Wobenzym in treatment of recurrent obstructive bronchitis in children

N Lanchava1, K Nemsadze, I Chkhaidze

  • 1Tbilisi State Medical University; M. Guramishvili Pediatric Clinic, Tbilisi, Georgia.

Georgian Medical News
|November 26, 2005
PubMed

Insights

Wobenzym, a systemic enzyme preparation, improved lung function and reduced symptoms in children with recurrent obstructive bronchitis. This treatment showed promise as a supportive therapy for managing this condition.

Area of Science:

  • Pediatrics
  • Pulmonology
  • Pharmacology

Background:

  • Recurrent obstructive bronchitis (ROB) affects children aged 5-15 years, characterized by at least three episodes annually.
  • Management of ROB often involves combination therapies to alleviate symptoms and improve pulmonary function.
  • Systemic enzyme preparations are explored for their potential anti-inflammatory and immunomodulatory effects.

Purpose of the Study:

  • To evaluate the efficacy of the systemic enzyme preparation Wobenzym as an adjunctive treatment for recurrent obstructive bronchitis in children.
  • To assess the impact of Wobenzym on clinical symptoms and pulmonary function indices in pediatric patients with ROB.

Main Methods:

  • A study involving 27 pediatric patients (5-15 years) diagnosed with recurrent obstructive bronchitis.
  • Serum IgE levels were measured using ELISA, alongside comprehensive pulmonary function tests (spirometry).
  • Patients received Wobenzym at a dosage of 1 tablet per 6 kg body weight for 3 months, with effectiveness assessed via a symptom questionnaire.

Main Results:

  • Treatment with Wobenzym led to a significant decrease in the Daily Symptom Score.
  • An increase in Symptom Free Days was observed post-treatment.
  • Spirometric indices, including Forced Vital Capacity (FVC), Forced Expiratory Volume (FEV), and Peak Expiratory Flow (PEF), showed improvement.

Conclusions:

  • Systemic enzyme preparation Wobenzym demonstrates effectiveness as a supportive measure in the combination treatment of recurrent obstructive bronchitis in children.
  • Wobenzym may help improve clinical outcomes and lung function in pediatric patients suffering from recurrent obstructive bronchitis.

Related Concept Videos

COPD: Management Using Bronchodilators and Corticosteroids01:26

COPD: Management Using Bronchodilators and Corticosteroids

Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
Chronic Obstructive Pulmonary Disease-V: Management01:29

Chronic Obstructive Pulmonary Disease-V: Management

Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Chronic Obstructive Pulmonary Disease01:24

Chronic Obstructive Pulmonary Disease

COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
Chronic Obstructive Pulmonary Disease II: Emphysema01:23

Chronic Obstructive Pulmonary Disease II: Emphysema

Emphysema, a major phenotype of chronic obstructive pulmonary disease (COPD), is characterized by irreversible destruction of alveolar walls and permanent enlargement of distal airspaces. Unlike chronic bronchitis, which primarily affects the airways, emphysema predominantly involves the lung parenchyma, where structural damage leads to airflow limitation.PathophysiologyIt most commonly results from prolonged exposure to cigarette smoke and other toxic gases, particularly cigarette smoke.