The Role of Infection in Exacerbation of Unstable Airways
The evidence linking bacterial or viral respiratory infection with exacerbations of wheezing in asthmatic subjects is reviewed. Bacterial involvement appears to be rare, while that of viruses is common, particularly in children. The practical recommendations which emerge from this analysis are that we should de-emphasize the use of antibiotics in acute asthma, while tightening our criteria for a diagnosis of bacterial infection; that cultures for bacteria are rarely useful; and that influenza vaccines should be given to non-egg-sensitive asthmatic subjects.
Document Type: Research Article
Publication date: 01 December 1981
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