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About:
Cough-generated aerosols of Pseudomonas aeruginosa and other Gram-negative bacteria from patients with cystic fibrosis
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schema:ScholarlyArticle
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Cough-generated aerosols of Pseudomonas aeruginosa and other Gram-negative bacteria from patients with cystic fibrosis
Creator
Anuj, S
Coulter, C
Harbour, C
Hargreaves, M
Ristovski, Z
Nissen, M
Sloots, T
Bell, S
Fennelly, K
France, M
Kidd, T
O'rourke, P
Rose, B
Wainwright, C
Source
Medline; PMC
abstract
BACKGROUND: Pseudomonas aeruginosa is the most common bacterial pathogen in patients with cystic fibrosis (CF). Current infection control guidelines aim to prevent transmission via contact and respiratory droplet routes and do not consider the possibility of airborne transmission. It was hypothesised that subjects with CF produce viable respirable bacterial aerosols with coughing. METHODS: A cross-sectional study was undertaken of 15 children and 13 adults with CF, 26 chronically infected with P aeruginosa. A cough aerosol sampling system enabled fractioning of respiratory particles of different sizes and culture of viable Gram-negative non-fermentative bacteria. Cough aerosols were collected during 5 min of voluntary coughing and during a sputum induction procedure when tolerated. Standardised quantitative culture and genotyping techniques were used. RESULTS: P aeruginosa was isolated in cough aerosols of 25 subjects (89%), 22 of whom produced sputum samples. P aeruginosa from sputum and paired cough aerosols were indistinguishable by molecular typing. In four cases the same genotype was isolated from ambient room air. Approximately 70% of viable aerosols collected during voluntary coughing were of particles ⩽3.3 μm aerodynamic diameter. P aeruginosa, Burkholderia cenocepacia, Stenotrophomonas maltophilia and Achromobacter xylosoxidans were cultivated from respiratory particles in this size range. Positive room air samples were associated with high total counts in cough aerosols (p = 0.003). The magnitude of cough aerosols was associated with higher forced expiratory volume in 1 s (r = 0.45, p = 0.02) and higher quantitative sputum culture results (r = 0.58, p = 0.008). CONCLUSION: During coughing, patients with CF produce viable aerosols of P aeruginosa and other Gram-negative bacteria of respirable size range, suggesting the potential for airborne transmission.
has issue date
2009-07-01
(
xsd:dateTime
)
bibo:doi
10.1136/thx.2008.112466
bibo:pmid
19574243
has license
cc-by
sha1sum (hex)
9721af1b88d60abbff468d841941f85a13731861
schema:url
https://doi.org/10.1136/thx.2008.112466
resource representing a document's title
Cough-generated aerosols of Pseudomonas aeruginosa and other Gram-negative bacteria from patients with cystic fibrosis
has PubMed Central identifier
PMC2764123
has PubMed identifier
19574243
schema:publication
Thorax
resource representing a document's body
covid:9721af1b88d60abbff468d841941f85a13731861#body_text
is
schema:about
of
named entity 'BACTERIA '
named entity 'tolerated'
named entity 'Methods'
named entity 'viable'
named entity 'Conclusion'
named entity 'culture'
named entity 'patients'
named entity 'GRAM-NEGATIVE BACTERIA'
covid:arg/9721af1b88d60abbff468d841941f85a13731861
named entity 'INFECTED'
named entity 'PARTICLES'
named entity 'CULTURE'
named entity 'CHRONICALLY'
named entity 'CHILDREN'
named entity 'BACTERIAL PATHOGEN'
named entity 'SUBJECTS'
named entity 'ENABLED'
named entity 'PSEUDOMONAS AERUGINOSA'
named entity 'SAMPLES'
named entity 'ADULTS'
named entity 'COUGHING'
named entity '0.02'
named entity 'INFECTION CONTROL'
named entity 'COLLECTED'
named entity 'SIZE RANGE'
named entity 'BACTERIAL'
named entity 'DIFFERENT'
named entity '283'
named entity 'FORCED EXPIRATORY VOLUME'
named entity 'PATIENTS'
named entity '008'
named entity 'METHODS'
named entity 'TO PREVENT'
named entity '3 MM'
named entity 'BURKHOLDERIA CENOCEPACIA'
named entity 'GRAM-NEGATIVE BACTERIA'
named entity 'STENOTROPHOMONAS MALTOPHILIA'
named entity 'SYSTEM'
named entity 'GENOTYPING TECHNIQUES'
named entity 'ROUTES'
named entity 'INDUCTION PROCEDURE'
named entity 'VOLUNTARY'
named entity 'MOLECULAR TYPING'
named entity '0.58'
named entity 'TRANSMISSION'
named entity 'AIRBORNE TRANSMISSION'
named entity 'SAMPLING'
named entity 'PRODUCE'
named entity 'AEROSOL'
named entity '0.003'
named entity 'AMBIENT'
named entity 'SPUTUM'
named entity 'RESULTS'
named entity 'HIGH'
named entity 'ASSOCIATED WITH'
named entity 'CASES'
named entity 'GUIDELINES '
named entity 'COMMON'
named entity 'COUGH'
named entity 'TOTAL'
named entity 'SPUTUM CULTURE'
named entity 'ACHROMOBACTER XYLOSOXIDANS'
named entity 'COUGH'
named entity 'PSEUDOMONAS AERUGINOSA'
named entity 'BACKGROUND'
named entity 'AEROSOLS'
named entity 'PATIENTS'
named entity 'QUANTITATIVE'
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