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Managing children with frequent respiratory infections and associated wheezing: a preliminary randomized study with a
Maria Angela Tosca1, Attilio Varricchio2, Irene Schiavetti3
1Allergy Center, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Insights
This preliminary study found that a nasal spray containing lactoferrin, dipotassium glycyrrhizinate, carboxymethyl-beta-glucan, and vitamins C and D3 (Saflovir) reduced respiratory infections (RIs) and wheezing episodes in preschoolers.
Area of Science:
- Pediatrics
- Immunology
- Respiratory Medicine
Background:
- Preschoolers are prone to respiratory infections (RIs) and associated wheezing.
- Type 2 immune responses may increase susceptibility to RIs and wheezing.
- Non-pharmacological interventions are explored as complementary therapies for RIs.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel multi-component nasal spray for frequent RIs and wheezing in preschoolers.
- To assess the impact of the nasal spray as an add-on therapy to standard care.
Main Methods:
- A randomized controlled trial involving preschoolers with frequent RIs and wheezing.
- Participants received either the multi-component nasal spray (Saflovir) or standard therapy for 3 months.
- Outcomes measured included RI and wheezing episode frequency, medication use, and clinical severity.
Main Results:
- Children using the multi-component nasal spray experienced significantly fewer RIs compared to the control group (P=0.01).
- Add-on nasal spray treatment led to reduced use of beta-2 agonists for wheezing relief (P=0.029).
Conclusions:
- This preliminary study suggests the multi-component nasal spray is a safe and effective add-on therapy for reducing RIs in preschoolers.
- The nasal spray may decrease the incidence of respiratory infections and the need for symptomatic treatments for wheezing in children.
Background:
Preschoolers frequently have respiratory infections (RIs), which may cause wheezing in some subjects. Type 2 polarization may favor increased susceptibility to RIs and associated wheezing. Non-pharmacological remedies are garnering increasing interest as possible add-on therapies. The present preliminary study investigated the efficacy and safety of a new multi-component nasal spray in preschoolers with frequent RIs and associated wheezing.
Methods:
Some preschoolers with these characteristics randomly took this product, containing lactoferrin, dipotassium glycyrrhizinate, carboxymethyl-beta-glucan, and vitamins C and D3 (Saflovir), two sprays per nostril twice daily for 3 months. Other children were randomly treated only with standard therapy. Outcomes included the number of RIs and wheezing episodes, use of medications, and severity of clinical manifestations.
Results:
Preschoolers treated add-on with this multicomponent product experienced fewer RIs and used fewer beta-2 agonists than untreated children (P = 0.01 and 0.029, respectively).
Conclusions:
This preliminary study demonstrated that a multicomponent product, administered add-on as a nasal spray, could reduce the incidence of RIs and use of symptomatic drugs for relieving wheezing in children.
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