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33 Results Found

  • Review
  • Open Access
17 Citations
13,719 Views
13 Pages

How to Use Nebulized Antibiotics in Severe Respiratory Infections

  • Julie Gorham,
  • Fabio S. Taccone and
  • Maya Hites

Difficult-to-treat pulmonary infections caused by multidrug-resistant (MDR) pathogens are of great concern because their incidence continues to increase worldwide and they are associated with high morbidity and mortality. Nebulized antibiotics are in...

  • Review
  • Open Access
169 Citations
10,818 Views
25 Pages

Nebulized Colistin in Ventilator-Associated Pneumonia and Tracheobronchitis: Historical Background, Pharmacokinetics and Perspectives

  • Yinggang Zhu,
  • Antoine Monsel,
  • Jason A. Roberts,
  • Konstantinos Pontikis,
  • Olivier Mimoz,
  • Jordi Rello,
  • Jieming Qu,
  • Jean-Jacques Rouby and
  • on behalf of the European Investigator Network for Nebulized Antibiotics in Ventilator-Associated Pneumonia (ENAVAP)

Clinical evidence suggests that nebulized colistimethate sodium (CMS) has benefits for treating lower respiratory tract infections caused by multidrug-resistant Gram-negative bacteria (GNB). Colistin is positively charged, while CMS is negatively cha...

  • Systematic Review
  • Open Access
10 Citations
5,465 Views
14 Pages

Safety and Efficacy of Devices Delivering Inhaled Antibiotics among Adults with Non-Cystic Fibrosis Bronchiectasis: A Systematic Review and a Network Meta-Analysis

  • Sofia Tejada,
  • Sergio Ramírez-Estrada,
  • Carlos G. Forero,
  • Miguel Gallego,
  • Joan B. Soriano,
  • Pablo A. Cardinal-Fernández,
  • Stephan Ehrmann and
  • Jordi Rello

19 February 2022

It remains unknown whether the type of aerosol generating device is affecting efficacy and safety among non-cystic fibrosis bronchiectasis (NCFB) adults. The proposal of this network meta-analysis (NMA) is to evaluate effectiveness and safety of inha...

  • Review
  • Open Access
1 Citations
3,081 Views
17 Pages

Nebulized Antibiotics for Preventing and Treating Gram-Negative Respiratory Infections in Critically Ill Patients: An Overview of Reviews

  • Marios Karvouniaris,
  • Despoina Koulenti,
  • Konstantinos I. Bougioukas,
  • Eirini Pagkalidou,
  • Elizabeth Paramythiotou and
  • Anna-Bettina Haidich

Background. Ventilator-associated tracheobronchitis (VAT) and pneumonia (VAP) are the most frequent nosocomial infections in the critical care setting and are associated with increased morbidity. At the same time, VAP is also associated with attribut...

  • Review
  • Open Access
7 Citations
5,602 Views
15 Pages

Aerosolized Antibiotics to Manage Ventilator-Associated Infections: A Comprehensive Review

  • Pavlos Myrianthefs,
  • George E. Zakynthinos,
  • Vasiliki Tsolaki and
  • Demosthenes Makris

Background: Ventilator-associated lower respiratory tract infectious complications in critically ill patients cover a wide spectrum of one disease process (respiratory infection), initiating from tracheal tube and/or tracheobronchial colonization, to...

  • Article
  • Open Access
20 Citations
5,246 Views
23 Pages

Administration of Bacteriophages via Nebulization during Mechanical Ventilation: In Vitro Study and Lung Deposition in Macaques

  • Sandrine Le Guellec,
  • Jeoffrey Pardessus,
  • Elsa Bodier-Montagutelli,
  • Guillaume L’Hostis,
  • Emilie Dalloneau,
  • Damien Piel,
  • Hakim Chouky Samaï,
  • Antoine Guillon,
  • Elvir Mujic and
  • Emmanuelle Guillot-Combe
  • + 6 authors

22 February 2023

Bacteriophages have been identified as a potential treatment option to treat lung infection in the context of antibiotic resistance. We performed a preclinical study to predict the efficacy of delivery of bacteriophages against Pseudomonas aeruginosa...

