cystic Fibrosis-Related Bronchiectasis
title_sort role of macrolides in childhood non cystic fibrosis related bronchiectasis
url http://dx.doi.org/10.1155/2012/134605
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