Respiratory expert explains treatment options for Pope Francis’ complex respiratory tract infection

(17 Feb 2025)
RESTRICTION SUMMARY:

ASSOCIATED PRESS
London – 17 February 2025
++STARTS ON SOUNDBITE++
1. SOUNDBITE (English) Nick Hopkinson, Medical Director of Asthma + Lung UK:
"So, for most people with bronchitis, it’s a self-limiting viral illness. If they do require antibiotics, it’s usually the sort of oral antibiotics that you can use again for most infections. But,in some people, they have a resistant organism or a slightly more unusual organism that requires a different approach. So, that may be that they have intravenous antibiotics, which might mean they need to stay in hospital. So there’s the infection side of it. And then, obviously, if someone has damaged lungs and they’re having a problem breathing, they may need more support with that. So, for example, treatments like oxygen to help kind of tide them through the infection until it clears up."
++BLACK FRAMES++
2. SOUNDBITE (English) Nick Hopkinson, Medical Director of Asthma + Lung UK:
"If there’s infection, it’s treating the underlying infection and that’s likely with antibiotics. Some infections require prolonged treatment because they’re just harder to clear from the system. So, I mean that can take a while. And, then there are sometimes medications to open up the airways. That sort of medications that people take for asthma or COPD (chronic obstructive pulmonary disease) and you know, physiotherapy to help keep the chest as clear as possible. And sometimes there are medications that people can take to make that sort of mucus in their airways a little bit less sticky as well so it’s easier it’s easier to cough up. So, for any person with bronchitis, those are the things that you know might be considered."
++ENDS ON SOUNDBITE++
STORYLINE:
Pope Francis’ respiratory tract infection is presenting a “complex clinical picture” that will require further hospitalization, the Vatican said on Monday.

Concerns are growing about the increasingly frail health of the 88-year-old pontiff.

Nicholas Hopkinson, a professor of respiratory medicine, says some infections may take longer to treat because they’re harder to clear from the system.

“In some people, they have a resistant organism or a slightly more unusual organism that requires a different approach. So, that may be that they have intravenous antibiotic, which might mean they need to stay in hospital,” Hopkinson said.

Vatican spokesman Matteo Bruni said the results of tests conducted in recent days indicate the pope is suffering from a polymicrobial respiratory tract infection that has necessitated a further change in his drug therapy.

Scientists say polymicrobial diseases are caused by a mix of viruses, bacteria, fungi and parasites.

There was no timeframe given for his hospitalization, which at Day 4 has already sidelined Francis for longer than a 2023 hospitalization for pneumonia.

Bruni said the complexity of his symptoms “will require an appropriate hospital stay.”

Francis had part of one lung removed after a pulmonary infection as a young man and is prone to bouts of bronchitis in winter.

He was admitted to Rome’s Gemelli hospital in a “fair” condition on Friday after a weeklong bout of bronchitis worsened.

Doctors confirmed a respiratory tract infection and prescribed “absolute rest” alongside unspecified drug therapies.

Subsequent updates said his slight fever had gone away and that he was in “stable” condition.

The Argentine pope is a known workaholic who keeps up a grueling pace despite his increasingly precarious health.

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