Abstract
Objective: To study the effects of nasal suction on infants with bronchiolitis
Design: Prospective randomized control study
Setting: Department of paediatrics Shyam Shah Medical College and Gandhi Memorial Hospital, Rewa (MP)
Participants: 75 patients in study group and 75 patients in control group.
Main Outcome Measure(s): Length of hospital stay and change in acute bronchiolitis severity score in infants with bronchiolitis.
Results: The overall length of hospital stay in the patients suffering from bronchiolitis was 136.1± 38.7 hours. The average length of hospital stay in the study-group was 129.89± 40.66 hours. The average length of hospital stay in the control-group was 142.31± 35.84 hours. There was a significant decrease in the respiratory rate after two nasal suction episodes onwards in the infants. Feeding also showed significant improvement after 2nd nasal suction episode. There was a significant decrease in the Acute Bronchiolitis Severity Score in study group.
Conclusions: Nasal suction is an effective supportive treatment in the patients with bronchiolitis and by using timely nasal suction length of hospital stay can be reduced. Nasal suction also decreases work of breathing and acute bronchiolitis severity score. It also improves the feeding. This non-invasive, simple procedure can be used in the community to decrease the burden of hospitalization on the family as well as on health care system.
Keywords: Bronchiolitis, Nasal suction, Acute Bronchiolitis Severity Score, Length of hospital stay.
References
- Wright AL, Taussig LM, Ray CG, Harrison HR, Holberg CJ, GROUP HEALTH MEDICAL ASSOCIATES. The Tucson Children's Respiratory Study: II. Lower respiratory tract illness in the first year of life. American journal of epidemiology. 1989 Jun 1;129(6):1232-46.
- Diagnosis and management of bronchi-olitis. Pediatrics 2006; 118:1774–93.
- Spencer N, Logan S, Scholey S, Gentle S. Deprivation and bronchiolitis. Archives of disease in childhood. 1996 Jan 1;74(1):50-2.
- Heikkinen T, Valkonen H, Lehtonen L, Vainionpää R, Ruuskanen O. Hospital admission of high risk infants for respiratory syncytial virus infection: implications for palivizumab prophylaxis. Archives of Disease in Childhood-Fetal and Neonatal Edition. 2005 Jan 1;90(1):F64-8.
- García CG, Bhore R, Soriano-Fallas A, Trost M, Chason R, Ramilo O, Mejias A. Risk factors in children hospitalized with RSV bronchiolitis versus non–RSV bronchiolitis. Pediatrics. 2010 Dec 1;126(6):e1453-60.
- Fernández JR, Martínez AC, Zavala RG, Cardona AU. Validación de unaescalaclínica de severidad de la bronquiolitisaguda. InAnales de pediatría 2014 Jul 31 (Vol. 81, No. 1, pp. 3-8). Elsevier Doyma.
- Cherian T, Simoes EA, Steinhoff MC, Chitra K, John M, Raghupathy P, John TJ. Bronchiolitis in tropical south India. American Journal of Diseases of Children. 1990 Sep 1;144(9):1026-30.
- Joseph R, Vamshi G, Suresh K, Dhanapal C, Chidambaranathan S. Study of Nebulization with Hypertonic Saline and Other Nebulizing Agents with or With Out Antibiotics in Bronchiolitis Patients Aged 2 Months to 2 Years Admitted In RMMCH. IOSR Journal of Pharmacy and Biological Sciences. [Online] 2017; 12(4): 01-07. Available from: http://www.iosrjournals.org/iosr-jpbs/papers/Vol12-issue4/Version-4/A1204040107.pdf [Accessed 18 September 2017].
Corresponding Author
Dr Akhilendra Singh Parihar
Plot number- D/4 Aadarsh Cooperative Society, Behind Sai Dhaam, Sagra, Jabalpur (M.P) Pin 482003 India
Phone: 7879493657, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v6i11.17
