Clinical efficacy of budesonide combined with acetylcysteine in the treatment of mycoplasma pneumonia infection.

Jing Chen, Ying Zhu, Chunfeng Zheng, Wei Zhao, Qi Liu

Journal: Immunity, inflammation and disease 2023;11(11):e1068

PMID: 38018572

Abstract

OBJECTIVE

Mycoplasma pneumoniae pneumonia (MPP) is a common respiratory tract infectious disease in children. The study aimed to elucidate the therapeutic efficacy of aerosolized budesonide and N-acetylcysteine combination therapy for MP infection in children.

METHODS

One hundred and twenty children with MP infection were included and divided into the control group (received aerosol inhalation of budesonide) and the experimental group (aerosolized budesonide and N-acetylcysteine). After treatment, the disappearance time of clinical symptoms and efficacy were contrasted between the two groups.

RESULTS

With the passage of treatment time, the children's cough score of the two groups were gradually reduced. The children in the experimental group got well from the cough faster than the control group, and the difference reached a significant level on the 5th and 7th days. The time required for fever, rale, and cough to disappear in the experimental group was shorter than those in the control group. As the treatment progressed, a gradual decrease in serum interleukin-6, tumor necrosis factor-α, and C-reactive protein values was detected in both groups, and the decrease was more significant in the experimental group. The total effective rate of the experimental group was 98.33%, which surpassed the control group (93.33%).

CONCLUSION

Budesonide and N-acetylcysteine combination therapy in the treatment of MP infection in children has a significant effect, and can quickly relieve the clinical symptoms of children with good safety. It is worthy of widespread clinical use.

© 2023 The Authors. Immunity, Inflammation and Disease published by John Wiley & Sons Ltd.

Address: Department of Pediatrics, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, Heilongjiang, China.; The Research Institute of Medicine and Pharmacy, Qiqihar Medical University, Qiqihar Academy of Medical Sciences, Qiqihar, Heilongjiang, China.
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