Sleep disorders in elderly population suffering from TB and respiratory diseases

Devassy, Thomas Vadakkan; PS, Nishanth; Sharma, Daksh; Thomas, Anjana Mary

doi:10.1016/j.ijtb.2022.10.019

Cited by 2 publications

(2 citation statements)

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“…The prevalence of SDB in mycobacterial infections, as well as the mutual impact of SDB on mycobacterial infection and vice versa, have only scarcely been investigated and the few studies available show discordant results [ 89 , 90 ]. In a recent review, Devassy et al, report that poor sleep quality and restless leg syndrome were higher in patients with TB compared to the general population [ 89 ]. Authors also speculated that symptoms associated with SDB may exacerbate chronic infections like TB by impairing immune regulation [ 89 ].…”

Section: Sleep-disordered Breathing and Mycobacterial Infectionsmentioning

confidence: 99%

“…In a recent review, Devassy et al, report that poor sleep quality and restless leg syndrome were higher in patients with TB compared to the general population [ 89 ]. Authors also speculated that symptoms associated with SDB may exacerbate chronic infections like TB by impairing immune regulation [ 89 ]. A population-based study by Lee et al, evaluated the incidence of TB in patients with OSA using data from the Taiwan National Health Insurance database [ 90 ].…”

Section: Sleep-disordered Breathing and Mycobacterial Infectionsmentioning

confidence: 99%

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Sleep-Disordered Breathing and Chronic Respiratory Infections: A Narrative Review in Adult and Pediatric Population

Faverio

Zanini

Monzani

et al. 2023

IJMS

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Sleep-disordered breathing (SDB) comprises different diseases characterized by abnormal respiratory patterns during sleep including obstructive sleep apnea. SDB prevalence and impact in patients with chronic respiratory infections have been only marginally studied. The purpose of this narrative review is to report the prevalence and impact of SDB in chronic respiratory infections, including cystic fibrosis (CF), bronchiectasis and mycobacterial infections, and explore the possible pathophysiological mechanisms. Common pathophysiological mechanisms, underlying SDB onset in all chronic respiratory infections, include inflammation, which plays a central role, chronic nocturnal cough and pain, excessive production of mucous plugs, presence of obstructive and/or restrictive ventilatory impairment, upper airways involvement, and comorbidities, such as alteration of nutritional status. SDB may affect about 50% of patients with bronchiectasis. The severity of the disease, e.g., patients colonized with P. aeruginosa and frequent exacerbators, as well as comorbidities, such as chronic obstructive pulmonary disease and primary ciliary dyskinesia, may impact SDB onset. SDB may also frequently complicate the clinical course of both children and adults with CF, impacting the quality of life and disease prognosis, suggesting that their routine assessment should be incorporated into the clinical evaluation of patients from the first stages of the disease regardless of suggestive symptoms, in order to avoid late diagnosis. Finally, although the prevalence of SDB in patients with mycobacterial infections is uncertain, extrapulmonary manifestations, particularly nasopharyngeal locations, and concomitant symptoms, such as body pain and depression, may act as atypical predisposing factors for their development.

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Section: Sleep-disordered Breathing and Mycobacterial Infectionsmentioning

confidence: 99%

Section: Sleep-disordered Breathing and Mycobacterial Infectionsmentioning

confidence: 99%