Title: Study on Demographic & Clinical Profile of Children with Bronchiolitis AGED 2 – 24 Months
Authors: Vahini V, Balachandran CS, Chidambaranathan S
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.143
Abstract
Background: Bronchiolitis is one of the most common lower respiratory tract infection in the children aged two months to twenty four months.The illness is often caused by viral infection with varying clinical presentation.
Objectives: The objective of this study is to analyse the demographic characteristics, clinical features and risk factors in children with bronchiolitis.
Materials and Methods: This was a descriptive study conducted in children attending Paediatrics department at a tertiary care centre in Chidambaram, Tamilnadu with clinical diagnosis of bronchiolitis aged 2 to 24 months. Children were enrolled as per inclusion criteria.The demographic characteristics, clinical features and major risk factors of admitted children were studied.
Results: Seventy five children with clinical diagnosis of bronchiolitis were enrolled for study. Forty six (61%) children were male. Mean age was 6.32 ± 4.09months. Male to female ratio was 1.5:1.Risk factors predisposing to bronchiolitis were analysed in the admitted children. Twenty-one (28%) children were premature at birth. Nineteen (25%) children had Low birth weight (<2500 grams). Overcrowding in house was present in seventeen (22%) children and eighteen (24%) had exposure to passive smoking. Eight (10%) children were malnourished. The most common clinical symptoms observed were cough, dyspnoea and fever. Major clinical signs at the time of admission were chest retractions, wheezing and tachypnea.
Conclusion: Bronchiolitis was primarily seen in children of age 2-6 months, with male predominance. Major risk factors observed were prematurity, low birth weight and passive smoking. Cough, dyspnoea and fever were most common symptoms.Chest retractions and wheeze were major signs.
Keywords: Bronchiolitis, Clinical profile, Risk factors, Wheeze.
References
- Ganavi Ramagopal, Edin Brow, Alexander Mannu, Jaishree Vasudevan, Lalaumadevi Demographic, clinical and hematological profile of children with bronchiolitis: A Comparative Study between Respiratory Synctial Virus [RSV] and [Non RSV] Groups. Journal of clinical and diagnostic research, 2016 Aug. Vol-10[8]
- Claudia Ravaglia and Venerino Poletti* Recent advances in the management of acute bronchiolitis F1000Prime Reports 2014, 6:103 (doi:10.12703/P6-103)
- Alvarez AE, Marson FA, Bertuzzo CS, Arns CW, Ribeiro JD. Epidemiological and genetic characteristics associated with the severity of acute viral bronchiolitis by respiratory syncytial virus. J Pediatr (Rio J).2013;89: 531-43.
- Johnson JE, GonzalesRA, Olson SJ, Wright PF, Graham BS. The histopathology of fatal untreated humanrespiratory syncytial virus infection. Mod Pathol.2007; 20(1): 108-19
- Wainwright C: Acute viral bronchiolitis in children- a very common condition with few therapeutic options. Paediatr Respir Rev; 2010, 11:39–45
- Nishant verma, Rakesh lodha, SK Kabra Recent advances in management of bronc-hiolitis: Volume 50-October 15, 2013
- Nasrin Hoseiny Nejad, Bronchiolitis in young children: Demographic features, risk factors and seasonal patterns IJCA, 3, No. 1, Feb, 2017.5-7.
- Fievey Makam, B., Wakamb Kanteng, G.A., Wembonyama, S.O. and Numbi Luboya, O. (2017) Epidemiological, Nutritional and Factors Associated with Infant Bronchiolitis in Hospitals: Case of the City of Lubumbashi (DRCongo). Open Access Library Journal , 4:e3710.
- Constanze Sommer, Bernhard Resch,* and Eric A.F. Simões :Risk Factors for Severe Respiratory Syncytial Virus Lower RespiratoryTract InfectionThe Open Microbiology Journal, 2011, 5, (Suppl 2-M4) 144-154
- Iqbal SMJ, Afzal MF, Sultan MA. Acute bronchiolitis: epidemiological and clinical [15] Annals. 2009;15(4):203-05.
- ŞuleGökçe, ZaferKurugöl, Güldane Koturoğlu, Candan Çiçek, and AslıAslan, Etiology, Seasonality, and Clinical Features of Viral Respiratory Tract Infections in Children Hospitalized With Acute Bronchiolitis: April 3, 2017.
- Gholamreza Soleimani1; Elham Shafighi Shahri2; Somayeh Rashidi2; Zahra Salari2; Alireza Ansari Moghadam Epidemiology, Clinical, and Laboratory Characteristics of Bronchiolitis in Hospitalized Children J ComprPed. 2014 August; 5(3): e18808.