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Impact of saline irrigation and topical corticosteroids on the postsurgical sinonasal microbiota.

ABSTRACT: Topical treatments with nasal saline irrigation, topical steroid sprays, or corticosteroid rinses can improve sinonasal symptoms in chronic rhinosinusitis (CRS). However, the impact of these therapies on commensals (Corynebacterium) and on biofilm pathogens associated with CRS (Staphylococcus aureus and Pseudomonas) is not well characterized.Paired nasal and sinus swabs were collected endoscopically from 28 controls and 14 CRS patients with nasal polyposis (CRSwNP) who had not received systemic antibiotics or corticosteroids in the previous 8 weeks. Total DNA from swab eluents were extracted and analyzed by 16S rRNA gene-based pyrosequencing. A total of 359,077 reads were obtained and classified taxonomically. The association of use of topical therapies with sinonasal microbiota composition was assessed by factor/vector-fitting. The proportional abundances of sinonasal bacteria between topical therapy users and nonusers were further compared by 2-tailed Kolmogorov-Smirnov test among controls and among CRSwNP participants.Nasal saline irrigation, with or without added budesonide, was not associated with significantly distinct sinonasal microbiota composition or significantly decreased Pseudomonas or S. aureus abundances among either controls or CRSwNP participants. Corynebacterium was slightly lower in controls that reported using saline irrigation than those who did not. No significant association was found between nasal saline irrigation and the proportional abundances of Pseudomonas, S. aureus, and Corynebacterium in CRSwNP participants. However, male CRSwNP patients were noted to have significantly higher Corynebacterium proportional abundances than their female counterparts. The use of topical steroid sprays was associated with a distinct microbiota in control subjects, characterized by higher proportional abundances of Dolosigranulum and Simonsiella and a lower proportional abundance of Campylobacter.Nasal saline irrigation is not associated with a distinct alteration in the proportional abundance of commensal bacteria or biofilm-forming pathogens in CRSwNP patients. However, use of topical intranasal corticosteroid sprays in control subjects is associated with a distinct sinonasal microbiota.

SUBMITTER: Liu CM

PROVIDER: S-EPMC4628778 | biostudies-literature | 2015 Mar

REPOSITORIES: biostudies-literature

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Impact of saline irrigation and topical corticosteroids on the postsurgical sinonasal microbiota.

Liu Cindy M CM Kohanski Michael A MA Mendiola Michelle M Soldanova Katerina K Dwan Michael G MG Lester Richard R Nordstrom Lora L Price Lance B LB Lane Andrew P AP

International forum of allergy & rhinology 20141229 3

<h4>Background</h4>Topical treatments with nasal saline irrigation, topical steroid sprays, or corticosteroid rinses can improve sinonasal symptoms in chronic rhinosinusitis (CRS). However, the impact of these therapies on commensals (Corynebacterium) and on biofilm pathogens associated with CRS (Staphylococcus aureus and Pseudomonas) is not well characterized.<h4>Methods</h4>Paired nasal and sinus swabs were collected endoscopically from 28 controls and 14 CRS patients with nasal polyposis (CRS ...[more]

PMID: 25556553

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Project description:BackgroundForage production in the saline-sodic soil of the western Songnen Plain Northeast China depends on irrigation. Therefore, the water use efficiency (WUE) and soil chemical properties are key factors in the overall forage productivity in this water scarce region. Improving forage yield, WUE, and soil properties under irrigation are very important for food and ecological security in this water-deficient region. Additionally, a suitable irrigation schedule for this region is necessary.MethodsA field experiment was conducted between 2015 and 2018 to evaluate the effects of irrigation on artificial grassland productivity and the changes in soil chemical properties as well as to plan a reliable irrigation schedule for the western Songnen Plain. Eight irrigation treatments were designed, which depended on the three growth stages of alfalfa. The shoot height (SH), the chlorophyll content (SPAD), the dry yield (DM), the ratio of stem to leaves (SLR), the WUE, the changes in the chemical properties of the soil, and precipitation and evaporation were investigated.ResultsThe SH, DM, WUE, and SLR were significantly increased by irrigation (P < 0.01). However, the SPAD resulting from irrigation was not significantly higher than the SPAD of CK (no irrigation) (P < 0.05). In addition, the soil chemical properties at the depth of 0-100 cm were significantly decreased by irrigation P (0.05). For example, the soil electrical conductivity, sodium absorption ratio, and total alkalization were reduced 182-345 ?S cm-1, 8.95-9.00 (mmolc/L)1/2, and 3.29-4.65 mmolc L-1 by different irrigation treatments, respectively. Finally, considering the highest WUE of I5 (irrigation at branch stage) (2.50 kg m-3), relative high DM of I5 (787.00 g m-2), the precipitation, the evaporation, the water resources, and the changes of the soil's chemical properties, 236.50 mm of irrigation water was recommended at the branching stage of alfalfa for the western Songnen Plain, Northeast China.

Project description:BACKGROUND:Bacterial keratitis is a serious ocular infectious disease that can lead to severe visual disability. Risk factors for bacterial corneal infection include contact lens wear, ocular surface disease, corneal trauma and previous ocular or eyelid surgery. Topical antibiotics constitute the mainstay of treatment in cases of bacterial keratitis where as the use of topical corticosteroids remains controversial. Topical corticosteroids are usually used to control inflammation using the smallest amount of the drug. Their use requires optimal timing, concomitant antibiotics and careful follow up. OBJECTIVES:The objective of the review was to assess the clinical effectiveness and adverse effects of corticosteroids as adjunctive therapy for bacterial keratitis. SEARCH STRATEGY:We searched CENTRAL, MEDLINE, EMBASE, and LILACS up to 15 January 2007. We also searched the Science Citation Index to identify additional studies that had cited the included trial, an online database of ongoing trials (www.clinicaltrials.gov), reference lists of included trials, earlier reviews and the American Academy of Ophthalmology guidelines. We also contacted experts to identify any unpublished and ongoing randomized trials. SELECTION CRITERIA:We included randomized controlled trials evaluating adjunctive therapy with topical corticosteroids in people with bacterial keratitis. DATA COLLECTION AND ANALYSIS:Two review authors independently screened all the retrieved articles. Methodological quality of the one included trial was assessed using forms developed using pre-specified criteria by at least two review authors. We planned to extract data on outcomes using forms developed for the purpose. We planned to report risk ratios for dichotomous outcomes and mean differences for continuous outcomes. MAIN RESULTS:A single trial was eligible for inclusion in the review. Participants in the trial were randomized using a random numbers table. Allocation concealment was not attempted. Masking of participants, and care-providers was also not attempted. Outcome assessment was conducted independently by two physicians. Neither was masked to the treatment allocation. The trial reported the healing rate of epithelial defects and improvement in visual acuity. AUTHORS' CONCLUSIONS:There are no good quality randomized trials evaluating the effects of adjunct use of topical corticosteroids in bacterial keratitis. The only randomized trial we identified in the literature suffered from major methodological inadequacies.

Dataset Information

Impact of saline irrigation and topical corticosteroids on the postsurgical sinonasal microbiota.

Publications

Impact of saline irrigation and topical corticosteroids on the postsurgical sinonasal microbiota.

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