Non Invasive Ventilation, Respiratory Bacterial Infection, Spinal Muscular Atrophy
Conditions
Keywords
non invasive ventilation, Spinal Muscular Atrophy, Respiratory Bacterial Infection
Brief summary
SMA (Spinal Muscular Atrophy) is a rare neuromuscular disease characterized by motoneuron damage. Symptoms consist of respiratory involvement with numerous respiratory infections and eventually respiratory failure, for which NIV (Non Invasive Ventilation) is often used. Ventilation machines are in close contact with the respiratory tract of patients. They contain heated water to humidify the circuit. These humid and warm environments are conducive to the development of bacteria such as Pseudomonas aeruginosa. In this context, it is interesting to look for the presence or absence of bacteria, in comparison with the respiratory ecology of the patients. The aim is to highlight the microbiological role of NIV on the occurrence of respiratory bacterial infections or secondary infections in patients with SMA. To do this, samples are taken from the machines, and ECBCs are performed on patients during respiratory physiotherapy sessions.
Interventions
machine samples for bacterial culture will be performed
Patient samples for sputum culture
parent questionnaire
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of AMS (previous diagnosis or new diagnosis during the inclusion period) * Age from 0 to 12 years old * Nusinersen treatment * Benefiting from a NIV * Current monitoring at the University Hospital of Amiens
Exclusion criteria
* Invasive ventilation on tracheotomy * No ventilation * Other treatment than Nusinersen or no treatment * Parental refusal to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| number of hospitalization days for respiratory exacerbations with germs identical to protocol samples | one year |
Countries
France