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My top tips for fighting Pseudomonas aeruginosa (Pa)

By Sara Sanders

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When someone with CF is diagnosed with Pseudomonas aeruginosa (or ‘Pseudomonas’), many emotions can surface…possibly concern, frustration, anger, or sadness. I know firsthand that dealing with Pseudomonas is challenging, but it is possible.

For those facing a recent diagnosis of Pseudomonas aeruginosa, the following are a few tips from someone who has dealt with this for years:

1. Seek education

I love asking questions and trying to understand the why…and I encourage you to do the same. Educate yourself about Pseudomonas aeruginosa.

  • What is it?
  • How does it affect the lungs?
  • Why are certain treatments important in fighting Pseudomonas?
  • What are the current treatments I am taking now that do not treat Pseudomonas?

Understanding what a diagnosis of Pseudomonas means will help you see the bigger picture, think about the next steps, and partner with your medical team to create a treatment plan.

2. Stay positive

Being diagnosed with Pseudomonas is a difficult fact to process. However, I challenge you to remain positive and realize this is something you can treat and manage. Today, more than ever before, there are many medications that provide patients not only the chance to attack this harmful bacteria but improve their breathing symptoms. In my experience, positivity and health go hand-in-hand; therefore, stay positive and remain hopeful to afford yourself the opportunity to make health and life decisions that focus on the long-term goal of fighting Pseudomonas aeruginosa.

Sara, how she takes on her Pa

“I challenge you to remain positive and realize this is something you can treat and manage.”

-Sara Sanders

3. Require accountability

Forcing yourself to be accountable is a must. And there are many facets to this accountability…accountability to your doctors, your family, and your friends. As you make a plan to treat Pseudomonas aeruginosa, the most important person to understand and execute the plan is you…you must be accountable to yourself, require accountability, and do not waver. Be determined to follow the plan – take your meds, do your physical therapy, make time to exercise, etc. In doing this, you are putting yourself and your needs first, which will prepare you to battle Pseudomonas.

4. Allow flexibility

Every day we face the challenges of life’s ups and downs. Life presents opportunities, conflicts, time constraints, and many other things that force us to navigate this world, and sometimes we must change our direction. As you create a plan to fight Pseudomonas, you can be committed and accountable and still allow yourself flexibility. Don’t beat yourself up. If you need to make any changes, discuss your treatment options with your care team and find a dosing schedule that works best for you and your life. Having psychological flexibility is also important to help us adapt to various demands and maintain balance in all areas of our lives.

You’ve already taken a big first step in finding the Fight Pseudomonas website. I encourage you to continue learning and talking to your care team. I hope these tips provide some hope and strategies to help your fight against Pseudomonas aeruginosa.

References
  • Pseudomonas. Cystic Fibrosis Foundation website. Accessed June 1, 2021. https://www.cff.org/Life-With-CF/Daily-Life/Germs-and-Staying-Healthy/What-Are-Germs/Pseudomonas/
  • Tramper-Stranders GA, van der Ent CK, Wolfs TFW. Detection of Pseudomonas aeruginosa in patients with cystic fibrosis. J Cyst Fibros. 2005;4 Suppl 2:37-43.
  • Cystic fibrosis. US National Library of Medicine website. Updated August 18, 2020. Accessed June 1, 2021. https://medlineplus.gov/download/genetics/condition/cystic-fibrosis.pdf
  • Moore JE, Mastoridis P. Clinical implications of Pseudomonas aeruginosa location in the lungs of patients with cystic fibrosis. J Clin Pharm Ther. 2017;42(3):259-267. doi:10.1111/jcpt.12521
  • Hansen CR, Pressler T, Høiby N. Early aggressive eradication therapy for intermittent Pseudomonas aeruginosa airway colonization in cystic fibrosis patients: 15 years experience. J Cyst Fibros. 2008;7(6):523-530. doi:10.1016/j.jcf.2008.06.009
  • Stuart B, Lin JH, Mogayzel PJ Jr. Early eradication of Pseudomonas aeruginosa in patients with cystic fibrosis. Paediatr Respir Rev. 2010;11(3):177-184. doi:10.1016/j.prrv.2010.05.003
  • Cystic Fibrosis Foundation. 2019 Patient Registry Annual Data Report. Bethesda, MD: Cystic Fibrosis Foundation; 2019. Accessed June 1, 2021. https://www.cff.org/Research/Researcher-Resources/Patient-Registry/2019-Patient-Registry-Annual-Data-Report.pdf
  • Cunningham JC, Taussig LM. Respiratory System. In: An Introduction to Cystic Fibrosis: For Patients and Their Families. 6th ed. Cystic Fibrosis Foundation; 2013:41-58.
  • Li Z, Kosorok MR, Farrell PM, et al. Longitudinal development of mucoid Pseudomonas aeruginosa infection and lung disease progression in children with cystic fibrosis. JAMA. 2005; 293(5):581-588.
  • Saiman L, Siegel JD, LiPuma JJ, et al. Infection prevention and control guideline for cystic fibrosis: 2013 update. Infect Control Hosp Epidemiol. 2014;35 Suppl 1:S1-S67. doi:10.1086/676882
  • Cystic fibrosis. Mayo Clinic website. Accessed June 1, 2021. https://www.mayoclinic.org/diseases-conditions/cystic-fibrosis/diagnosis-treatment/drc-20353706
  • Bacteria and Antibiotic Resistance In People with Cystic Fibrosis. Cystic Fibrosis Foundation website. Accessed June 1, 2021. https://www.cff.org/PDF-Archive/Bacteria-and-Antibiotic-Resistance-in-People-With-CF
  • Svedberg M, Gustafsson P, Tiddens H, Imberg H, Pivodic A, Lindblad A. Risk factors for progression of structural lung disease in school-age children with cystic fibrosis. J Cyst Fibros. 2020;19(6):910-916. doi:10.1016/j.jcf.2019.10.014
  • Calthorpe RJ, Smith SJ, Rowbotham NJ, et al. What effective ways of motivation, support and technologies help people with cystic fibrosis improve and sustain adherence to treatment? BMJ Open Respir Res. 2020;7(1):e000601. doi:10.1136/bmjresp-2020-000601
  • Bregnballe V, Schiøtz PO, Boisen KA, Pressler T, Thastum M. Barriers to adherence in adolescents and young adults with cystic fibrosis: a questionnaire study in young patients and their parents. Patient Prefer Adherence. 2011;5:507-515. doi:10.2147/PPA.S25308
  • Bishay LC, Sawicki GS. Strategies to optimize treatment adherence in adolescent patients with cystic fibrosis. Adolesc Health Med Ther. 2016;7:117-124. doi:10.2147/AHMT.S95637
  • Zobell JT, Moss J, Heuser S, Roe L, Young DC. Understanding the expanding role of pharmacy services in outpatient cystic fibrosis care. Pediatr Pulmonol. 2021;56(6):1378-1385. doi:10.1002/ppul.25283

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