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Azithromycin and high-dose vitamin D for treatment and prevention of asthma-like episodes in hospitalised preschool children: study protocol for a combined double-blind randomised controlled trial
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  • Published on:
    Infection biomarkers in asthma: Important not to miss using the best ones
    • Nikki M. Schultek, patient and patient advocate Intracell Research Group, Wake Forest, NC, USA
    • Other Contributors:
      • David L. Hahn, Clinician-Researcher
      • Thomas J. Borody, Clinician-Researcher
      • Fred A. Wagshul, Clinician
      • Wilmore C. Webley, Associate Professor of Microbiology
      • Jenny A. K. Ekberg, Associate Professor of Neurophysiology
      • James A. St. John, Associate Professor, Neurobiology
      • David B. Corry, Professor of Medicine: Allergy, Immunology, Rheumatology
      • Brian J. Balin, Professor of Neuroscience and Neuropathology
      • Or Shemesh, Assistant Professor, Neuroscience andBioengineering

    The Intracell Research Group (IRG, www.intracellresearchgroup.com) is a global research consortium consisting of microbiologists, neuroscientists, asthma clinical researchers, physicians, life sciences professionals and others advocating for the study of chronic intracellular infections as potential causes for chronic inflammatory diseases of unknown etiology with emphasis on Alzheimer’s, Asthma, Coronary Heart Disease, and Crohn’s. We wish to comment on the exciting protocol of Kyvsgaard et al.1 published recently in BMJ Open, of a 3-day treatment with azithromycin or long-term vitamin D (to affect short- and long-term symptomatology, respectively) in preschool patients hospitalized with acute asthma-like episodes. Previous work by Stokholm et al.2 in children with asthma-like symptoms found that a 3-day treatment with azithromycin was effective in the short-term but did not significantly affect the time to next episode of troublesome lung symptoms in individual children. We applaud inclusion of microbiologic measurements in the protocol and wish to point out how the investigation of associations of infection and treatment response may be augmented.

    The Kyvsgaard protocol microbiologic methods may fail to detect important atypical respiratory pathogens that are prone to produce chronic infections and that have been associated with asthma. In chronic infections, Chlamydia pneumoniae and Mycoplasma pneumoniae may re...

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    Conflict of Interest:
    None declared.