RT期刊文章SR电子T1一种护理点中性粒细胞弹性蛋白酶活性测定方法可识别支气管扩张严重程度、气道感染和加重风险JF欧洲呼吸杂志JO Eur Respir J FD欧洲呼吸学会SP 1900303 DO 10.1183/13993003.00303-2019 VO 53 IS 6 A1 Shoemark, Amelia A1坎特，Erin A1 Carreto, Luis A1 Smith, Alexandria A1 Orian188bet官网地址o, Martina A1 Keir, Holly R. A1 Perea, Lidia A1 Canto, eliset A1 Terranova, Leonardo A1 Vidal, Silvia A1 Moffitt，Kelly A1 Aliberti, Stefano A1 Sibila, Oriol A1 Chalmers, James D. YR 2019 UL //www.qdcxjkg.com/content/53/6/1900303.abstract AB简介痰中中性粒细胞弹性蛋白酶活性可以识别支气管扩张患者气道感染和恶化的高风险。这种生物标志物在临床实践中的应用是有限的，因为没有可用的即时检测。我们测试了一种新型半定量侧流装置(中性粒细胞弹性蛋白酶气道测试棒- NEATstik®)是否可以根据严重程度、气道感染和加重风险对支气管扩张患者进行分层。方法使用NEATstik®检测来自英国和西班牙的124例稳定支气管扩张患者的痰样本，该方法将中性粒细胞弹性蛋白酶浓度从0(<8µg·mL−1弹性蛋白酶活性)评分至10(最大可检测中性粒细胞弹性蛋白酶活性)。高中性粒细胞弹性蛋白酶活性被认为是NEATstik®级>6。记录12个月内疾病的严重程度、痰培养引起的气道感染和病情加重情况。在意大利米兰的50名患者中进行了独立验证。测量和主要结果患者中位年龄69岁，1秒用力呼气量(FEV1)为69%。使用支气管扩张严重程度指数(p=0.0007)和FEV1 (p=0.02)，高中性粒细胞弹性蛋白酶活性与更严重的支气管扩张严重程度相关。 A high NEATstik® grade was associated with a significant increase in exacerbation frequency, incident rate ratio 2.75 (95% CI 1.63–4.64, p<0.001). The median time to next exacerbation for patients with a NEATstik® grade >6 was 103 days compared to 278 days. The hazard ratio was 2.59 (95% CI 1.71–3.94, p<0.001). Results were confirmed in the independent validation cohort.Conclusions A novel lateral flow device provides assessment of neutrophil elastase activity from sputum in minutes and identifies patients at increasing risk of airway infection and future exacerbations.NEATstik®, a simple point-of-care semi-quantitative neutrophil elastase assay, can identify bronchiectasis patients with airway infection and patients at high risk of exacerbations over the subsequent 12 months http://bit.ly/2HL6OyK