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The impact of nasal aspiration with an automatic device on upper and lower respiratory symptoms in wheezing children:

Antonio Pizzulli1, Serena Perna2, Anja Bennewiz3

  • 1Practice for Pediatric Allergy and Pneumology, Berlin, Germany.

Italian Journal of Pediatrics
|June 15, 2018
PubMed

Insights

Using an automatic nasal aspirator in children with recurrent wheezing reduced upper and lower airway symptoms during the cold season. This simple intervention improved overall respiratory health in young patients.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Health
  • Upper Airway Infections

Background:

  • The impact of nasal secretion aspiration on lower airway symptoms in children with recurrent wheezing remains understudied.
  • This study investigated whether nasal cavity cleaning with an automatic aspirator affects respiratory symptoms in children prone to wheezing.

Purpose of the Study:

  • To evaluate the efficacy of an automatic nasal aspirator in managing upper and lower respiratory symptoms in children with recurrent wheezing.
  • To assess the impact of nasal aspiration on symptom frequency and severity during the cold season.

Main Methods:

  • A randomized controlled trial involving parents of wheezing children (3-72 months).
  • Children were assigned to groups using a nebulizer with (cases) or without (controls) an automatic nasal aspirator.
  • Symptom data for upper and lower airways were collected via electronic diaries over a 90-day period.

Main Results:

  • Fewer days with upper (25.0% vs 46.4%) and lower (21.8% vs 32.8%) airway symptoms were reported in the case group.
  • The case group experienced fewer days requiring salbutamol inhalation (12.2% vs 16.9%).
  • Episodes of upper respiratory symptoms were shorter in the case group (4.3 vs 5.7 days).

Conclusions:

  • The use of an automatic nasal aspirator in children with recurrent wheezing is linked to improved respiratory health.
  • This pilot study suggests a potential benefit of nasal aspiration for managing respiratory symptoms in vulnerable children.
Abstract

Keywords:
ChildhoodLRINasal aspirationNebulizerPreventionSalbutamolTherapyURI

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