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Mely L. P035 Elexacaftor/tezacaftor/ivacaftor improves FEV1 and 6MWT very quickly in patients with cystic fibrosis (CF) and severe airflow obstruction. J Cyst Fibros 2022. [DOI: 10.1016/s1569-1993(22)00368-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Gonsseaume S, Burnet E, Goriot-Raynaud N, Houdouin V, Mely L, Vallier C, Carlier N, Boussaud V, Gerardin M. P351 The introduction of Advanced Nursing Practice in French cystic fibrosis centres faces many challenges and opportunities. J Cyst Fibros 2020. [DOI: 10.1016/s1569-1993(20)30679-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Pineau F, Caimmi D, Magalhaes M, Fremy E, Mohamed A, Mely L, Leroy S, Murris M, Claustres M, Chiron R, De Sario A. WS21.1 Modules of co-expressed genes in blood samples reveal potential modifier genes of diabetes and lung function in cystic fibrosis. J Cyst Fibros 2020. [DOI: 10.1016/s1569-1993(20)30269-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Gruet M, Peyre-Tartaruga LA, Mely L, Vallier JM. The 1-Minute Sit-to-Stand Test in Adults With Cystic Fibrosis: Correlations With Cardiopulmonary Exercise Test, 6-Minute Walk Test, and Quadriceps Strength. Respir Care 2016; 61:1620-1628. [DOI: 10.4187/respcare.04821] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Kokcha S, Bittar F, Reynaud-Gaubert M, Mely L, Gomez C, Gaubert JY, Thomas P, Rolain JM. Pandoraea pulmonicola chronic colonization in a cystic fibrosis patient, France. New Microbes New Infect 2013; 1:27-9. [PMID: 25356323 PMCID: PMC4184697 DOI: 10.1002/2052-2975.16] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2013] [Accepted: 08/02/2013] [Indexed: 11/13/2022] Open
Abstract
Pandoraea are considered emerging multidrug resistant pathogens in the context of cystic fibrosis. We report herein for the first time the case of a 30-year-old woman with cystic fibrosis, living in France, who was chronically infected with Pandoraea pulmonicola and who died of Pseudomonas aeruginosa sepsis 3 weeks after bilateral lung transplantation.
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Affiliation(s)
- S Kokcha
- Pôle des Maladies Infectieuses, Assistance Publique-Hôpitaux de Marseille et URMITE UMR CNRS-IRD 6236, IFR48, Faculté de Médecine et de Pharmacie, Université de la Méditerranée Marseille, France
| | - F Bittar
- Pôle des Maladies Infectieuses, Assistance Publique-Hôpitaux de Marseille et URMITE UMR CNRS-IRD 6236, IFR48, Faculté de Médecine et de Pharmacie, Université de la Méditerranée Marseille, France
| | - M Reynaud-Gaubert
- Pôle des Maladies Infectieuses, Assistance Publique-Hôpitaux de Marseille et URMITE UMR CNRS-IRD 6236, IFR48, Faculté de Médecine et de Pharmacie, Université de la Méditerranée Marseille, France ; Service de Pneumologie et de Transplantation Pulmonaire, Hôpital Nord Marseille, France
| | - L Mely
- Centre de Ressources et de Compétences pour la Mucoviscidose (CRCM), Hôpital Renée Sabran Hyères, France
| | - C Gomez
- Service de Pneumologie et de Transplantation Pulmonaire, Hôpital Nord Marseille, France
| | - J-Y Gaubert
- Service de Radiologie adulte, Hôpital de la Timone Marseille, France
| | - P Thomas
- Service de Chirurgie Thoracique et Transplantation Pulmonaire, Hôpital Nord Marseille, France
| | - J-M Rolain
- Pôle des Maladies Infectieuses, Assistance Publique-Hôpitaux de Marseille et URMITE UMR CNRS-IRD 6236, IFR48, Faculté de Médecine et de Pharmacie, Université de la Méditerranée Marseille, France
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Gruet M, Brisswalter J, Mely L, Vallier J. Clinical utility of the oxygen uptake efficiency slope in cystic fibrosis patients. J Cyst Fibros 2010; 9:307-13. [DOI: 10.1016/j.jcf.2010.03.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2009] [Revised: 02/04/2010] [Accepted: 03/04/2010] [Indexed: 12/13/2022]
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Carsin A, Mely L, Chrestian MA, Devred P, de Lagausie P, Guys JM, Dubus JC. Association of three different congenital malformations in a same pulmonary lobe in a 5-year-old girl. Pediatr Pulmonol 2010; 45:832-5. [PMID: 20652995 DOI: 10.1002/ppul.21068] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
We report the case of a 5-year-old girl with persistent chest X-ray abnormalities following an episode of pneumonia who has a complex congenital pulmonary malformation comprising of a congenital pulmonary airway malformation, an intralobar sequestration and two bronchogenic cysts, all present within the same lobe. The observation suggests a common embryological origin of these malformations.
