Skip to main content

Clinical aspects of mucoid Pseudomonas aeruginosa infections

  • Chapter
Pseudomonas Infection and Alginates
  • 149 Accesses

Abstract

Cystic Fibrosis (CF) is an autosomal recessive disease which is most commonly found in Caucasian peoples. In the UK it affects about 1 infant in 2000 (Kuzemko, 1986). The recently isolated gene for CF (Rommens, et al., 1989) is located on the long arm of chromosome number 7 (Wainwright et al., 1985), and genetic probes which lie close to it are already in use for the purposes of prenatal diagnosis (Farrall et al, 1986). The basic biochemical abnormality probably lies at the cellular level but has not yet been identified (Williamson et al, 1983). It is thought to involve a defect in the transport of chloride ions across membranes (Quinton, 1983).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Batten, J. (1988) Cystic Fibrosis in adolescents and adults. Excerpta Medica, Asia Pacific Congress Series 74, 187–94.

    Google Scholar 

  • Batten, J. C. and Matthew, D.J. (1983) The respiratory system. In: Hodson, M. E., Norman, A. P. and Batten, J. C. (eds) Cystic Fibrosis, Baillière Tindall, London, pp. 105–31.

    Google Scholar 

  • Brock, D. J. H. (1988) Prenatal diagnosis of Cystic Fibrosis. Arch. Dis. Child. 63, 701–4.

    Article  PubMed  CAS  Google Scholar 

  • Bywater, M. (1981) Adolescents with Cystic Fibrosis: psychosocial adjustment. Arch. Dis. Child. 56, 538–43.

    Article  PubMed  CAS  Google Scholar 

  • Cerney, F. J., Pullano, T. P. and Cropp, G. J. A. (1982) Cardiorespiratory adaptations to exercise in C. F. Am. Rev. Resp. Dis. 126, 217–22.

    Google Scholar 

  • Chrispin, A. R. and Norman, A. P. (1974) The systematic evaluation of the chest radiograph in Cystic Fibrosis. Paediatr. Radiol. 2, 101–6.

    Article  CAS  Google Scholar 

  • Cropp, G. J., Pullano, T. P., Cerney, F.J. and Nathanson, T.J. (1982) Exercise tolerance and cardiorespiratory adjustments at peak work capacity in C.F. Am. Rev. Resp. Dis. 126, 211–26.

    Google Scholar 

  • Dinwiddie, R. (1986) Management of the chest in Cystic Fibrosis. J. Roy. Soc. Med. 79, 6–9.

    Google Scholar 

  • Dinwiddie, R. and Madge, S. (1988) Intensive calorie counting in C.F.: an effective way of achieving weight gain? 10th International Cystic Fibrosis Congress, Excerpta Medica, Asia Pacific Congress Series 74, 165.

    Google Scholar 

  • Drake-Lee, A. B. and Pitcher-Wilmott, R. W. (1982) The clinical and laboratory correlation of nasal polyps in Cystic Fibrosis. Int. J. Pediatr. Otorhinolaryngol. 4, 209–14.

    Google Scholar 

  • Farrall, M., Law, H.-Y., Rodeck, C. H., Warren, R., Stanier, P., Super, M., Lissens, W., Scambler, P., Watson, E., Wainwright, B. and Williamson, R. (1986) First-trimester prenatal diagnosis of Cystic Fibrosis with linked DNA probes. Lancet i, 1402–5.

    Google Scholar 

  • Geddes, D. M. (1984) Physical exercise and Cystic Fibrosis. In: Lawson, D. (ed.) Cystic Fibrosis: horizons, Wiley, Chichester, pp. 117–33.

    Google Scholar 

  • Gibson, L. E. and Cooke, R. E. (1959) A test for the concentration of electrolytes in sweat in Cystic Fibrosis of the pancreas utilizing pilocarpine by iontophoresis. Pediatrics 23, 545–9.

    PubMed  CAS  Google Scholar 

  • Heaf, D. P., Webb, G.J. and Matthew, D.J. (1983) In vitro assessment of combined antibiotic and mucolytic therapy for Pseudomonas aeruginosa in Cystic Fibrosis. Arch. Dis. Child. 58, 824–6.

    Article  PubMed  CAS  Google Scholar 

  • Hodson, M. E. and Gaskill, D. V. (1983) Physiotherapy. In: Hodson, M. E., Norman, A. P. and Batten, J. C. (eds) Cystic Fibrosis, Baillière Tindall, London, pp. 219–41.

    Google Scholar 

  • Hodson, M. E., Penketh, A. R. L. and Batten, J. C. (1981) Aerosol carbenicillin and gentamicin treatment for Pseudomonas aeruginosa infection in Cystic Fibrosis. Lancet ii, 1137–9.

    Google Scholar 

  • Hodson, M. E., Butland, R.J. A., Roberts, C. M., Smith, J. and Batten, J. C. (1987) Oral ciprofloxacin compared with conventional intravenous treatment for Pseudomonas aeruginosa infection in patients with Cystic Fibrosis. Lancet i, 235–7.

