Infection in cystic fibrosis: impact of the environment and climate.

Abstract:

:In many countries numbers of adults with cystic fibrosis (CF) exceed that of children, with median survival predicted to surpass 50 years. Increasing longevity is, in part, due to intensive therapies including eradication of early infection and suppressive therapies and pulmonary exacerbations. Initial infections with common CF pathogens are thought to arise from the natural environment. We review the impact of climate and environment on infection in CF. Specifically, several studies indicate that higher ambient temperatures, proximity to the equator and the summer season may be linked to the increased prevalence of Pseudomonas aeruginosa in people with CF. The environment may also play an important role in the acquisition of Gram negative organisms other than P. aeruginosa. There is emerging data suggesting that climatic and environmental factors are likely to impact on the risk of infection with NTM and fungi in people which are found extensively throughout the natural environment.

journal_name

Expert Rev Respir Med

authors

Ramsay KA,Stockwell RE,Bell SC,Kidd TJ

doi

10.1586/17476348.2016.1162715

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

505-19

issue

5

eissn

1747-6348

issn

1747-6356

journal_volume

10

pub_type

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