title: Sodium hyaluronate improves quality of life and nasal endoscopy features in preschool children with upper respiratory tract infections.
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 childs 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 childrens 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 childrens HR-QoL and daycare attendance, and parental work.
authors.affiliation: Department of Translational Medical Sciences, Federico II University, Naples, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Montella
authors.affiliation: Department of Neuroscience, Reproductive and Odontostomatologic Science, Section of ENT, Federico II University, Naples, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Cantone
authors.affiliation: Department of Translational Medical Sciences, Federico II University, Naples, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Maglione
authors.affiliation: Department of Neuroscience, Reproductive and Odontostomatologic Science, Section of ENT, Federico II University, Naples, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Iengo
authors.affiliation: Department of Translational Medical Sciences, Federico II University, Naples, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Santamaria
mesh_terms: D002648:Child; D002675:Child, Preschool; D016001:Confidence Intervals; D004724:Endoscopy; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D009666:Nose / Q000601:surgery*; D016017:Odds Ratio; D011788:Quality of Life; D012141:Respiratory Tract Infections / Q000188:drug therapy*
chemical_list: D006820:Hyaluronic Acid