    Google Scholar 

  • Høiby, N. (1982) Microbiology of lung infections in Cystic Fibrosis patients. Acta Paediatr. Scand. Suppl. 301, 33–54.

    Article  Google Scholar 

  • Høiby, N. and Schiøtz, P. O. (1982) Immune complex mediated tissue damage in the lungs of Cystic Fibrosis patients with chronic Pseudomonas aeruginosa infection. Acta Paediatr. Scand. Suppl. 301, 63–73.

    Article  Google Scholar 

  • Holtz, F. J., Olinsky, A. and Phelan, P. D. (1981) Variability of airways hyperreactivity and allergy in Cystic Fibrosis. Arch. Dis. Child. 56, 495–9.

    Google Scholar 

  • Kram, E. R., Crane, M. M., Sirkin, M. G. and Brown, M. L. (1962) A Cystic Fibrosis pilot survey in three New England States. Am. J. Dis. Child 52, 2041–57.

    Google Scholar 

  • Kulzycki, L. L. and Shauf, V. (1974) Cystic Fibrosis in blacks in Washington DC. Am. J. Dis. Child. 127, 64–7.

    Google Scholar 

  • Kuzemko,J. A. (1986) Screening, early neonatal diagnosis and prenatal diagnosis. J. Roy. Soc. Med. 79 (Suppl. 12), 2–5.

    Google Scholar 

  • Kuzemko, J. A. and Heeley, A. F. (1983) Diagnostic methods and screening. In: Hodson, M. E., Norman, A. D. and Batten, J. C. (eds) Cystic Fibrosis, Baillière Tindall, London, pp. 21–30.

    Google Scholar 

  • Lancet (1986) Editorial. Supplementary nutrition in Cystic Fibrosis. Lancet i, 249.

    Google Scholar 

  • Levin, S. (1963) Fibrocystic disease of the pancreas. In: Goldschmidt, E. (ed.) Genetics of Migrant and Isolated Populations, Williams and Wilkins, Baltimore, p. 293.

    Google Scholar 

  • Mearns, M. B. (1980) Natural history of pulmonary infection in Cystic Fibrosis. In: Sturgess, J. N. (ed.) Perspectives in Cystic Fibrosis, Canadian Cystic Fibrosis Foundation, Toronto, p. 325.

    Google Scholar 

  • Meindl, R. S. (1987) Hypothesis: a selective advantage for Cystic Fibrosis heterozygotes. Am. J. Clin. Nutr. 74, 39–54.

    CAS  Google Scholar 

  • Morton, R. E., Hutchings, J., Halliday, D., Rennie, M.J. and Wolman, S. L. (1988) Protein metabolism during treatment of chest inf ection in patients with Cystic Fibrosis. Am. J. Clin. Nutr Am. J. Clin. Nutr 47, 214–19.

    CAS  Google Scholar 

  • Pedersen, S. S., Jensen, T., HØiby, N., Koch, C. and Flensborg, E. W. (1987) Management of Pseudomonas aeruginosa lung infection in danish Cystic Fibrosis patients. Acta Paediatr. Scand. 76, 955–61.

    Article  PubMed  CAS  Google Scholar 

  • Penketh, A. R. L., Wise, A., Mearns, M. B., Hodson, M. E. and Batten, J. C. (1987) Cystic Fibrosis in adolescents and adults. Thorax 42, 526–32.

    Article  PubMed  CAS  Google Scholar 

  • Peterson, N. T., H0iby, N., Mordhorst, C. H., Lind, K., Flensburg, E. W. and Rune, B. (1981) Respiratory infection in Cystic Fibrosis patients caused by virus, chlamydia and mycoplasma. Possible synergism with Pseudomonas aeruginosa. Acta Paediatr. Scand. 70, 623–8.

    Google Scholar 

  • Phillips, B. M. and David, T.J. (1987) Management of the chest in Cystic Fibrosis. J. Roy. Soc. Med. 80 (Suppl. 18), 30–7.

    Google Scholar 

  • Pitcher-Wilmott, R. W., Levinsky, J., Gordon, I., Turner, M. W. and Matthew, D. J. (1982) Pseudomonas infection allergy and Cystic Fibrosis. Arch. Dis. Child. 57, 582–6.

    Article  PubMed  CAS  Google Scholar 

  • Prior, J. A., Webber, B. A., Hodson, M. E. and Batten, J. C. (1979) Evaluation of the forced expiratory technique as an adjunct to postural drainage in treatment of Cystic Fibrosis. Brit. Med. J. 2, 417–18.

    Article  Google Scholar 

  • Quinton, P. M. (1983) Chloride impermeability in Cystic Fibrosis. Nature 301, 421–2.

    Article  PubMed  CAS  Google Scholar 

  • Reid, L. and De Haller, R. (1964) Lung changes in Cystic Fibrosis. In: Hubble, D. (ed.) Cystic Fibrosis, London Chest and Heart Association, London, p. 21.

    Google Scholar 

  • Righetti, A. B. B., Mighavacca, M., Prampolini, L. and Guinta, A. (1976) Extensive neonatal screening of CF. Proceedings of VII International Cystic Fibrosis Conference, p. 153.

