Sodium hyaluronate improves quality of life and nasal endoscopy features in preschool children with upper respiratory tract infections

S. Montella, E. Cantone, M. Maglione, M. Iengo, F. Santamaria

PDF(303 KB)
Journal of Biological Regulators and Homeostatic Agents ›› 2016, Vol. 30 ›› Issue (1) : 303-308.
Letter

Sodium hyaluronate improves quality of life and nasal endoscopy features in preschool children with upper respiratory tract infections

Author information +
History +

Abstract

The aim of this prospective, randomised study was to evaluate the effects of nasal douches with sodium hyaluronate on clinical and endoscopic variables, on parental perception of their child's health-related quality of life (HR-QoL), and on parental workdays lost in preschool recurrent upper respiratory tract infections (URTIs). Children aged 2-6 years with recurrent or persistent URTIs underwent at baseline the evaluation of upper respiratory tract symptoms in the previous two weeks, and nasal endoscopy. Parents of enrolled children were assessed for self-perception of their children's HR-QoL using a standardised questionnaire. The same variables were reassessed after a 2-week treatment with either 9 mg sodium hyaluronate plus saline solution or saline alone by nasal douches. Forty of the 48 children enrolled completed the study (22 assigned to the combined treatment). Compared to baseline, the combined treatment resulted in a significant reduction of the prevalence of children with missed daycare days (45% vs 14%, p=0.04) and of parents with workdays lost (36% vs 5%, p=0.02), and in a significant improvement of HR-QoL score (3.7 vs 2.8, p=0.004). At endoscopy, the secretion and mucosal oedema score significantly improved after the combined treatment (6 vs 2, p<0.001), and there was a trend towards a reduction of the adenoid hypertrophy score (p=0.06). No clinical, HR-QOL or endoscopy changes were found in the saline group. In preschool children with recurrent or persistent URTIs, sodium hyaluronate by nasal douche significantly improves endoscopic features. Additional benefits include the children's HR-QoL and daycare attendance, and parental work.

Key words

sodium hyaluronate / upper respiratory tract infections / nasal endoscopy / quality of life

Cite this article

Download Citations
S. Montella , E. Cantone , M. Maglione , M. Iengo , F. Santamaria. Sodium hyaluronate improves quality of life and nasal endoscopy features in preschool children with upper respiratory tract infections. Journal of Biological Regulators and Homeostatic Agents. 2016, 30(1): 303-308

References

RIGHTS & PERMISSIONS

Copyright © 2016 by BIOLIFE, s.a.s. This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. DISCLOSURE: ALL AUTHORS REPORT NO CONFLICTS OF INTEREST RELEVANT TO THIS ARTICLE.
Article Options
  • PDF (10 views)
  • Full Text (128 views)

128

Accesses

0

Citation

Detail

Sections
Recommended

/