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    Asthma exacerbations in adults are usually caused by viral respiratory infections, but bacterial infections, allergens, pollutants, and other causes may also trigger them. Despite the relatively low likelihood of a bacterial etiology, and guideline recommendations against routine antibiotic therapy (British Guideline on Acute Asthma 2016, National Heart, Lung, and Blood Institute Guidelines for the Diagnosis and Management of Asthma 2007), antibiotics are often prescribed for asthma exacerbations, including 22% of emergency room visits in the United States (Acad Emerg Med 2008 Aug;15(8):736). Evidence directly assessing antibiotic efficacy for asthma exacerbations is limited (Cochrane Database Syst Rev 2001;(3): CD002741), and in the highest quality trial to date that does show a benefit, treatment with telithromycin 800 mg/day for 10 days reduced symptom severity by only a mean of 0.3 points on a 6 point scale (N Engl J Med 2006 Apr 13;354(15):1589). To better investigate the possible efficacy of antibiotic use for asthma exacerbation, the AZALEA trial (JAMA Intern Med 2016 Sep 19 early online) randomized 199 adults presenting to the emergency department in the United Kingdom for acute asthma exacerbation to azithromycin 500 mg vs. placebo once daily for 3 days and followed them until day 10. Only patients requiring systemic corticosteroids for the exacerbation were included in this trial, and patients were excluded if they had any systemic antibiotic therapy during the previous 28 days or had other serious cardiopulmonary conditions. Patients recorded symptom severity on a 6 point scale in a diary once daily. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Current treatments for asthma attacks are not completely effective and new and better treatments are needed. Listing a study does not mean it has been evaluated by the U. Viruses often cause asthma attacks and bacterial lung infections have also been associated with asthma attacks. Current asthma guidelines for doctors treating asthma exacerbations do not recommend the routine use of antibiotics. Acute attacks (exacerbations) of asthma are common and cause a great deal of suffering in asthmatic patients. The investigators would like to investigate whether or not azithromycin, which is a safe and well tolerated antibiotic (an antibacterial) that has been used for many years in the treatment of respiratory disease, might be of benefit in asthma attacks. As there is some evidence that azithromycin has anti-viral properties this may add to its benefits (antibiotics don't usually affect viruses). By looking at the effect of azithromycin on asthma attacks this will help us to show whether or not azithromycin should be recommended during an acute asthma attack in addition to the usual care that is provided to these patients as it may help them recover quicker from the exacerbation. The investigators will also be able to look at why azithromycin may be effective - if it is having an anti-bacterial and/or anti-viral effect.

    Azithromycin asthma exacerbation

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  6. The Azithromycin Against Placebo in Exacerbations of Asthma AZALEA randomized, double-blind, placebo-controlled clinical trial was a multicenter study of adults who requested emergency care for.

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    QVAR MDI=QVAR Inhalation Aerosol. Pediatric Patients 4 to 11 Years of Age. This randomized, double-blind, parallel-group, placebo controlled, 12-week, global efficacy and safety trial NCT02040766 compared QVAR REDIHALER 40 or 80 mcg, QVAR MDI 40 or 80 mcg or placebo given as 1 inhalation twice daily in pediatric patients aged 4 through 11 years old with persistent symptomatic asthma can buy viagra singapore pharmacy Current asthma guidelines for doctors treating asthma exacerbations do not recommend the routine use of antibiotics. The investigators would like to investigate whether or not azithromycin. Asthma azithromycin - Still have hesitations about online shopping for pills? buy the necessaryHi does anyone on asthma exacerbations and other professionals reading this study.

     
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