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Affiliation(s)
- A Carsin
- Unité de Médecine Infantile, CHU Timone-Enfants and CNRS URMITE 6234, Marseille Cedex 05, France
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Gruet M, Abbiss C, Mely L, Brisswalter J, Vallier J. Health related quality of life in adults with cystic fibrosis: the impact of exercise tolerance. J Cyst Fibros 2010. [DOI: 10.1016/s1569-1993(10)60263-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Karila C, Ravilly S, Gauthier R, Tardif C, Neveu H, Maire J, Ramel S, Cracowski C, Legallais P, Foure H, Halm AM, Saugier J, Bordas G, Loire N, Kirszenbaum M, Dassonville J, Mely L, Wuyam B, Giovannetti P, Ouksel H, Ellaffi M, Denjean A. Activité physique et réentraînement à l’effort du patient atteint de mucoviscidose. Rev Mal Respir 2010; 27:301-13. [DOI: 10.1016/j.rmr.2010.02.012] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2009] [Accepted: 02/03/2010] [Indexed: 11/26/2022]
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Gruet M, Vallier J, Mely L, Brisswalter J. Long term reliability of EMG measurements in adults with cystic fibrosis. J Electromyogr Kinesiol 2010; 20:305-12. [DOI: 10.1016/j.jelekin.2009.05.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2009] [Revised: 05/04/2009] [Accepted: 05/11/2009] [Indexed: 11/27/2022] Open
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Burgel PR, Fajac I, Hubert D, Grenet D, Stremler N, Roussey M, Siret D, Languepin J, Mely L, Fanton A, Labbé A, Domblides P, Vic P, Dagorne M, Reynaud-Gaubert M, Counil F, Varaigne F, Bienvenu T, Bellis G, Dusser D. Non-classic cystic fibrosis associated with D1152H CFTR mutation. Clin Genet 2009; 77:355-64. [PMID: 19843100 DOI: 10.1111/j.1399-0004.2009.01294.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Limited knowledge exists on phenotypes associated with the D1152H cystic fibrosis transmembrane conductance regulator (CFTR) mutation. METHODS Subjects with a D1152H allele in trans with another CFTR mutation were identified using the French Cystic Fibrosis Registry. Phenotypic characteristics were compared with those of pancreatic insufficient (PI) and pancreatic sufficient (PS) cystic fibrosis (CF) subjects in the Registry (CF cohort). RESULTS Forty-two subjects with D1152H alleles were identified. Features leading to diagnosis included chronic sinopulmonary disease (n = 25), congenital absence of the vas deferens (n = 11), systematic neonatal screening (n = 4), and genetic counseling (n = 2). Median age at diagnosis was 33 [interquartile range (IQR, 24-41)] years in D1152H subjects. Median sweat chloride concentrations were 43.5 (39-63) mmol/l in D1152H subjects and were markedly lower than in PI and PS CF subjects (p < 0.05). Bronchiectasis was present in 67% of D1152H subjects, but Pseudomonas aeruginosa colonization and pancreatic insufficiency were present in <30% of subjects. Estimated rates of decline in forced expiratory volume in 1 s (FEV(1)) were lower in D1152H subjects vs PI CF subjects (p < 0.05). None of the D1152H subjects identified since 1999 had died or required lung transplantation. CONCLUSIONS When present in trans with a CF-causing mutation, D1152H causes significant pulmonary disease, but all subjects had prolonged survival.
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Affiliation(s)
- P-R Burgel
- Hôpital Cochin, APHP, Université Paris Descartes, Paris, France.
