Estratto
Il concetto di bronchite cronica negli ultimi anni si è notevolmente modificato. Nel 1961 l’Organizzazione Mondiale della Sanità ha definito la bronchite cronica come una “condizione morbosa caratterizzata da un persistente aumento delle secrezioni bronchiali, con tosse produttiva quasi quotidiana per almeno tre mesi l’anno per due anni consecutivi” quando altre cause di tosse produttiva sono state escluse. Tali requisiti escludono anche cause transitorie di tosse e aumento delle secrezioni bronchiali, quali la bronchite acuta. Nel progetto GOLD (Global Initiative for Chronic. Obstructive Lung Disease) del 2003 la bronchite cronica è considerata come uno stadio a rischio di BPCO o stadio 0, che presuppone un monitoraggio clinico-strumentale stretto ed interventi sui fattori di rischio per la possibile progressione in BPCO.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Letture consigliate
American Thoracic Society (1991) Lung function testing: selection of reference value and interpretative strategies. Am Rev Respir Dis 144:1202–1218
American Thoracic Society (1996) Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 152:S1–S120
Amin K, Ekberg-Jansson A, Löfdahl CG, Venge P (2003) Relationship between inflammatory cells and structural changes in the lungs of asymptomatic and never smokers: a biopsy study. Thorax 58:135–142
Anthonisen NR, Connett JE, Kiley JP et al (1994) Effects of smoking intervention and the use of an inhaled anticholinergic bronchodilator on the rate of decline of FEV1. The Lung Health Study. JAMA 272:1497–1505
Bellia V, Pistelli R, Catalano F et al (2000) Quality control of spirometry in the elderly. The SARA Study. Am J Respir Crit Care Med 161:1094–1100
Buist AS, Vollmer WM (1994) Smoking and other risk factors. In Murray JF, Nadel JA (eds) Textbook of respiratory medicine. WB Saunders, Philadelphia, pp 1259–1287
Cohen BH, Bias WB, Chase GA et al (1980) Is ABH nonsecretor status a risk factor for obstructive lung disease? Am J Epidemiol 111:285–291
Di Stefano A, Capelli A, Lusuardi M et al (1998) Severity of airflow limitation is associated with severity of airway inflammation in smokers. Am J Respir Crit Care Med 158:1277–1285
WHO (2000) Air Quality Guidelines for Europe. WHO Reg Publ Eur Ser 91:V–X, 1–273.
Fletcher EC, Peto R (1997) The natural history of chronic airflow obstruction. Br Med J 1:1645–1648
Global Initiative for Chronic Obstructive Lung Disease (1998) Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease. NHLBI/WHO workshop report
Hajiro T, Nishimura K, Tsukino M et al (2000) Stage of disease severity and factors that affect the health status of patients with chronic obstructive pulmonary disease. Respir Med 94:841–846
Holt PG (1987) Immune and inflammatory function in cigarette smokers. Thorax 42:241–249
Holtzman MJ, Morton JD, Shornick LP et al (2001) Immunity, inflammation, and remodeling in the airway epithelial barrier: epithelial-viral-allergic paradigm. Physiol Rev 82:19–46
Huang SL, Su CH, Chang SC (1997) Tumor necrosis factor-alpha gene polymorphism in chronic bronchitis. Am J Respir Crit Care Med 156:1436–1439
Humerfelt S, Gulsvik A, Skjaerven R et al (1993) Decline in FEV1 and airflow limitation related to occupational exposures in men of an urban community. Eur Respir J 6:1095–1103
Irwin RS, Boulet LP, Cloutier MM et al (1998) Managing cough as a defense mechanism and as a symptom. A consensus panel report of the American College of Chest Physicians. Chest 114(suppl 2):S133–S181
Kerstjens HAM (1999) Clinical evidence stable chronic obstructive pulmonary disease. BMJ 319:495–500
Khoury MJ, Beaty TH, Newill CA et al (1986) Genetic-environmental interactions in chronic airways obstruction. Int J Epidemiol 15:65–72
Leuenberger P, Schwartz J, Ackermann-Liebrich U et al (1994) Passive smoking exposure in adults and chronic respiratory symptoms (SAPALDIA Study). Swiss Study on Air Pollution and Lung Diseases in Adults, SAPALDIA Team. Am J Respir Crit Care Med 150:1222–1228
McKeever TM, Scrivener S, Broadfield M (2002) Prospective study of diet and decline in lung function in a general population. Am J Respir Crit Care Med 165:1299–1303
Mills PR, Davies RJ, Devalia JL (1999) Airway epithelial cells, cytokines, and pollutants. Am J Respir Crit Care Med 160:S38–S43
Murray CJL, Lopez AD (1996) Evidence-based health policy-lessons from the Global Burden of Disease Study. Science 274:740–743
Orie NGM, Sluiter HJ, De Vreis K et al (1961) The host factor in bronchitis. In Orie NGM, Sluiter HJ (eds) Bronchitis, an international symposium. Royal Vangorcum, Assen, Netherlands, pp 43–59
O’Shaughnessy TC, Ansari TW, Barnes NC, Jeffery PK (1997) Inflammation in bronchial biopsies of subjects with chronic bronchitis: inverse relationship of CD8+ T lymphocytes with FEV1. Am J Respir Crit Care Med 155:852–857
Repine JE, Bast A, Lankhorst I and the Oxidative Stress Study Group (1997) Oxidative stress in Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med 156:341–357
Saetta M, Di Stefano A, Turato G et al (1998) CD8+ T-Lymphocytes in peripheral airways of smokers with Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med 157:822–826
Saetta M, Turato G, Baraldo S et al (2000) Goblet cell hyperplasia and epithelial inflammation in peripheral airways of smokers with both symptoms of Chronic Bronchitis and chronic airflow limitation. Am J Respir Crit Care Med 161:1016–1021
Tager IB, Segal MR, Speizer FE, Weiss ST (1988) The natural history of forced expiratory volumes. Effect of cigarette smoking and respiratory symptoms. Am Rev Respir Dis 138:837–849
Terzano C, Mannino M (1997) Aerosol: caratteristiche, analisi, applicazioni terapeutiche. McGrawHill, Milano
Turato G, Zuin R, Saetta M (2001) Pathogenesis and pathology of COPD. Respiration 68:117–128
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2006 Springer-Verlag Italia
About this chapter
Cite this chapter
Terzano, C., Petroianni, A. (2006). Bronchite cronica. In: Malattie dell’apparato respiratorio. Springer, Milano. https://doi.org/10.1007/978-88-470-0467-2_17
Download citation
DOI: https://doi.org/10.1007/978-88-470-0467-2_17
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0466-5
Online ISBN: 978-88-470-0467-2
eBook Packages: MedicineMedicine (R0)