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长期舌下细菌免疫疗法可预防耳鼻喉感染:一项真实病例研究。

Long-term sublingual bacterial immunotherapy prevents ear, nose and throat infections: A real-life study.

作者信息

Aarestrup Paula F, Aarestrup Matheus F, Jv Aarestrup Beatriz, Cheloni Edir P, Aarestrup Fernando M

机构信息

Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo, São Paulo, Brazil.

Allergy and Immunology Service Hospitale Maternidade Therezinha de Jesus, Juiz de Fora, Brazil.

出版信息

SAGE Open Med. 2025 Jan 24;13:20503121241309514. doi: 10.1177/20503121241309514. eCollection 2025.

Abstract

OBJECTIVE

Bacterial extracts have been used for many years to prevent airway infections. Recent findings suggest that immunity can be trained by inducing an immunological memory in both the innate and acquired immune response. This real-life observational study investigated the potential of sublingual bacterial immunotherapy in the prevention of ear, nose, and throat infections.

METHODS

Patients received sublingual bacterial immunotherapy for 12 months and were followed for 24 months. The number of ear, nose, and throat infection episodes from the previous year was recorded during the initial visit based on the patient's clinical history. Patients were then followed up with visits every 2 months, and the occurrence of ear, nose, and throat infection episodes was documented at 6, 12, 18, and 24 months after the start of the study.

RESULTS

The results demonstrated a strong potential for preventing ear, nose, and throat infections, with a reduction in the number of episodes by 75.68%, 82.27%, 82.78%, and 89.88% at 6, 12, 18, and 24 months, respectively. No adverse effects related to sublingual bacterial immunotherapy administration were reported.

CONCLUSION

The results suggested that long-term sublingual bacterial immunotherapy is safe and effectively prevents ear, nose, and throat infections, even after treatment ends.

摘要

目的

细菌提取物已被用于预防气道感染多年。最近的研究结果表明,可通过在先天免疫和获得性免疫反应中诱导免疫记忆来训练免疫力。这项真实观察性研究调查了舌下细菌免疫疗法在预防耳、鼻、喉感染方面的潜力。

方法

患者接受为期12个月的舌下细菌免疫疗法,并随访24个月。在初次就诊时,根据患者的临床病史记录前一年耳、鼻、喉感染发作的次数。然后每2个月对患者进行一次随访,并在研究开始后的6、12、18和24个月记录耳、鼻、喉感染发作的情况。

结果

结果表明,舌下细菌免疫疗法在预防耳、鼻、喉感染方面具有很大潜力,在6、12、18和24个月时发作次数分别减少了75.68%、82.27%、82.78%和89.88%。未报告与舌下细菌免疫疗法给药相关的不良反应。

结论

结果表明,长期舌下细菌免疫疗法是安全的,即使在治疗结束后也能有效预防耳、鼻、喉感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31b2/11760123/83220f59ccaf/10.1177_20503121241309514-fig1.jpg

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