    Google Scholar 

  • Rommens,J. M., Iannuzzi, M. C., Kerem, B.-S. (1989) Identification of the Cystic Fibrosis: chromosome walking and jumping. Science, 245, 1059–65.

    Article  Google Scholar 

  • Scully, B. E., Neu, H. C., Parry, M. F. and Mandell, W. (1986) Oral ciprofloxacin therapy of infections due to Pseudomonas aeruginosa. Lancet i, 819–22.

    Google Scholar 

  • Selander, P. (1962) The frequency of Cystic Fibrosis of the pancreas in Sweden. Acta Paediatr. Sccind. 51, 65–7.

    Article  CAS  Google Scholar 

  • Stern, R. C., Boat, T. F., Wood, R. E., Matthews, L. W. and Doershuk, C. F. (1982) Treatment and prognosis of nasal polyps in Cystic Fibrosis. Am. J. Dis. Child. 136, 1067–70.

    PubMed  CAS  Google Scholar 

  • Stroobant, J. (1986) Viral infection in Cystic Fibrosis. J Roy. Soc. Med, 79, 19–22.

    PubMed  Google Scholar 

  • Szaff, M., Høiby, N. and Flensborg, E. W. (1983) Frequent antibiotic therapy improves survival of Cystic Fibrosis patients with chronic Pseudomonas infec-tion. Acta Paediatr.Scand. 72, 651 — 7.

    Article  PubMed  CAS  Google Scholar 

  • Tomashefski, G. F., Vawter, G. F. and Reid, L. (1983) Pulmonary pathology. In: Hodson, M. E., Norman, A. P. and Batten, J. C. (eds) Cystic Fibrosis, Baillière Tindall, London, pp. 31–51.

    Google Scholar 

  • Tyrell, J. C., Weller, E. J. and Martin, J. (1986) Face mask physiotherapy in Cystic Fibrosis. Arch. Dis. Child. 61, 598–601.

    Article  Google Scholar 

  • Wainwright, B. J., Scambler, P. J., Schmidtke, J., Watson, E. A., Law, H.-Y., Farrall, M., Cooke, H. J., Eiberg, H. and Williamson, R. (1985) Localization of Cystic Fibrosis locus to human chromosome 7cen—q22. Nature 318, 384–5.

    Article  PubMed  CAS  Google Scholar 

  • Warner, J. O., Taylor, B. W., Norman, A. P. and Soothill, J. L. (1976) Association of Cystic Fibrosis with allergy. Arch. Dis. Child. 51, 507—11.

    Article  PubMed  CAS  Google Scholar 

  • Williams, J., Alfaham, M., Ryley, H. C., Goodchild, M. C., Weller, P. H. and Dodge, J. A. (1988a) Screening for Cystic Fibrosis in Wales and the West Midlands. 10th International Cystic Fibrosis Congress, Excerpta Medica, Asia Pacific Congress Series 74, 20–1.

    Google Scholar 

  • Williams, J., Smith, H. L., Woods, C. G. and Weller, P. H. (1988b) Silastic catheters for antibiotics in Cystic Fibrosis. Arch. Dis. Child. 63, 658–9.

    Article  PubMed  CAS  Google Scholar 

  • Williamson, R., Crampton, J. M. and Clarke, B. E. (1983) Research perspectives: the basic defect in Cystic Fibrosis. In: Hodson, M. E., Norman, A. P. and Batten, J. C. (eds) Cystic Fibrosis, Baillière Tindall, London, pp. 260–72.

    Google Scholar 

  • Wilmott, R. W. (1985) Allergy and infection in Cystic Fibrosis. In: Milner, A. D. and Martin, R. J. (eds) Neonatal and Pediatric Respiratory Medicine, Butterworths, London,pp. 190–210.

    Google Scholar 

  • Wilmott, R. W., Tyson, S. L., Dinwiddie, R. and Matthew, D.J. (1983) Survival rates in Cystic Fibrosis. Arch. Dis. Child. 58, 835–6.

    Google Scholar 

  • Wilmott, R. W., Tyson, L. S. and Matthew, D. J. (1985) Cystic Fibrosis survival rates. The influence of allergy and Pseudomonas aeruginosa. Am. J. Dis. Child. 139, 669–73.

    Google Scholar 

  • Wright, S. W. and Norton, N. E. (1966) Genetic studies in Cystic Fibrosis in Hawaii. Am.J. Human Gen. 20, 157–69.

    Google Scholar 

  • Zach, M. S. (1988) Lung disease in Systic Fibrosis: current concepts. Excerpta Medica, Asia Pacific Congress Series 74, 72–9.

    Google Scholar 

  • Zach, M. S., Oberwaldner, B. and Hausler, F. (1982) Cystic Fibrosis: physical exercise versus chest physiotherapy. Arch. Dis. Child. 57, 587–9.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Chapman and Hall

About this chapter

Cite this chapter

Dinwiddie, R. (1990). Clinical aspects of mucoid Pseudomonas aeruginosa infections. In: Gacesa, P., Russell, N.J. (eds) Pseudomonas Infection and Alginates. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1836-8_2

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-1836-8_2

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-7319-6

  • Online ISBN: 978-94-009-1836-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics