The use of induced sputum to evaluate inflammation of the airways in patients with asthma [Abstract in English]
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1914 |
Resumo: | Aims: To describe the utility and safety of induced sputum, discussing the advantages and importance of this technique on asthma clinical research. Source of data: Pubmed data base (from 1985 to 2005). Summary of the finding: The identification of bronchial mucosa inflammatory pattern by induced sputum analysis has been helpful since the last decade on the diagnosis and better comprehension of asthma. It is an accurate, safe and non-invasive technique, even in children. The success of the test depends on staff qualification and adequate method validation. The control of sputum eosinophil counts helps to predict corticosteroid response and withdraw. It also contributes to the diagnosis of occupational asthma. Noneosinophilic asthma phenotypes were also identified. Epidemiologic studies using induced sputum might, in the future, find a relation between distinct risk factors and inflammatory features. Conclusions: Induced sputum allows the analysis of lower airways inflammatory features in a non-invasive procedure that has been widely used over the last decade. It has been proved a safe, accurate and viable method, even in children. Studies analyzing the association between asthma epidemiology and bronchial inflammatory features may lead to a better understanding of the disease. KEY WORDS: SPUTUM; INFLAMMATION; ASTHMA. |
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The use of induced sputum to evaluate inflammation of the airways in patients with asthma [Abstract in English]Uso do escarro induzido na avaliação da inflamação de vias aéreas em pacientes com asmaAims: To describe the utility and safety of induced sputum, discussing the advantages and importance of this technique on asthma clinical research. Source of data: Pubmed data base (from 1985 to 2005). Summary of the finding: The identification of bronchial mucosa inflammatory pattern by induced sputum analysis has been helpful since the last decade on the diagnosis and better comprehension of asthma. It is an accurate, safe and non-invasive technique, even in children. The success of the test depends on staff qualification and adequate method validation. The control of sputum eosinophil counts helps to predict corticosteroid response and withdraw. It also contributes to the diagnosis of occupational asthma. Noneosinophilic asthma phenotypes were also identified. Epidemiologic studies using induced sputum might, in the future, find a relation between distinct risk factors and inflammatory features. Conclusions: Induced sputum allows the analysis of lower airways inflammatory features in a non-invasive procedure that has been widely used over the last decade. It has been proved a safe, accurate and viable method, even in children. Studies analyzing the association between asthma epidemiology and bronchial inflammatory features may lead to a better understanding of the disease. KEY WORDS: SPUTUM; INFLAMMATION; ASTHMA.Objetivos: Descrever a utilidade e a segurança do escarro induzido, discutindo as vantagens e a importância desta técnica na pesquisa clínica em asma. Fonte de dados: Banco de dados Pubmed (1985 a 2005). Síntese dos dados: A identificação do padrão inflamatório da mucosa brônquica por meio do escarro induzido tem ajudado desde a última década no diagnóstico e no melhor entendimento da asma. É um método não invasivo, acurado e seguro, inclusive em crianças. O sucesso do exame depende do treinamento da equipe e de adequada validação do método. A monitoração da concentração de eosinófilos no escarro ajuda a predizer resposta à corticoterapia e auxilia na retirada do mesmo, além de contribuir no diagnóstico de asma ocupacional. Fenótipos de asma não eosinofílica podem ser também identificados. Estudos epidemiológicos que utilizem a indução de escarro podem no futuro encontrar relações entre fatores de risco distintos e características inflamatórias. Conclusões: O escarro induzido viabiliza a análise das características inflamatórias da via aérea inferior de forma não invasiva, sendo utilizado amplamente desde a última década. Mostrou-se um método seguro, acurado e viável, mesmo na população pediátrica. Estudos que associem dados epidemiológicos de asma com as manifestações inflamatórias da mucosa brônquica podem resultar num melhor entendimento da doença. DESCRITORES: ESCARRO; INFLAMAÇÃO; ASMA.Editora da PUCRS - ediPUCRS2007-10-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1914Scientia Medica; Vol. 16 No. 3 (2006); 126-132Scientia Medica; v. 16 n. 3 (2006); 126-1321980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1914/1421https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1914/7993Drews, Anna C.Escouto, Daniele C.Stein, Renato T.info:eu-repo/semantics/openAccess2018-02-09T14:16:37Zoai:ojs.revistaseletronicas.pucrs.br:article/1914Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2018-02-09T14:16:37Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
The use of induced sputum to evaluate inflammation of the airways in patients with asthma [Abstract in English] Uso do escarro induzido na avaliação da inflamação de vias aéreas em pacientes com asma |
title |
The use of induced sputum to evaluate inflammation of the airways in patients with asthma [Abstract in English] |
spellingShingle |
The use of induced sputum to evaluate inflammation of the airways in patients with asthma [Abstract in English] Drews, Anna C. |
title_short |
The use of induced sputum to evaluate inflammation of the airways in patients with asthma [Abstract in English] |
title_full |
The use of induced sputum to evaluate inflammation of the airways in patients with asthma [Abstract in English] |
title_fullStr |
The use of induced sputum to evaluate inflammation of the airways in patients with asthma [Abstract in English] |
title_full_unstemmed |
The use of induced sputum to evaluate inflammation of the airways in patients with asthma [Abstract in English] |
title_sort |
The use of induced sputum to evaluate inflammation of the airways in patients with asthma [Abstract in English] |
author |
Drews, Anna C. |
author_facet |
Drews, Anna C. Escouto, Daniele C. Stein, Renato T. |
author_role |
author |
author2 |
Escouto, Daniele C. Stein, Renato T. |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Drews, Anna C. Escouto, Daniele C. Stein, Renato T. |
description |
Aims: To describe the utility and safety of induced sputum, discussing the advantages and importance of this technique on asthma clinical research. Source of data: Pubmed data base (from 1985 to 2005). Summary of the finding: The identification of bronchial mucosa inflammatory pattern by induced sputum analysis has been helpful since the last decade on the diagnosis and better comprehension of asthma. It is an accurate, safe and non-invasive technique, even in children. The success of the test depends on staff qualification and adequate method validation. The control of sputum eosinophil counts helps to predict corticosteroid response and withdraw. It also contributes to the diagnosis of occupational asthma. Noneosinophilic asthma phenotypes were also identified. Epidemiologic studies using induced sputum might, in the future, find a relation between distinct risk factors and inflammatory features. Conclusions: Induced sputum allows the analysis of lower airways inflammatory features in a non-invasive procedure that has been widely used over the last decade. It has been proved a safe, accurate and viable method, even in children. Studies analyzing the association between asthma epidemiology and bronchial inflammatory features may lead to a better understanding of the disease. KEY WORDS: SPUTUM; INFLAMMATION; ASTHMA. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-10-03 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1914 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1914 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1914/1421 https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1914/7993 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 16 No. 3 (2006); 126-132 Scientia Medica; v. 16 n. 3 (2006); 126-132 1980-6108 1806-5562 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101748514586624 |