|Year : 2018 | Volume
| Issue : 1 | Page : 1
Pollution, infection and high flow
Division of Pediatric Pulmonology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan
|Date of Web Publication||5-Apr-2018|
Division of Pediatric Pulmonology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Wong KS. Pollution, infection and high flow. Pediatr Respirol Crit Care Med 2018;2:1
High-flow nasal cannula (HFNC) is a safe and well-tolerated noninvasive therapy in neonates and young children who required respiratory support not severe enough for mechanical ventilation. In this issue, Franklin and Schibler provided an excellent review of the mechanisms and rationale of HFNC. Promotion of this patient-friendly respiratory support would help improve service delivery in children with respiratory distress, acute, or otherwise.
Traffic-related pollution has been found to be related with the development of asthma and exacerbation., Siu et al. studied the risk factors of preschool children with wheeze in Hong Kong such as environmental nitrogen dioxide concentration, sulfur dioxide, particulate matter, and preterm delivery rate of gestational age <36 weeks. In the report, they found that the annual average NO2 concentration was the only independent factor associated with preschool wheeze admission using the multivariable regression analysis model. This finding suggests that environmental control is crucial for respiratory health in children with underlying diseases and clean air campaign should be targeted to ensure a decline in the admission of preschool wheeze in the forthcoming years.
Mycoplasma pneumoniae accounted for 7%–40% of all community-acquired pneumonia in children between 3 and 15 years of age. Early targeted antibiotic therapy obviates unnecessary and overuse of antibiotics. The use of polymerase chain reaction may help early detection of M. Pneumoniae; however, it is not readily available, especially in resource-poor facilities; other alternative rapid diagnostic tests would be desirable. Liu et al. used the BioCard Mycoplasma IgM for the early diagnosis of Mycoplasma pneumonia in children comparing with standard IgM titers, they reported a sensitivity of 62.2% and specificity of 100%. Despite the availability of BioCard test, it must be remember that a positive IgM titer may persist for up to 6 months after acute infections.
I wish to take this opportunity to wish all readers a Happy Easter.
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