Topics

CF possible?
Hello, my daughter is 14 months old and has, after a severe infection with RS virus at the age of 9 weeks, persistent bronchial problems, she gets an inhalative steroid and montelukast permanently. In the last 2 months she had two times a bronchitis and 2 pneumonias short after the other that had been treated in hospital. She is of normal height and weight for her age. She has 3-4 times stool per day, often with rests of the meal in the stool, what I associate however with the lack of chewing due the missing teeth. Now 2 sweat tests had been done, the first value was 53 and the second value at the second test 40. My question is, is the illness of CF excluded? Many thanks for your answer!
12.05.2017
Inhalation device
Hello, I have a question concerning my inhalation device. I am 35 years old and suffer from CF. I inhale tobramycin (Bramitop), hypertonic saline 6% - 10ml and rh-DNAse (Pulmozyme). My former device PARI BOY does not function anymore after a quite short time interval. The motor burned. Now I am looking for an alternative. My question ist: can I also inhale with the device Flaem air pro 3000 plus ? ( http://www.flaem.it/en/flaem/7/pro_line/61/airpro_3000_plus_version) Can I use this inhalation device also for inhalation of the above mentioned drugs? How should the optimal size of particles be - MMAD in µm? Many thanks for an answer, I.
12.05.2017
Tonsilectomy versus longterm antibiotic therapy
Dear expert team, our daughter, 8 years, CF, suffers for one year from repeated infections with streptococci. She is 118cm heigh and weighs 18,4 kg. Each infection is accompanied by high fever and reduced health status. Due to the pain in the throat, she deteriorates quickly and does not drink and eat anymore, so that it has to be treated in hospital several times. In the throat swab always strepotococci can be found, that are immediately treated with antibiotics. ...with good success concering her status. According to the CF center, we give the antibiotics always for 20 days. After the 20 days, we can just wait until it starts again. After it had been like this for 4-5 times, our center recommended an antibiotic cure with cefuroxim for 3 months, which we did. In this time, we had no episodes of tonsillitis. Now, just 3 days after finishing, it starts again; high fever, pain in the throat, reduced status and streptococci. We directly started with amoxicillin plus clavulanic acid, and only after 1.5 days she is free of symptoms again. Now to our question: should the tonsills be removed, like the ENT specialist is recommending it or should rather a longterm antibiotic therapy be done? What about the operation for tonsillectomy and anaesthesia and CF? We are afraid, that the infections turn to go down to the lung if the tonsils are removed. However taking antibiotics the whole year does not please us, either. Are there any other reasons for a colonization with strepotococci? What else can we do? Our daughter is apart from her small height and weight active and fit, the FEV1 value in the lung function is 100%, the small airways at about 50-60%. Many thanks for your help
12.05.2017
i.v. Pseudomonas eradication therapy - dosage
Dear expert team, I would have a question about the right dosage concering an intravenous Pseudomonas eradication therapy. After an inhalative trial did not bring long-lasting sucess in order to eradicate Pseudomonas completely, an i.v. therapy had been planned with my physician at the last visit. At this visit, my physician asked me about my weight. After I said it was 57 kg, the following dosage had been proposed after a short moment of thinking: 3 x 2 g ceftazidim and 1 x 300g tobramycin for 14 days. Now I read in the literature, that much higher dosages of ceftazidim should be administered. Now I am insecure, if my physician had probably made a mistake when calculating the dosage according to my weight by head. Would you please check the dosage? What would be the usual dosage for a weight of 57kg in case of an eradication therapy? Many thanks for your help in advance!
12.05.2017
Drying of the inhalation device of the e-flow
I have been given a dehydrator (normally one dehydrates fruit in it) in order to dry my inhalation device of the e-flow nebulizer after cleaning. Is that sensible or is it damaging? Some CF patients seem to use this....
12.05.2017
Baby and physiotherapy
Hello, What is the best physiotherapy technique for a CF baby? Recover the mucus that comes out with a tissue or let the child swallow the mucus? Best regards
12.05.2017
Stomach pain after drinking milk
My 12-year-old CF daughter (with digestive problems since her birth) noticed that as soon as she had breakfast (cereals with cold milk, or a bowl of hot chocolate...) despite Creon, pain in the abdomen quickly occurs in the form of spasms. Do you think that the cow's UHT milk can be the cause of these pains? If yes do you have a solution to cure these pains other than remove the milk? Thank you in advance.
03.05.2017
Disease on organs
Hello, Is a pancreatic sufficient child also at risk of developing hepatic impairment, or do these diseases only affect patients with pancreatic insufficiency? Thank you cordially
03.05.2017
CF child with contact in school to MRSA-colonized child
Are there any concerns about teaching a CF child together with a child, who is colonized in the nose-throat area with MRSA (a new trial of eradication is not planned) in a class with only few pupils (special school)?
28.04.2017
Sweat test versus newborn screening
Helllo, our daughter has had a newborn screening at birth, 2.5 years ago, the result was normal. The sweat test last week was at 95. Which test can we trust more? Other hints are cough (without mucus) and she gets infections very easily. The weight is normal.
28.04.2017
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