  • Review
  • Open Access
88 Citations
13,430 Views
23 Pages

Inhaled Antibiotic Therapy in Chronic Respiratory Diseases

  • Diego J. Maselli,
  • Holly Keyt and
  • Marcos I. Restrepo

The management of patients with chronic respiratory diseases affected by difficult to treat infections has become a challenge in clinical practice. Conditions such as cystic fibrosis (CF) and non-CF bronchiectasis require extensive treatment strategi...

  • Review
  • Open Access
21 Citations
5,237 Views
17 Pages

Stability Considerations for Bacteriophages in Liquid Formulations Designed for Nebulization

  • Rohan Flint,
  • Daniel R. Laucirica,
  • Hak-Kim Chan,
  • Barbara J. Chang,
  • Stephen M. Stick and
  • Anthony Kicic

12 August 2023

Pulmonary bacterial infections present a significant health risk to those with chronic respiratory diseases (CRDs) including cystic fibrosis (CF) and chronic-obstructive pulmonary disease (COPD). With the emergence of antimicrobial resistance (AMR),...

  • Review
  • Open Access
9 Citations
4,085 Views
11 Pages

Considerations for and Mechanisms of Adjunct Therapy in COPD

  • Rachana Mandru,
  • Christine Y. Zhou,
  • Rachel Pauley and
  • Robert M. Burkes

16 March 2021

Inhaled bronchodilators and corticosteroids, when indicated, form the backbone of COPD therapy. However, over the last decade there has been an emergence of adjunct therapies in oral or inhaled form that are now part of the therapeutic approach to CO...

  • Feature Paper
  • Review
  • Open Access
13 Citations
5,058 Views
20 Pages

Efficacy and Safety of Dry Powder Antibiotics: A Narrative Review

  • David de la Rosa-Carrillo,
  • Guillermo Suárez-Cuartín,
  • Oriol Sibila,
  • Rafael Golpe,
  • Rosa-María Girón and
  • Miguel-Ángel Martínez-García

20 May 2023

The use of inhaled antibiotics was initially almost exclusively confined to patients with cystic fibrosis (CF). However, it has been extended in recent decades to patients with non-CF bronchiectasis or chronic obstructive pulmonary disease who presen...

  • Review
  • Open Access
46 Citations
8,273 Views
12 Pages

Chronic infections are associated with exacerbation in patients with chronic obstructive pulmonary disease (COPD). The major objective of the management of these patients is the prevention and effective treatment of exacerbations. Patients that have...

  • Article
  • Open Access
7 Citations
2,211 Views
16 Pages

Development of Inhalable Bacteriophage Liposomes Against Pseudomonas aeruginosa

  • Shruti S. Sawant,
  • Maizbha Uddin Ahmed,
  • Nathan-Gautham Gantala,
  • Caitlin Chiu,
  • Li Qu and
  • Qi Zhou

Background: Pseudomonas aeruginosa is one of the major pathogens that cause respiratory infections. The rise of antimicrobial resistance has prompted a need for alternatives to conventional antibiotics. Bacteriophages (phages), natural predators...

  • Case Report
  • Open Access
15 Citations
4,432 Views
16 Pages

Phage Therapy in a Burn Patient Colonized with Extensively Drug-Resistant Pseudomonas aeruginosa Responsible for Relapsing Ventilator-Associated Pneumonia and Bacteriemia

  • Cécile Teney,
  • Jean-Charles Poupelin,
  • Thomas Briot,
  • Myrtille Le Bouar,
  • Cindy Fevre,
  • Sophie Brosset,
  • Olivier Martin,
  • Florent Valour,
  • Tiphaine Roussel-Gaillard and
  • Gilles Leboucher
  • + 3 authors

5 July 2024

Pseudomonas aeruginosa is one of the main causes of healthcare-associated infection in Europe that increases patient morbidity and mortality. Multi-resistant pathogens are a major public health issue in burn centers. Mortality increases when the init...

