2005
DOI: 10.1056/nejmoa044113
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Asthma as a Risk Factor for Invasive Pneumococcal Disease

Abstract: Asthma is an independent risk factor for invasive pneumococcal disease. The risk among persons with asthma was at least double that among controls.

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Cited by 351 publications
(315 citation statements)
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“…People with asthma have increased susceptibility to streptococcal infections, [13][14][15] increased carriage of bacterial pathogens identified by culture 16 and molecular techniques, 17 and impaired interferon and type 1 T helper cell responses to bacterial polysaccharides. 18,19 Viral infection impairs antibacterial innate immune responses 20 and increases bacterial adherence to bronchial epithelium.…”
mentioning
confidence: 99%
“…People with asthma have increased susceptibility to streptococcal infections, [13][14][15] increased carriage of bacterial pathogens identified by culture 16 and molecular techniques, 17 and impaired interferon and type 1 T helper cell responses to bacterial polysaccharides. 18,19 Viral infection impairs antibacterial innate immune responses 20 and increases bacterial adherence to bronchial epithelium.…”
mentioning
confidence: 99%
“…There is little published evidence that standard bacterial infections are important in the aetiology of asthma exacerbations; 14 however, patients with asthma have increased susceptibility to respiratory bacterial infections, [15][16][17] increased carriage of pathogenic respiratory bacteria identified by culture 18 and molecular techniques, 19 and impaired interferon responses to bacterial polysaccharides. 20 In addition, viral infection impairs innate responses that are important in antibacterial immunity 21 and increases bacterial adherence to bronchial epithelial cells.…”
Section: Aetiology Of Asthma Exacerbationsmentioning
confidence: 99%
“…The updated recommendations ( 3 ) in 2010 include the following changes from 1997 ACIP recommendations: 1) the indications for which PPV23 vaccination is recommended include smoking (12) and asthma (13,14) , and 2) routine use of PPV23 is no longer recommended for Alaska natives or American Indians aged below 65 years unless they have medical or other indications for PPV23 (15) .…”
Section: Pneumococcal Pneumoniamentioning
confidence: 99%