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Gruet M, Vallier J, Mely L, Brisswalter J. Reliability of myoelectrical manifestations of fatigue in adults with cystic fibrosis. Comput Methods Biomech Biomed Engin 2009. [DOI: 10.1080/10255840903081115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Murris M, Boniface S, Brémont F, Bui S, Chiron R, De Lumley L, Fayon M, Gautry P, Heraud M, Languepin J, Mely L, Moreau L, Petit I, Stremler N, Maitre M, Têtu L, Dubus J. 58 Couverture vaccinale contre la grippe des soignants en 2005-2006 dans 9 CRCM du Grand Sud. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)72433-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Bosdure E, Mates M, Mely L, Guys JM, Devred P, Dubus JC. [Cystic intrathoracic hemolymphangioma: a rare differential diagnosis of acute bronchiolitis in an infant]. Arch Pediatr 2005; 12:168-72. [PMID: 15694542 DOI: 10.1016/j.arcped.2004.11.012] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2003] [Accepted: 11/04/2004] [Indexed: 11/22/2022]
Abstract
Hemolymphangioma is a benign malformation of the lymphatic vessels. Cervical localisation is the most frequent. Mediastinal localisation is rare, but may be life-threatening because of airway compression. We report on a four-month-old boy who presented, in a context of epidemics, with clinical signs of acute bronchiolitis requiring mechanical ventilation for several days. Chest X-rays showed an important mediastinal mass with airways compression. Diagnosis was evoked on CT-scan aspects and confirmed by histology. Surgery allowed complete resolution, but dysphonia and oropharyngeal disorders persisted for several months. This rare congenital malformation is reviewed.
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Affiliation(s)
- E Bosdure
- Unité de médecine infantile, CHU Timone-Enfants, 13385 Marseille cedex 05, France
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Boudard I, Mely L, Labbé A, Bellon G, Chabrol B, Dubus JC. Agénésie isolée de l'artère pulmonaire. À propos de huit observations. Arch Pediatr 2004; 11:1078-82. [PMID: 15350999 DOI: 10.1016/j.arcped.2004.04.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2003] [Accepted: 04/24/2004] [Indexed: 11/16/2022]
Abstract
Unilateral primitive agenesia of pulmonary artery is a rare congenital disorder. Experience of three hospital-based pulmonology pediatric units including eight children (three boys and five girls) with such anomaly is reported (11 years median follow-up, range 6 months to 10 years). Median age at diagnosis was 4 years. Clinical features included recurrent respiratory tract infections (75%), effort dyspnea (50%) and, curiously, asthmatic symptoms (75%). Diagnosis was evoked on chest X rays and confirmed by angiography in all cases. Agenesis of the right pulmonary artery was more frequent (five cases). Abnormal vascular ring was associated in two cases of agenesis of the left pulmonary artery. Pulmonary function tests were performed in six children, with bronchial obstruction in two. Regular clinical follow-up, up to adult age in four cases, showed no complication, such as hemoptysis or pulmonary hypertension in our patients.
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Affiliation(s)
- I Boudard
- Unité de médecine infantile, CHU Timone-enfants, 13385 Marseille cedex 05, France
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Dubus JC, Marguet C, Deschildre A, Mely L, Le Roux P, Brouard J, Huiart L. Local side-effects of inhaled corticosteroids in asthmatic children: influence of drug, dose, age, and device. Allergy 2001; 56:944-8. [PMID: 11576072 DOI: 10.1034/j.1398-9995.2001.00100.x] [Citation(s) in RCA: 122] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND The objective was to investigate the local side-effects of inhaled corticosteroids (ICS) in daily life in asthmatic children, particularly the younger ones, by an observational prospective cross-sectional cohort study. METHODS Asthmatic children (n=639, 75.9+/-48.9 months, 61.3% boys), treated with beclomethasone dipropionate (BDP) (721.0+/-287.3 microg per day) or budesonide (BUD) (835.5+/-684.9 microg per day) for at least 1 month, were recruited at the time of a scheduled visit. Local side-effects were researched by questionnaire (cough during inhalation, hoarseness, dysphonia, and thirsty feeling) and clinical examination (perioral dermatitis, oral candidiasis, and tongue hypertrophy). RESULTS Exactly 63.3% of the children aged under 6 years and 59.5% of the older ones reported one local side-effect. Cough (39.7%) was dependent on young age, use of BDP, and mainly use of spacer device, with an OR of 4.7 (95% CI: 2.7-8.2). Thirsty feeling (21.9%) and hoarseness (14.1%) occurred in children using ICS and long-acting beta2-agonists. Dysphonia (11.1%) was favored by high doses of BDP and BUD, and by inhalation from spacer devices or nebulizers. No factor favored oral candidiasis (10.7%). Perioral dermatitis (2.9%) and tongue hypertrophy (0.1%) were associated with nebulization. CONCLUSION Local side-effects of ICS are common in asthmatic children of all ages, and the device used constitutes the most influential factor.
