Vicious Cycle of Poor Airway Clearance

A vicious cycle of respiratory disease begins when bacteria or other irritants invade lung tissue, triggering an inflammatory response. When airway clearance mechanisms are impaired, normal defenses fail. Bacteria gain a foothold, multiply, and cause infection. Mucus accumulates and inflammation intensifies. More mucus is produced; airway obstruction and mucus plugging develop.

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Vulnerable individuals are caught in a vicious cycle of frequent lung infection and progressive lung injury. Airway clearance therapy is essential to break this vicious cycle.

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Source

Cole, P. J. (1986). Inflammation: a two-edged sword—the model of bronchiectasis. European Journal of Respiratory Disease, 69 (Suppl 147), 6-15.

Cole, P. J. (1984). A new look at the pathogenesis and management of persistent bronchial sepsis: A “vicious circle” hypothesis and its logical therapeutic connotations. In Strategies for the management of chronic bronchial sepsis (pp. 1-20). Oxford: Medicine Publishing Foundation.