  • Review
  • Open Access
69 Citations
24,950 Views
14 Pages

Aminoglycosides are a family of rapidly bactericidal antibiotics that often remain active against resistant Gram-negative bacterial infections. Over the past decade, their use in critically ill patients has been refined; however, due to their renal a...

  • Article
  • Open Access
3,696 Views
11 Pages

12 October 2024

Background/Objectives: With the advent of the field of pediatric emergency medicine, studies on the differences in treatment patterns between pediatricians and emergency medicine (EM) physicians in various pediatric conditions have been accumulating....

  • Review
  • Open Access
2,542 Views
18 Pages

Airway Colonization in Children with Medical Complexity: Challenges and Management Strategies

  • Valentina Fainardi,
  • Luisa Rizzo,
  • Giulia Zambelli,
  • Martina Berzieri,
  • Erika Maugeri,
  • Elena Giacalone,
  • Roberta Carbone,
  • Maria Carmela Pera and
  • Susanna Esposito

27 January 2025

Over recent years, advances in medical care have significantly improved the survival of children with severe chronic conditions. These children, referred to as children with medical complexity (CMC), present unique and demanding healthcare challenges...

  • Article
  • Open Access
10 Citations
3,895 Views
13 Pages

Impact of Guidelines Publication on Acute Bronchiolitis Management: 10-Year Experience from a Tertiary Care Center in Italy

  • Carlotta Biagi,
  • Sara Scarpini,
  • Camilla Paleari,
  • Marianna Fabi,
  • Arianna Dondi,
  • Liliana Gabrielli,
  • Monia Gennari,
  • Marcello Lanari and
  • Luca Pierantoni

Bronchiolitis is the most common lower respiratory tract infection in infants. According to evidence-based guidelines, diagnosis is clinical, there is no need for routine use of laboratory or instrumental tests and therapy is primarily supportive, ba...

  • Article
  • Open Access
2 Citations
4,616 Views
23 Pages

Nebulized Hybrid Nanoarchaeosomes: Anti-Inflammatory Activity, Anti-Microbial Activity and Cytotoxicity on A549 Cells

  • Sofia Giuliana Guerin Stabile,
  • Noelia Perez,
  • Horacio Emanuel Jerez,
  • Yamila Roxana Simioni,
  • Estefanía Butassi,
  • Martin Daniel Mizrahi,
  • Matias Leonardo Nobile,
  • Ana Paula Perez,
  • Maria Jose Morilla and
  • Leticia Herminia Higa
  • + 1 author

The properties of two hybrid nanoarchaeosomes (hybrid nanoARCs) made of archaeolipids extracted from the halophilic archaea Halorubrum tebenquichense and combining the properties of archaeolipid bilayers with metallic nanoparticles are explored here....

  • Article
  • Open Access
12 Citations
2,709 Views
16 Pages

Bioactive Hydroxyapatite-Magnesium Phosphate Coatings Deposited by MAPLE for Preventing Infection and Promoting Orthopedic Implants Osteointegration

  • Denisa Alexandra Florea,
  • Valentina Grumezescu,
  • Alexandra Cătălina Bîrcă,
  • Bogdan Ștefan Vasile,
  • Andrei Iosif,
  • Cristina Chircov,
  • Miruna S. Stan,
  • Alexandru Mihai Grumezescu,
  • Ecaterina Andronescu and
  • Mariana Carmen Chifiriuc

20 October 2022

In this study, we used the matrix-assisted pulsed laser evaporation (MAPLE) technique to obtain hydroxyapatite (Ca10(PO4)6(OH)2) and magnesium phosphate (Mg3(PO4)2) thin coatings containing bone morphogenetic protein (BMP4) for promoting implants ost...

