[Efficacy and future of the aerosoltherapy in the treatment of cystic fibrosis patients infected by Pseudomonas aeruginosa]

Therapie. 2011 Nov-Dec;66(6):481-91. doi: 10.2515/therapie/2011074. Epub 2011 Dec 21.
[Article in French]

Abstract

Pseudomonas aeruginosa is considered as the most redoubtable pathogenic agent at cystic fibrosis patients. Its eradication is a priority to avoid the passage to chronic infection, the real turning point of the disease. For this, a wide therapeutic panel of intravenous antibiotics exists, and for some years, the research teams concentrate more and more on the inhaled way. The synthesis of the literature data presented herein focuses on both already experienced molecules (colistin and tobramycin), and on new therapeutics. This review aims at loosening advantages and inconveniences of each of these therapeutic options, while bringing to light the necessity of follow-up studies in order to prove the therapeutic interests of molecules in development.

Publication types

  • Review

MeSH terms

  • Administration, Inhalation
  • Aerosols
  • Amikacin / administration & dosage
  • Amikacin / adverse effects
  • Amikacin / therapeutic use
  • Anti-Infective Agents / administration & dosage*
  • Anti-Infective Agents / adverse effects
  • Anti-Infective Agents / therapeutic use*
  • Ciprofloxacin / administration & dosage
  • Ciprofloxacin / therapeutic use
  • Colistin / administration & dosage
  • Colistin / adverse effects
  • Colistin / therapeutic use
  • Cystic Fibrosis / complications*
  • Drug Therapy, Combination
  • Fluoroquinolones / administration & dosage
  • Fluoroquinolones / adverse effects
  • Fluoroquinolones / therapeutic use
  • Humans
  • Pseudomonas Infections / drug therapy*
  • Pseudomonas Infections / etiology*
  • Pseudomonas Infections / microbiology
  • Pseudomonas aeruginosa / drug effects
  • Tobramycin / administration & dosage
  • Tobramycin / adverse effects
  • Tobramycin / therapeutic use

Substances

  • Aerosols
  • Anti-Infective Agents
  • Fluoroquinolones
  • Ciprofloxacin
  • Amikacin
  • Tobramycin
  • Colistin