Evidence map›Paper›PMID 40489830›Full record

Observational studyMedicine2025

Effect of glucocorticoid combined with azithromycin on serum inflammatory factors and pulmonary function in children with influenza A virus-induced pneumonia.

Huaji Zhang, Aihua Shao, Hua Chen, Xiang Chen, Hengtao Li, Shuzhu Lin

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Huaji ZhangDepartment of Out-Patient, Fengcheng Hospital of Fengxian District, Shanghai, China.
Aihua ShaoDepartment of Nursing, Fengcheng Hospital of Fengxian District, Shanghai, China.
Hua ChenDepartment of Nursing, Fengcheng Hospital of Fengxian District, Shanghai, China.
Xiang ChenDepartment of Paediatrics, Fengcheng Hospital of Fengxian District, Shanghai, China.
Hengtao LiDepartment of Paediatrics, Fengcheng Hospital of Fengxian District, Shanghai, China.
Shuzhu LinDepartment of Paediatrics, Fengcheng Hospital of Fengxian District, Shanghai, China.ORCID 0009-0007-1134-3323

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Influenza A virus pneumonia in children is a serious respiratory infection disease. In view of the limitations of single treatment at present, this study aims to explore the clinical effect of glucocorticoid (GC) combined with azithromycin (AZM) on it. the data of 75 children with swine flu pneumonia were analyzed retrospectively, and they were divided into GC group (GCG), AZM group (AZMG), and GC + AZM group (combined group, CG) according to the treatment scheme, with 25 cases in each group. Clinical symptom recovery time, total effective rate, pulmonary function index before and after the treatment, including peak expiratory flow (PEF), forced vital capacity (FVC), functional residual capacity (FRC), maximum inspiratory pressure (PImax), and other pulmonary ventilation indicators, and serum inflammatory factors such as interleukin-8 (IL-8), interleukin-8 (IL-6), tumor necrosis factor-α (TNF-α), c-reactive protein (CRP), white blood cell (WBC), and procalcitonin (PCT) were compared. the recovery time of body temperature and disappearance time of lung rales in the CG group were significantly shorter than those in the GCG/AZMG group (P < .05), with a total effective rate of 92%, which was significantly higher than that in the GCG/AZMG group (60%, 64%, P < .05). The lung function index and serum inflammatory factors were significantly improved, PEF, FVC, FRC, and PImax were significantly increased, while TNF-α, IL-8, IL-6, CRP, WBC, and PCT were significantly decreased in CG compared with GCG and AZMG (P < .05). There was no significant difference in the incidence of adverse reactions (rash events, nausea and vomiting, diarrhea) among the 3 groups (P > .05). the combined use of GC and AZM shows better efficacy than single treatment in treating children with influenza A virus pneumonia, which can significantly shorten the recovery time of clinical symptoms, improve the treatment efficiency, improve lung function indexes and reduce the level of serum inflammatory factors. This discovery provides a new idea for the clinical treatment of children with swine flu pneumonia.

Indexed as

Anti-Bacterial AgentsAzithromycinGlucocorticoidsInfluenza, HumanPneumonia, ViralChildChild, PreschoolC-Reactive ProteinDrug Therapy, CombinationFemaleHumansInfluenza A virusMaleProcalcitoninRespiratory Function TestsRetrospective StudiesAnti-Bacterial AgentsAzithromycinC-Reactive ProteinGlucocorticoidsProcalcitoninAZMGCIAV-induced pneumonia in childrenlung functionserum inflammatory factors

Identifiers

PMID40489830
PMCPMC12151008

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.