  • Article
  • Open Access
12 Citations
3,452 Views
20 Pages

Mucoadhesive Rifampicin-Liposomes for the Treatment of Pulmonary Infection by Mycobacterium abscessus: Chitosan or ε-Poly-L-Lysine Decoration

  • Jacopo Forte,
  • Patrizia Nadia Hanieh,
  • Noemi Poerio,
  • Tommaso Olimpieri,
  • Maria Grazia Ammendolia,
  • Maurizio Fraziano,
  • Maria Gioia Fabiano,
  • Carlotta Marianecci,
  • Maria Carafa and
  • Federico Bordi
  • + 2 authors

Mycobacterium abscessus (Mabs) is a dangerous non-tubercular mycobacterium responsible for severe pulmonary infections in immunologically vulnerable patients, due to its wide resistance to many different antibiotics which make its therapeutic managem...

  • Article
  • Open Access
22 Citations
4,770 Views
13 Pages

Rifampicin–Liposomes for Mycobacterium abscessus Infection Treatment: Intracellular Uptake and Antibacterial Activity Evaluation

  • Federica Rinaldi,
  • Patrizia Nadia Hanieh,
  • Simona Sennato,
  • Federica De Santis,
  • Jacopo Forte,
  • Maurizio Fraziano,
  • Stefano Casciardi,
  • Carlotta Marianecci,
  • Federico Bordi and
  • Maria Carafa

Treatment of pulmonary infections caused by Mycobacterium abscessus are extremely difficult to treat, as this species is naturally resistant to many common antibiotics. Liposomes are vesicular nanocarriers suitable for hydrophilic and lipophilic drug...

  • Article
  • Open Access
7 Citations
3,708 Views
12 Pages

Efficacy of Radiant Catalytic Ionization in Reduction of Enterococcus spp., Clostridioides difficile and Staphylococcus aureus in Indoor Air

  • Krzysztof Skowron,
  • Katarzyna Grudlewska-Buda,
  • Sylwia Kożuszko,
  • Natalia Wiktorczyk,
  • Karolina Jadwiga Skowron,
  • Agnieszka Mikucka,
  • Zuzanna Bernaciak and
  • Eugenia Gospodarek-Komkowska

20 July 2020

(1) Background: An aerogenic way is one of main rout of spreading microorganisms (including antibiotic resistant), that cause healthcare-associated infections. The source of microorganisms in the air can be patients, personnel, visitors, outdoor air,...

  • Article
  • Open Access
2 Citations
3,152 Views
14 Pages

Analysis of the Consumption of Drugs Prescribed for the Treatment of Asthma in Belgian Children

  • Natacha Biset,
  • Wies Kestens,
  • Dominique Detemmerman,
  • Murielle Lona,
  • Güngör Karakaya,
  • Ann Ceuppens,
  • Stéphanie Pochet and
  • Carine De Vriese

(1) Asthma is one of the most common chronic diseases in the world among children. The main purpose of this study was to analyze the consumption of asthma medications in order to investigate asthma in children (2–18 years) and the association w...

  • Review
  • Open Access
28 Citations
7,336 Views
17 Pages

Challenges of Colistin Use in ICU and Therapeutic Drug Monitoring: A Literature Review

  • Jitka Rychlíčková,
  • Vendula Kubíčková,
  • Pavel Suk and
  • Karel Urbánek

22 February 2023

The emerging resistance of Gram-negative bacteria is a growing problem worldwide. Together with the financial cost, limited efficacy, and local unavailability of newer antibiotics or their combinations, it has led to the reintroduction of colistin as...

  • Review
  • Open Access
1,910 Views
29 Pages

8 November 2025

The global spread of carbapenem-resistant Acinetobacter baumannii (CRAB) poses a severe public health threat, driving growing interest in phage-based precision antibacterial strategies. This systematic review synthesizes recent advances in the field...

  • Article
  • Open Access
1 Citations
3,164 Views
17 Pages

Microscopic Droplet Size Analysis (MDSA) of “Five Thieves’ Oil” (Olejek Pięciu Złodziei) Essential Oil after the Nebulization Process

  • Wojciech Smułek,
  • Maciej Jarzębski,
  • Marek Ochowiak,
  • Magdalena Matuszak,
  • Jan Kaczorek,
  • Jerzy Stangierski,
  • Jarosław Pawlicz,
  • Paweł Drobnik,
  • Piotr T. Nowakowski and
  • Joanna Dyrda-Muskus
  • + 4 authors

Nowadays, due to a higher resistance to drugs, antibiotics, and antiviral medicaments, new ways of fighting pathogens are intensively studied. The alternatives for synthesized compositions are natural products, most of which have been known in natura...

