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Effect of inhaled corticosteroids on the microbiology of the respiratory tract

See article, page 272 (Source: Respirology)

Cigarette smoking is associated with high prevalence of chronic rhinitis and low prevalence of allergic rhinitis in men

ConclusionWe found that smoking was associated with a high prevalence of chronic rhinitis in both sexes and a low prevalence of allergic rhinitis in men. The associations were dose dependent and remained when adjusting for several possible confounders. (Source: Allergy)

Budesonide/formoterol maintenance and reliever therapy via Turbuhaler versus fixed‐dose budesonide/formoterol plus terbutaline in patients with asthma: Phase III study results

ConclusionsBudesonide/formoterol maintenance and reliever therapy provided more effective asthma control, including a prolonged time to first severe asthma exacerbation, than budesonide/formoterol plus terbutaline and was well tolerated. Budesonide/formoterol maintenance and reliever therapy also improved lung function and asthma symptoms. (Source: Respirology)

Systemic corticosteroids for community‐acquired pneumonia: Reasons for use and lack of benefit on outcome

ConclusionsThe main reasons for administering systemic steroids were the presence of chronic respiratory comorbidity or severe clinical presentation, but therapy did not influence mortality or clinical stability; by contrast, steroid administration was associated with prolonged length of stay. Nevertheless the steroid group did not show an increased mortality as it was expected according to the initial Pneumonia Severity Index score. Influence of steroids on outcomes of CAP need to be further investigated through randomized clinical trial. (Source: Respirology)

Acid suppression does not reduce symptoms from vocal cord dysfunction, where gastro‐laryngeal reflux is a known trigger

This study suggests that empirical treatment of GORD in VCD marginally improves symptom control. (Source: Respirology)

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