Cystic fibrosis as a multisided problem. Literature review and clinical examples
A.A. EVSTRATOV, A.E. CHEREMISIN, R.R. ABBAZOV, D.R. SABIROVA
Republican Clinical Hospital of the MH of RT, Kazan
Contact details:
Evstratov A.A. ― Head of Resuscitation and Intensive Care Unit №2
Address: 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064, tel. +7-987-296-22-24, e-mail: virineia2005@mail.ru
The article presents a literature review and clinical cases of pregnant patients with cystic fibrosis. Cystic fibrosis is a systemic disease, affecting respiratory tract, gastrointestinal tract, liver, pancreas, salivary and sudoral glands, and reproductive system. Respiratory tract pathology is the main cause of complications and lethality (over 90% of cases). The primary manifestations of the disease in adults include respiratory failure in the form of chronic infections and inflammation, weight loss due to malabsorption and pancreatic insufficiency. In women with cystic fibrosis, maternal mortality rate is higher compared with patients without cystic fibrosis. They also have higher levels of intubation ventilation, transfusion of blood components, acute respiratory failure and acute renal failure.
Key words: cystic fibrosis, pregnancy, technique and terms of delivery.
(For citation: Evstratov A.A., Cheremisin A.E., Abbazov R.R., Sabirova D.R. Cystic fibrosis as a multisided problem. Literature review and clinical examples. Practical medicine. 2019. Vol. 17, № 6 (part 1), P. 11-14)
REFERENCES
- McArdle J.R. Pregnancy in cystic fibrosis. Chest. Med, 2011, 32, pp. 111-20, ix.
- World Health Organization. Classification of cystic fibrosis and related disorders, Report of a Joint Working Group of WHO/ICF(M)A/ECFS/ECFTN, 2001. Reprinted in Cyst. Fibros, 2002, 1, pp. 5-8.
- De Boeck K., Wilschanski M., Castellani C.J., et al. Cystic fibrosis: terminology and diagnostic algorithms. Thorax, 2006, 61, pp. 627-635.
- Bombieri C., Claustres M., De Boeck K., et al. Recommendations for the classification of diseases as CFTR-related disorders. Cyst. Fibros, 2011, 10 (2), pp. 86-102.
- Munck A., Mayell S.J., Winters V., et al. Cystic Fibrosis Screen Positive, Inconclusive Diagnosis (CFSPID): A new designation and management recommendations for infants with an inconclusive diagnosis following newborn screening. Cyst. Fibros, 2015, 14 (6), pp. 706-713.
- Ooi C.Y., Castellani C., Keenan K., et al. Inconclusive diagnosis of cystic fibrosis after newborn screening. Pediatrics, 2015, 135 (6), pp. 1377-1385.
- Stick S.M., Brennan S., Murray C., et al. Bronchiectasis in infants and preschool children diagnosed with cystic fibrosis after newborn screening. Pediatr, 2009, 155 (5), pp. 623.e1-8.e1.
- Khan T.Z., Wagener J.S., Bost T., et al. Early pulmonary inflammation in infants with cystic fibrosis. J. Respir. Crit. Care Med, 1995, 151, pp. 1075-82.
- Armstrong D.S., Grimwood K., Carlin J.B., et al. Lower airway inflammation in infants and young children with cystic fibrosis. J. Respir. Crit. Care Med, 1997, 156, pp. 1197-204.
- Sly P.D., Brennan S., Gangell C., et al. Lung disease at diagnosis in infants with cystic fibrosis detected by newborn screening. J. Respir. Crit. Care Med, 2009, 180, pp. 146-52.
- Cystic Fibrosis Foundation. Patient Registry Report, Annual Data Report, 2011 (vol. 2013), available at: http://www.cff.org/UploadedFiles/research/ClinicalResearch/2011-Patient- Registry.pdf (accessed: Feb. 1, 2014)
- McArdle J.R. Pregnancy in cystic fibrosis. Chest Med, 2011, 32, P. 111-20, ix.
- Kopito L.E., Kosasky H.J., Shwachman H. Water and electrolytes in cervical mucus from patients with cystic fibrosis. Fertil Steril, 1973, 24, pp. 512-6.
- Edenborough F.P. Pregnancy in women with cystic fibrosis. Acta Obstet. Gynecol. Scand, 2002, 81, pp. 689-92.
- Kent N.E., Farquharson D.F. Cystic fibrosis in pregnancy. CMAJ, 1993, 149, pp. 809-13.
- Patel E.M., Swamy G.K., Heine R.P., et al, Medical and obstetric complications among pregnant women with cystic fibrosis. J. Obstet. Gynecol, 2015, 212, pp. 98.e1-9.
- Lanng S. Glucose intolerance in cystic fibrosis patients. Respir. Rev, 2001, 2, pp. 253-9.
- Lanng S., Hansen A., Thorsteinsson B., Nerup J., Koch C. Glucose tolerance in patients with cystic fibrosis: five year prospective study. BMJ, 1995, 311, 655-9.
- Edenborough F.P., Borgo G., Knoop C., et al. Guidelines for the management of pregnancy in women with cystic fibrosis. Journal of Cystic. Fibrosis, 2008, pp. S2-S32.
- Weeks A.M., Buckland M.R. Anaesthesia for adults with cystic fibrosis. Intensive Care, 1995, 23, pp. 332-8.
- Della Rocca G. Anaesthesia in patients with cystic fibrosis. Curr Opin Anaesth, 2002, 15, pp. 95-101.
- Bose D., Yentis S.M., Fauvel N.J. Caesarean section in a parturient with respiratory failure caused by cystic fibrosis. Anaesthesia, 1997, 52 (6), pp. 578-82.
- Muammar M., Marshall P., Wyatt H., Skelton V. Caesarean section in a patient with cystic fibrosis. J. Obstet. Anesth, 2005, 14 (1), pp. 70-3.