Skip to main content
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 2003 Apr;88(4):358–360. doi: 10.1136/adc.88.4.358

Safety and success of exhaled breath condensate collection in asthma

E Baraldi 1, L Ghiro 1, V Piovan 1, S Carraro 1, F Zacchello 1, S Zanconato 1
PMCID: PMC1719518  PMID: 12651772

Abstract

Background: Exhaled breath condensate (EBC) is a rapidly expanding area of research to study airway inflammation through the detection of volatile and non-volatile substances in the airways.

Aims: To determine the safety and feasibility of EBC procedure in a group of children with asthma of varying severity.

Methods: In a cross sectional study of children aged 4–17 years, 18 healthy and 91 asthmatic children (69 in stable condition and 22 with asthma exacerbation) underwent the EBC procedure. Outcomes assessed included completion of the procedure, decrease in FEV1, change in fractional exhaled nitric oxide (FENO), and adverse effects. No pretreatment with ß2 agonists was given. All children were able to successfully complete the EBC procedure.

Results: Median fall in FEV1 after the procedure was -1% (IQR -3.5, 1.8) in asthmatics and was comparable to that observed in healthy children. In only one asthmatic child did the drop in FEV1 exceed 12%. No significant changes in FENO were observed after EBC.

Conclusion: This study suggests that EBC is a simple and well tolerated method for evaluating biological samples from the lower airway. The procedure was safe in children with asthma exacerbation, and the success rate was 100% in children aged 4 years and above.

Full Text

The Full Text of this article is available as a PDF (83.0 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cunningham S., McColm J. R., Ho L. P., Greening A. P., Marshall T. G. Measurement of inflammatory markers in the breath condensate of children with cystic fibrosis. Eur Respir J. 2000 May;15(5):955–957. doi: 10.1034/j.1399-3003.2000.15e24.x. [DOI] [PubMed] [Google Scholar]
  2. Dohlman A. W., Black H. R., Royall J. A. Expired breath hydrogen peroxide is a marker of acute airway inflammation in pediatric patients with asthma. Am Rev Respir Dis. 1993 Oct;148(4 Pt 1):955–960. doi: 10.1164/ajrccm/148.4_Pt_1.955. [DOI] [PubMed] [Google Scholar]
  3. Formanek W., Inci D., Lauener R. P., Wildhaber J. H., Frey U., Hall G. L. Elevated nitrite in breath condensates of children with respiratory disease. Eur Respir J. 2002 Mar;19(3):487–491. doi: 10.1183/09031936.02.00101202. [DOI] [PubMed] [Google Scholar]
  4. Griese M., Latzin P., Beck J. A noninvasive method to collect nasally exhaled air condensate in humans of all ages. Eur J Clin Invest. 2001 Oct;31(10):915–920. doi: 10.1046/j.1365-2362.2001.00875.x. [DOI] [PubMed] [Google Scholar]
  5. Hanazawa T., Kharitonov S. A., Barnes P. J. Increased nitrotyrosine in exhaled breath condensate of patients with asthma. Am J Respir Crit Care Med. 2000 Oct;162(4 Pt 1):1273–1276. doi: 10.1164/ajrccm.162.4.9912064. [DOI] [PubMed] [Google Scholar]
  6. Horváth I., MacNee W., Kelly F. J., Dekhuijzen P. N., Phillips M., Döring G., Choi A. M., Yamaya M., Bach F. H., Willis D. "Haemoxygenase-1 induction and exhaled markers of oxidative stress in lung diseases", summary of the ERS Research Seminar in Budapest, Hungary, September, 1999. Eur Respir J. 2001 Aug;18(2):420–430. doi: 10.1183/09031936.01.00231201. [DOI] [PubMed] [Google Scholar]
  7. Hunt J. F., Fang K., Malik R., Snyder A., Malhotra N., Platts-Mills T. A., Gaston B. Endogenous airway acidification. Implications for asthma pathophysiology. Am J Respir Crit Care Med. 2000 Mar;161(3 Pt 1):694–699. doi: 10.1164/ajrccm.161.3.9911005. [DOI] [PubMed] [Google Scholar]
  8. Jöbsis Q., Raatgeep H. C., Hermans P. W., de Jongste J. C. Hydrogen peroxide in exhaled air is increased in stable asthmatic children. Eur Respir J. 1997 Mar;10(3):519–521. [PubMed] [Google Scholar]
  9. Kharitonov S. A., Barnes P. J. Exhaled markers of pulmonary disease. Am J Respir Crit Care Med. 2001 Jun;163(7):1693–1722. doi: 10.1164/ajrccm.163.7.2009041. [DOI] [PubMed] [Google Scholar]
  10. Kotaru C., Coreno A., Skowronski M., Ciufo R., McFadden E. R., Jr Exhaled nitric oxide and thermally induced asthma. Am J Respir Crit Care Med. 2001 Feb;163(2):383–388. doi: 10.1164/ajrccm.163.2.2003138. [DOI] [PubMed] [Google Scholar]
  11. Montuschi P., Corradi M., Ciabattoni G., Nightingale J., Kharitonov S. A., Barnes P. J. Increased 8-isoprostane, a marker of oxidative stress, in exhaled condensate of asthma patients. Am J Respir Crit Care Med. 1999 Jul;160(1):216–220. doi: 10.1164/ajrccm.160.1.9809140. [DOI] [PubMed] [Google Scholar]
  12. Mutlu G. M., Garey K. W., Robbins R. A., Danziger L. H., Rubinstein I. Collection and analysis of exhaled breath condensate in humans. Am J Respir Crit Care Med. 2001 Sep 1;164(5):731–737. doi: 10.1164/ajrccm.164.5.2101032. [DOI] [PubMed] [Google Scholar]
  13. Piacentini G. L., Bodini A., Costella S., Vicentini L., Suzuki Y., Boner A. L. Exhaled nitric oxide is reduced after sputum induction in asthmatic children. Pediatr Pulmonol. 2000 Jun;29(6):430–433. doi: 10.1002/(sici)1099-0496(200006)29:6<430::aid-ppul3>3.0.co;2-0. [DOI] [PubMed] [Google Scholar]
  14. Scheideler L., Manke H. G., Schwulera U., Inacker O., Hämmerle H. Detection of nonvolatile macromolecules in breath. A possible diagnostic tool? Am Rev Respir Dis. 1993 Sep;148(3):778–784. doi: 10.1164/ajrccm/148.3.778. [DOI] [PubMed] [Google Scholar]
  15. Silkoff P. E., Wakita S., Chatkin J., Ansarin K., Gutierrez C., Caramori M., McClean P., Slutsky A. S., Zamel N., Chapman K. R. Exhaled nitric oxide after beta2-agonist inhalation and spirometry in asthma. Am J Respir Crit Care Med. 1999 Mar;159(3):940–944. doi: 10.1164/ajrccm.159.3.9805044. [DOI] [PubMed] [Google Scholar]
  16. Wilson N. M., Bridge P., Spanevello A., Silverman M. Induced sputum in children: feasibility, repeatability, and relation of findings to asthma severity. Thorax. 2000 Sep;55(9):768–774. doi: 10.1136/thorax.55.9.768. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES