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Study on antibiotics and the microbiome in asthmatic patients

The airway physiology and the bacterial burden of the airways, skin and gastrointestinal tracts do not change meaningfully over time in asthmatic patients who are exposed to an antibiotic, the Irish Thoracic Society Annual Scientific Meeting was told. Presenting on antibiotics and the microbiome in asthmatic patients, Dr Orla O’Carroll from Connolly Hospital, Dublin, said…

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Scleroderma patients potential candidates for lung transplantation

Scleroderma patients potential candidates for lung transplantation Patients with pulmonary complications of scleroderma, who are failing medical therapy, are potential candidates for lung transplantation, the recent Irish Thoracic Society Annual Scientific Meeting heard. Dr Colin Rutherford of the Irish National Transplant Centre added that extensive pre-treatment screening is required to carefully select appropriate candidates most…

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Lack of ‘single candidate biomarker’ a challenge in ARDS

Prof John Laffey of NUI Galway presented a talk on acute lung injury and acute respiratory distress syndrome (ARDS), at the recent ITS scientific meeting at the Galmont Hotel, Galway. Histologically ARDS is an acute, inflammatory condition. “One big problem we have is it’s a syndrome diagnosis. It’s basically a constellation of findings,” said Prof…

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Significant gaps in workplace illness health data

Data on occupational diseases in Ireland is poor, fragmented, and inconsistent, the Annual Scientific Meeting 2019 of the Irish Thoracic Society heard. Better data is needed as occupational diseases are a heavy burden on both workers and employers, and represent an enormous cost to the economy. Presenting at the annual gathering, Research Assistant at the…

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Promoting respiratory lung health in Ireland

Ahead of the Irish Thoracic Society’s Annual Scientific Meeting in Galway, Sarah Gallagher spoke to Consultant Respiratory Physician and local organiser Prof Anthony O’Regan about the agenda and issues facing respiratory medicine The lung disciplines are very broad, so we represent a huge community of patients, their relatives, and obviously our clinical practitioners around the…

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Diagnosis and management of COPD in 2019

This article reviews the diagnosis, classification and treatment of patients with chronic obstructive pulmonary disease (COPD) based on the 2019 Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. The content identifies the key features of COPD recognition and diagnosis and recommends an approach to the management of COPD which considers treatable traits, as well…

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Chronic cough – 2019 ERS update

The European Respiratory Society (ERS) has published new guidelines on the assessment of chronic cough. The purpose of the guidelines is to improve diagnostic accuracy and promote evidence-based therapy for both adult and paediatric populations Most recent guidelines define the duration of chronic cough to be eight weeks in adults and four in children, however,…

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One-third of patients with severe asthma found to be taking harmful doses of oral steroids

A third of patients with severe asthma are taking harmful doses of oral steroids, according to a study of several thousand people in The Netherlands, presented at the 2019 ERS International Congress. The majority of these patients could avoid taking oral steroids by improving their adherence to their other asthma medication and their inhaler technique,…

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Exposure to BPA in the womb linked to wheezing and poorer lung function in children, study finds

Pregnant women exposed to higher levels of the commonly used chemical bisphenol A (BPA) are more likely to have children who suffer with wheezing and poorer lung function, according to research presented at the 2019 ERS International Congress. Previous research suggests that phenols are ‘endocrine disruptors’, which can interfere with hormone signals in the body.…

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