  • Article
  • Open Access
2 Citations
2,837 Views
10 Pages

Bronchiolitis: A Real-Life Report of Increasing Compliance to Treatment Guidelines

  • Melodie O. Aricò,
  • Francesco Accomando,
  • Daniela Trotta,
  • Anthea Mariani,
  • Claudia Rossini,
  • Claudio Cafagno,
  • Letizia Lorusso,
  • Enrico Valletta,
  • Desiree Caselli and
  • Maurizio Aricò

28 April 2025

Background: Bronchiolitis accounts for a substantial number of pediatric hospitalizations and its epidemiology closely parallels that of respiratory syncytial virus (RSV), its principal etiological agent. International guidelines recommend supportive...

  • Article
  • Open Access
4 Citations
1,846 Views
12 Pages

The contamination of surfaces by antibiotic-resistant pathogens presents an escalating challenge, especially on touchscreens in public settings such as hospitals, airports, and means of transport. Traditional chemical cleaning agents are often ineffe...

  • Review
  • Open Access
2 Citations
2,147 Views
30 Pages

Latest Advances in Inhalable Dry Powder Bacteriophage Therapy for Pulmonary Infections

  • David Encinas-Basurto,
  • Patricia Dolores Martinez-Flores,
  • Joselyn García,
  • Marco Antonio Lopez-Mata,
  • Gerardo García-González,
  • Gerardo E. Rodea,
  • Basanth Babu Eedara,
  • Heidi M. Mansour and
  • Josue Juarez

The concerning increase in respiratory infections that are resistant to multiple drugs has led to a growing interest in bacteriophage therapy as a potential alternative to conventional antibiotics. Effective phage delivery to the lungs, however, pres...

  • Article
  • Open Access
1,388 Views
11 Pages

The Efficacy of Inhaled Phage Cocktail to Prevent Ventilator-Associated Pneumonia in Children: A Double-Blind Clinical Trial

  • Mohammad Reza Navaeifar,
  • Golnar Rahimzadeh,
  • Raha Rezai,
  • Hormoz Ranjbar,
  • Kofi Asare-Addo,
  • Ali Nokhodchi and
  • Mohammad Sadegh Rezai

Background/Objectives: Phage therapy is gaining attention as a potential alternative to antibiotics. This study investigates the potential use of a phage cocktail as a preventive measure against ventilator-associated pneumonia (VAP) in children. Meth...

  • Article
  • Open Access
5 Citations
3,009 Views
13 Pages

A low cutpoint wetted wall bioaerosol sampling cyclone (LCP-WWC), with an aerosol sampling flow rate of 300 L/min at 55″ H2O pressure drop and a continuous liquid outflow rate of about 0.2 mL/min, was developed by upgrading an existing system....

  • Article
  • Open Access
7 Citations
9,942 Views
18 Pages

8 April 2024

Preschool education institutions, where children have close contact and social interactions, can serve as potential environments for the transmission of infectious diseases. This issue poses a significant health concern, impacting both individual and...

  • Review
  • Open Access
568 Views
22 Pages

Ventilator-Associated Pneumonia (VAP) in Neurocritical Patients: The Hidden Dialog of Brain and Infection

  • Alejandro Rodríguez,
  • Laura Claverias,
  • Ignacio Martín-Loeches,
  • Frederic Gómez Bertomeu,
  • Ester Picó Plana,
  • Sara Rosich,
  • Vanessa Blázquez,
  • Dennis H. Céspedes Torrez,
  • Ruth Lau and
  • María Bodí

17 December 2025

Patients with multiple traumas, particularly those with traumatic brain injury (TBI), are among the most challenging cases in intensive care medicine. Although early orotracheal intubation and invasive mechanical ventilation (IMV) are essential for a...