The influence of smoking on lower airway bacterial colonization in stable phase of chronic obstructive pulmonary disease

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Author:
HE Shun-ping(Department of Respiratory Medicine, The First People's Hospital of Shaoguan , Shaoguan , Guangdong 512000, China)
LIU Zhi-feng(Department of Respiratory Medicine, The First People's Hospital of Shaoguan , Shaoguan , Guangdong 512000, China)
LI Dong-mei(Department of Respiratory Medicine, The First People's Hospital of Shaoguan , Shaoguan , Guangdong 512000, China)
HUANG Jiang(Department of Respiratory Medicine, The First People's Hospital of Shaoguan , Shaoguan , Guangdong 512000, China)
Journal Title:
Chinese Journal of Primary Medicine and Pharmacy
Issue:
Volume 19, Issue 02, 2012
DOI:
10.3760/cma.j.issn.1008-6706.2012.02.002
Key Word:
Pulmonary disease, chronic obstructive;Smoke;Bacterial colonization;Lung function

Abstract: Objective To observe the influence of smoking on lower airway bacterial colonization(LABC)in stable phase of chronic obstructive pulmonary disease(COPD).Methods 104 patients with moderate or severe COPD were divided into three groups:42 cases smoking continuously were divided into A group,36 cases quit smoking were B group,34 non-smoker were C group.Induced sputum were analyzed for quantitiative bacteriology and bacterial culture,pulmonary function was evaluated at begining and in two years later.Results Smokers has higher positive rate of LABC than non-smokers;patients in B group has significantly lower positive rate of bacterialculture in quit smoking 2 years late than before,and significantly lower than that in A group;bacterial colonization in A group and B group include Streptococcus pneumoniae,Haemophilus influenzae,Moraxella catarrhalis; patients in B group quit smoking 2 years late and patients in C group has significantly lower positive rate of Pseudomonas aeruginosa,significantly decreased exacerbation frequency and decline of FEV1 than patients in A group.Conclusion Smoking increase positive rate of LABC in patients with moderate or severe COPD.Smoking is an important factor in deterioration of lung function in COPD.there is positive significance to quit smoking in patients with COPD.

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