Varricchio Attilio, Ciprandi Giorgio
Department of Otolaryngology, University of Molise, Campobasso, Italy.
Allergy Clinic, Casa di Cura Villa Montallegro, Genoa, Italy.
Int J Gen Med. 2024 Nov 23;17:5471-5477. doi: 10.2147/IJGM.S497547. eCollection 2024.
Acute upper respiratory infections (AURI) represent a daily challenge in primary care practice. Mucus production may impair during AURI. Sobrerol is a muco-active agent that improves rheological characteristics and exerts other ancillary activities. The aim of this retrospective case-series study was to compare the efficacy and safety of different uses of sobrerol (only oral, only nebulized, and combined or standard treatment for infections alone) in patients with AURIs.
The present clinical experience retrospectively collected clinical data of patients with AURIs visited by ten primary care doctors (pediatricians and general practitioners) over a long period. Patients could take standard therapy for infections, or as add-on: oral sobrerol, nebulized sobrerol, or combined oral and nebulized aerosol during the infection for 3 days.
Patients treated with combined oral and nebulized sobrerol experienced less intense symptoms, mainly concerning cough (p < 0.001) and nasal complaints (p = 0.043). In addition, the patients taking the combined therapy reported a more rapid disappearance of cough and nasal symptoms at day 7 than patients treated with the other options (OR 4.47 and 3.16, respectively).
The current retrospective and observational study showed that a three-day combined (oral and nebulized) sobrerol course may represent a valuable add-on option in patients with AURIs.
急性上呼吸道感染(AURI)是基层医疗实践中的日常挑战。AURI期间黏液分泌可能受损。索布瑞醇是一种黏液活性药物,可改善流变学特性并发挥其他辅助作用。本回顾性病例系列研究的目的是比较索布瑞醇不同使用方式(仅口服、仅雾化、联合使用或单独用于感染的标准治疗)在AURI患者中的疗效和安全性。
本临床经验回顾性收集了10名基层医疗医生(儿科医生和全科医生)长期诊治的AURI患者的临床资料。患者可接受感染的标准治疗,或在感染期间作为附加治疗:口服索布瑞醇、雾化索布瑞醇,或口服与雾化联合使用,为期3天。
接受口服与雾化联合使用索布瑞醇治疗的患者症状较轻,主要是咳嗽(p < 0.001)和鼻部不适(p = 0.043)。此外,接受联合治疗的患者在第7天时咳嗽和鼻部症状消失得比接受其他治疗的患者更快(分别为OR 4.47和3.16)。
当前的回顾性观察研究表明,为期3天的索布瑞醇联合(口服和雾化)疗程可能是AURI患者一种有价值的附加治疗选择。