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Expert Pearls

Infection (nasopharyngeal) - Smoking

Smoking cessation for 12-15 months normalized the high level of nasal pathogens caused by smoking. [Arch Otolaryngol Head Neck Surg. 2007 Feb;133(2):135-8. 45781 (7/2007)] Summary Interview

Infection - Antibiotic resistance

Antibiotic resistance - reduce broad spectrum antibiotic use in animal husbandry via feed and directly into animals, and, in humans more judicious use of antibiotics [CMAJ Nov. 3, 1998;159(9):1129-1136. 32948 (2000)] Summary Interview

Infection - cardiovascular disease, macular degeneration, zinc - 50683

Zinc at 45 mg of elemental zinc daily as acetate or gluconate administered in the post absorptive state (2-3 h after dinner) has been shown to reduce cardiovascular risk. Zinc has been shown to be deficient in 30% of some elderly populations and has shown therapeutic value in slowing age-related macular degeneration, cardiovascular risk markers and infections. Doses of elemental zinc of 50 mg or more should be taken with 1 mg of copper. Serum levels of zinc are the most clinically efficient way to assess for zinc status. [J Trace Elem Med Biol. 2014 Oct;28(4):364-371. 50683 (2/2015)] Interview PubMed

Infection - Glutamine

Glutamine 20-30 gm/d P.O. or I.V. for catabolic state. [J Nutr, 2001:2569S-2577S. 38827 (2003)] Summary Interview

Infection - probiotic - 48766

Probiotic capsules containing three acid-resistant strains of bacteria (Lactobacillus gasseri: 2.6 billion CFUs; Bifidobacterium bifidum: 0.2 billion CFUs; Bifidobacterium longum: 0.2 billion CFUs) taken once daily in a single capsule away from meals reduced upper respiratory tract illness (URTI) or gastrointestinal (GI) episode, and the mean number of days sick was less in the probiotic group. Compliance was good and no side effects were noted.

[J Sci Sport, 2013 Aug 30; [Epub ahead of print]. 49766 (12/2013)] Summary Interview PubMed

Infection - vitamin d - 49771

Vitamin D3 at 60,000 IU/month was associated with lower risk of infection and antibiotic use, particularly in older adults (≥70).

[Am J Clin Nutr, 2013 Oct 9; [Epub ahead of print]. 49771 (11/2013)] Summary Interview PubMed
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