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British Medical Bulletin 61:81-96 (2002)
© 2002 Oxford University Press

Persistent and aggressive bacteria in the lungs of cystic fibrosis children

C Anthony Hart and Craig Winstanley

Department of Medical Microbiology and Genitourinary Medicine, University of Liverpool, Liverpool, UK

There have been enormous improvements in life expectancy of patients with cystic fibrosis, especially with improved nutrition and better understanding of the basic cellular defects. However, infection in particular with Pseudomonas aeruginosa and Burkholderia cepacia, has the greatest effect in decreasing life expectancy. Although infections can be prevented by rigorous infection control procedures, early aggressive antimicrobial chemotherapy and established infection managed by antibiotics, they are not completely effective. A greater understanding of how the bacteria evade the host defences and produce infection is needed.


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