gastroesophageal reflux/heartburn - microaspiration induced respiratory tract infections/airway infections due to reflux in airway
Conditions
Interventions
None listed
Sponsors
Academisch Medisch Centrum
Eligibility
Age
2 Years to 17 Years
Inclusion criteria
Inclusion criteria: Group 1 - Hospitalized infants - Informed consent signed by care-givers - Age >
Exclusion criteria
Exclusion criteria: - > 6 months (Group 1) - Prematurity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| * IL-8 production in two cell cultures (cultivated bronchial and child*s obtained bronchial cell cultures) exposed to gastric juice from three patients groups (hospitalized infants, PICU admitted children and long term PPI users. * Determine relation between IL8 production of bronchial cells and endotoxine/bile acid/pepsin/acidity levels in GJ from patients in all study groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| * Determine the composure (pH, concentrations of bile acid, pepsin and endotoxine) of GJ in: - Hospitalized infants,on and off PPI, before and during PPI treatment, before and after feed. - children admitted to the pediatric intensive care unit (PICU) before and during PPI treatment. - Children who have received and currently receive PPI treatment for at least six weeks. * Determine whether there is a difference in inflammatory reaction of bronchial cells and GJ composure between breast milk fed and formula fed hospitalized infants * Measuring cytotoxic effect of GJ solutions on all cell cultures | — |
Countries
Netherlands
Outcome results
None listed