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Daily spirometry in an acute exacerbation of adult cystic fibrosis patients
Journal article   Open access   Peer reviewed

Daily spirometry in an acute exacerbation of adult cystic fibrosis patients

Michael J Stephen, Alex Long, Chad Bonsall, Jeffrey B Hoag, Smita Shah, Dorothy Bisberg, Douglas Holsclaw, Laurie Varlotta, Stan Fiel, Doantrang Du, …
Chronic respiratory disease, v 15(3), pp 258-264
Aug 2018
PMID: 29183160
url
https://doi.org/10.1177/1479972317743756View
Published, Version of Record (VoR)CC BY-NC V4.0 Open

Abstract

Administration, Intravenous Adult Anti-Bacterial Agents - administration & dosage Cystic Fibrosis - drug therapy Cystic Fibrosis - physiopathology Female Forced Expiratory Volume Humans Male Prospective Studies Spirometry Surveys and Questionnaires Symptom Flare Up Time Factors Young Adult
To help answer the question of length of intravenous antibiotics during an acute exacerbation of cystic fibrosis (CF), we had subjects to follow daily home spirometry while on intravenous antibiotics. CF patients, 18 and older, with an acute exacerbation requiring intravenous antibiotics had a daily FEV1. The average time to a 10% increase over their initial sick FEV1 was calculated, as well as the time to a new baseline. A total of 25 subjects completed the study. Ten of the 25 subjects did not have a sustainable 10% increase in FEV1. Of the 15 subjects with a sustainable 10% increase in FEV1, it took 5.2 days (±4.5) after day 1, while a new baseline was achieved on average at 6.6 days (±4.8) after day 1. Given the wide range of time to a 10% improvement and new baseline, it is recommended there should be flexibility in length of intravenous antibiotics in CF, not by a preset number.

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Collaboration types
Domestic collaboration
Web of Science research areas
Respiratory System
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