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    The association between Staphylococcus aureus and subsequent bronchiectasis in children with cystic fibrosis

    Access Status
    Fulltext not available
    Authors
    Caudri, D.
    Turkovic, L.
    Ng, J.
    de Klerk, N.
    Rosenow, T.
    Hall, Graham
    Ranganathan, S.
    Sly, P.
    Stick, S.
    Date
    2018
    Type
    Journal Article
    
    Metadata
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    Citation
    Caudri, D. and Turkovic, L. and Ng, J. and de Klerk, N. and Rosenow, T. and Hall, G. and Ranganathan, S. et al. 2018. The association between Staphylococcus aureus and subsequent bronchiectasis in children with cystic fibrosis. Journal of Cystic Fibrosis. 17 (4): pp. 462-469.
    Source Title
    Journal of Cystic Fibrosis
    DOI
    10.1016/j.jcf.2017.12.002
    ISSN
    1569-1993
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/62077
    Collection
    • Curtin Research Publications
    Abstract

    © 2017 European Cystic Fibrosis Society. Background: Staphylococcus aureus (S. aureus) may be related to more rapid progression of cystic fibrosis (CF) lung disease. Methods: In the AREST CF cohort study, children diagnosed with CF undergo annual bronchoscopies with bronchoalveolar lavage and ultra-low-dose, chest computed tomography (CT) up to 6-years-old. Spirometry was assessed 3-monthly from the age of 4. years. Associations between de novo S. aureus acquisition before school age and CT and lung function at ages 5-7. years were investigated. Models were adjusted for multiple markers of disease severity at baseline. Results: De novo S. aureus acquisition at 3-years-old (n/N=12/122) was associated with increased bronchiectasis score at age 5-6years. This association decreased but remained significant after adjustment for confounders. S. aureus at 3 was associated with significantly reduced FEF 25-75 at age 5-7years, but not with FEV 1 -%-predicted. Conclusion: De novo S. aureus acquisition at age 3 is associated with later bronchiectasis and FEF 25-75 in children with CF.

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