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Updated: Jun 13, 2026

Antibiotic Efficacy Testing in an Ex vivo Model of Pseudomonas aeruginosa and Staphylococcus aureus Biofilms in the Cystic Fibrosis Lung
Published on: January 22, 2021
Update on infection and antibiotics in asthma
Donald R Rollins1, David A Beuther, Richard J Martin
1Department of Medicine, National Jewish Health and the University of Colorado, Denver, CO 80206, USA.
Abstract:
Asthma pathogenesis seems to be a result of a complex mixture of genetic and environmental influences. There is evidence that Mycoplasma pneumoniae and Chlamydophila pneumoniae (formerly known as Chlamydia pneumoniae) play a role in promoting airway inflammation that could contribute to the onset and clinical course of asthma. Evidence also indicates that when antimicrobial therapy can eradicate or suppress these organisms, it may be possible to alter the course of the disease. Certain macrolide antibiotics have been shown to improve control of asthma symptoms and lung function in patients diagnosed with acute C. pneumoniae or M. pneumoniae infection. Positive polymerase chain reaction studies for C. pneumoniae or M. pneumoniae are needed to select asthma patients for chronic treatment. Macrolide antibiotics may also have independent anti-inflammatory activity that may be useful in the management of asthma and other inflammatory diseases.
Insights
Mycoplasma pneumoniae and Chlamydophila pneumoniae infections may contribute to asthma. Treating these infections with macrolide antibiotics may improve asthma symptoms and lung function, potentially by reducing inflammation.
Area of Science:
- Pulmonology
- Infectious Diseases
- Immunology
Background:
- Asthma pathogenesis involves complex genetic and environmental factors.
- Mycoplasma pneumoniae and Chlamydophila pneumoniae are implicated in airway inflammation contributing to asthma.
- Antimicrobial therapy may alter asthma's course by eradicating these pathogens.
Purpose of the Study:
- To investigate the role of Mycoplasma pneumoniae and Chlamydophila pneumoniae in asthma.
- To evaluate the efficacy of macrolide antibiotics in managing asthma associated with these infections.
Main Methods:
- Review of evidence linking C. pneumoniae and M. pneumoniae to asthma.
- Analysis of studies on macrolide antibiotic treatment for asthma patients with confirmed infections.
- Consideration of polymerase chain reaction (PCR) for patient selection.
Main Results:
- Macrolide antibiotics have demonstrated improvements in asthma symptom control and lung function.
- Eradication or suppression of C. pneumoniae or M. pneumoniae may positively impact disease progression.
- PCR testing is crucial for identifying suitable candidates for chronic macrolide therapy.
Conclusions:
- Macrolide antibiotics show promise in managing asthma, particularly when linked to C. pneumoniae or M. pneumoniae infections.
- The anti-inflammatory properties of macrolides may offer additional therapeutic benefits beyond antimicrobial action.
- Targeted antimicrobial treatment guided by diagnostic tests is essential for optimizing asthma care.
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Asthma-IV: Diagnostic and Management
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Microbiota of the Respiratory Tract

