Dry powder inhalation versus wet nebulisation delivery of antibiotics in cystic fibrosis patients

E. M. Westerman, H. G. M. Heijerman, H. W. Frijlink

Research output: Contribution to journalArticleAcademicpeer-review

20 Citations (Scopus)

Abstract

Inhalation of antipseudomonal antibiotics is a cornerstone in treating cystic fibrosis patients. It has shown to be effective in slowing down the process of pulmonary deterioration and decreasing the incidence of infectious exacerbations. The focus is now on innovating drug delivery devices, sometimes combined with specific drug formulations, which allow for the administration of large doses in a short time frame and in a reproducible way. Adaptive aerosol delivery devices are promising, but do not have a distinct position as yet because of the lack of long-term data. The position of dry powder inhalation of antibiotics in cystic fibrosis treatment is still confined to pilot studies. Until more clinical data are available, the suboptimal, conventional jet nebulisers are the mainstay in antipseudomonal inhalation therapy in cystic fibrosis. © 2007 Informa UK.
Original languageEnglish
Pages (from-to)91-94
Number of pages4
JournalExpert Opinion on Drug Delivery
Volume4
Issue number2
DOIs
Publication statusPublished - Mar-2007

Keywords

  • Antibiotics
  • Cystic fibrosis
  • Dry powder inhalation
  • Pulmonary drug delivery
  • Wet nebulisation
  • antibiotic agent
  • antiinfective agent
  • ciprofloxacin
  • colistimethate
  • colistin
  • dornase alfa
  • gentamicin
  • tobramycin
  • aerosol
  • antibiotic resistance
  • bronchiectasis
  • cystic fibrosis
  • disease exacerbation
  • drug delivery system
  • drug distribution
  • drug dose comparison
  • drug formulation
  • drug tissue level
  • dry powder
  • editorial
  • human
  • incidence
  • long term care
  • nebulization
  • nebulizer
  • particle size
  • physical chemistry
  • pilot study
  • Pseudomonas aeruginosa
  • reproducibility
  • risk reduction
  • unspecified side effect

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