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Affiliation(s)
- J C Dubus
- Services de Pédiatrie, CHU Timone-Enfants, Marseille, Hôpital Charles Nicolle (Rouen), Hôpital Jeanne de Flandres (Lille), Hôpital du Havre (Le Havre), CH Côte de Nâcre (Caen), INSERM U379, Institut Paoli-Calmette, Marseille, France
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Chabrol B, Mely L, Lethel V, Hugonenc C, Dubus JC, Mancini J. [Neurologic complications associated with antalgic and anti-inflammatory agents]. Arch Pediatr 2001; 8 Suppl 2:329s-331s. [PMID: 11394105 DOI: 10.1016/s0929-693x(01)80063-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Affiliation(s)
- B Chabrol
- Unité de médecine infantile et service de neuropédiatrie, hôpital d'Enfants, CHU Timone, 13385 Marseille, France
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Dubus JC, Bosdure E, Mates M, Mely L. [Virus and respiratory allergy in children]. Allerg Immunol (Paris) 2001; 33:78-81. [PMID: 11339058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
Links between viruses and respiratory allergy are not easy to understand in children. For example, the risk of atopy or asthma is increased after an infection with syncytial respiratory virus. In some studies, more the child suffers from viral infections, more the risk of atopy increases. On the other hand, other studies state that the development of allergy is reduced if a child enters day nursery before 12 months, and consequently if he is exposed early in life to viruses. Measles and hepatitis A viruses could also protect from allergy. In fact, viruses seem modulate the expression of a preexisting atopic status. Depending on their nature and their circumstances of occurrence, they could induce some sensitizations or inversely protect from atopy by facilitating the lymphocyte Th2 or Th1 response.
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Affiliation(s)
- J C Dubus
- Service de Médecine Infantile-Hôpital d'Enfants de la Timone-264, rue Saint-Pierre-13385 Marseille
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Pinet C, Nieves A, Mely L, Magnan A, Vervloet D. [Modes of administration of inhaled corticosteroids in mild to moderate persistent asthma]. Rev Mal Respir 1999; 16:856-60. [PMID: 10612162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
Inhaled corticosteroids are the treatment of choice for asthma. However, poor compliance by patients is one of the principal difficulties forced by clinicians. Thus, it seems important to propose the minimal daily number of doses. This study has compared the various modes of administration of inhaler corticosteroids and was carried out in patients with mild to moderate persistent asthma. Thus, comparing two to four doses per day shows an identical efficacy if the dose is less than 800 micrograms per day. At higher doses only two studies have been carried out and there are discordant results. The studies compare two doses versus one single dose per day and equally disagree with numerous works in favor of a single daily dose. In the single study carried out for at least twelve months the twice daily dose was the most effective. Thus it seems reasonable to suggest a single dose for mild persistent asthmatics. For moderate persistent asthmatics the choice between a single or twice daily dose would depend on the therapeutic compliance of the patient.
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Affiliation(s)
- C Pinet
- UPRES 2050, Service de Pneumo-Allergologie, Hôpital Sainte-Marguerite, Marseille
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Dubus JC, Stremler N, Mely L, Bruguerolle B. [Influence of the inhaler device on bronchodilatation in the asthmatic child]. Rev Mal Respir 1997; 14:193-8. [PMID: 9411596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The use of spacer devices is recommended in asthmatic children for inhaled therapeutics. Therefore, in vitro studies prove the dependent-device delivery of the drug. The aim of this study was to compare, in vivo, the effect of 200 micrograms of albuterol, delivered via one of the five spacer devices currently marketed in France (Aerochamber, Aeroscopic, Babyhaler with a face mask, Nebuhaler or Volumatic) and assessed by the induced peak expiratory flow (PEF) change. One hundred asthmatic children were recruited and randomized in 5 groups. The mean age was 8.9 +/- 3.3 years. Each group was comparable regardless of gender, height, weight, characteristics of asthma and baseline PEF. The maximal change in PEF was obtained with Babyhaler (14.9 +/- 12.8%; p = 0.009). The increase in PEF elicited with Aeroscopic was 9.7 +/- 10.2%. The others spacer devices did not offer a change greater than the variation of PEF in the studied population. Further studies, concerned with a measurement of drug deposition or with an assessment of its use in obstructive episodes of asthma, are required, but Babyhaler with a face mask, usually reserved to infants, deserves to be advised to older children for salbutamol intake.
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Affiliation(s)
- J C Dubus
- Service de Médecine Infantile, CHU Timone-Enfants, Marseille
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