Bronchiolitis: State-of-the-art

Kabir, Ahmedul

doi:10.3329/bjch.v44i3.52710

Cited by 2 publications

(2 citation statements)

References 62 publications

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“…3 It is a seasonal disease, most common during winter months (November to March) but sporadic cases occur throughout the year. 4 During the peak in winter season, these viruses widely circulate in the community and re-infection can occur in one season. 5 The majority of cases of bronchiolitis occur in children under 1 year of age.6 Male children are affected more commonly with acute Bronchiolitis compared to females.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Clinical Features of Bronchiolitis in Paediatric Patients and Exploration of the Risk Factors

Hyder¹,

Ahmed²,

Ahmed

2023

J. Monno Med. Coll.

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Background: In general, bronchiolitis presents as a progressive viral respiratory illness in children younger than 2 years of age, most commonly between 2-6 months. Objective: The study was conducted to assess the clinical presentations of acute bronchiolitis in infants and young children and to evaluate the individual characteristics and environmental factors which can increase the risk of severe disease and hospitalization. Methodology: This descriptive study was conducted in the department of Paediatrics, Khwaja Yunus Ali Medical College and Hospital, Enayetpur, Sirajganj. A total of 70 patients were included in the study, who were admitted to the hospital with a clinical and radiological diagnosis of acute bronchiolitis and were followed up in the Paediatric department during January, 2021 to December, 2021. Data collection was done by using a questionnaire form and by physical examination. The information for the questionnaire was provided by the childrens’ mothers. The SPSS software was used for data analysis. Results: According to the results of the study, 39(55.7%) children were infants, aged between 2-6 months, 21(30.0%) were between 7-12 months and 10(14.3%) children of more than 12 months of age. Boys (47, 67.1%) were affected more commonly than girls (23, 32.9%) in a ratio of 2:1. Some 60 (85.7%) of the children had siblings and 46 (65.7%) children lived in crowded environment at home. Many (25, 35.7%) parents of the children were cigarette smokers and 37(52.9%) children were given formula feeds. There was previous history of hospitalization among 14(20.0%) cases and 5(7.1%) children were pre-term. The most common clinical presentations of bronchiolitis were cough among 61(87.1%) cases, wheeze in 56(80.0%), respiratory distress in 49(70.0%) and feeding difficulty in 28(40.0%) children. Conclusion: The risk factors for bronchiolitis were young age (2-6 months), presence of a sibling, a history of hospital admission, crowding and paternal smoking at home and formula feeding. The most common clinical presentations were cough, wheeze and respiratory distress. J Monno Med Coll June 2022;8(2): 48-52

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Section: Introductionmentioning

confidence: 99%

Evaluation of the Clinical Features of Bronchiolitis in Paediatric Patients and Exploration of the Risk Factors

Hyder¹,

Ahmed²,

Ahmed

2023

J. Monno Med. Coll.

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“…Treatment of acute bronchiolitis remains supportive care including respiratory monitoring, control of fever, adequate hydration, nasal suctioning and supplemental oxygen. 6 Zinc sulfate has been evaluated in cases of pneumonia and shown to be effective in both preventing and treating pneumonia. 7,8 However, only rarely have studies particularly examined the role of zinc sulfate in acute bronchiolitis in patients aged 2 to 23 months.…”

Section: Introductionmentioning

confidence: 99%

The Role of Zinc in Acute Bronchiolitis in children less than 2 years old

Hyder,

Ahmed,

Yasmeen

2023

Northern Int. Med. Coll. J.

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Background: Bronchiolitis is an acute respiratory illness which is the leading cause of respiratory distress in infancy and early childhood with its greatest morbidity in infants. Although zinc supplementation is effective in both preventing and treating pneumonia but its role in acute bronchiolitis has rarely been examined. Objective: To assess the effect of zinc sulfate to improve the clinical manifestations of acute bronchiolitis (Severe cases) in children less than 2 years of age. Materials and Methods: This was a double blind randomized clinical trial on 70 patients aged 2 to 23 months admitted in the Pediatric ward of Khwaja Yunus Ali Medical College and Hospital from September 2019 to September 2020 with the diagnosis of acute bronchiolitis. Patients were randomly divided equally into 2 groups: a case group was assigned oral zinc sulfate and the control group received placebo. Results: Mean age of case group was 174.63±98.7 days and control group 176.86±97.43 days ( p=0.924) with male predominance in both groups. Symptoms and signs of acute bronchiolitis (Severe cases) were compared between the 2 groups during admission and then at 24, 48 and 72 hours after initiation of treatment. No statistically significant differences were observed between the 2 groups in improvement of symptoms and signs including fever, fast breathing, chest indrawing and wheezing on 48 and 72 hours after treatment with zinc sulfate ( p>0.05). The duration of hospitalization was 4.2±2.6 days in the case group and 4.4±2.2 days in the control group and this difference was not significant. Conclusion: The present study showed that zinc sulfate has no benefit in improving the clinical manifestations of acute bronchiolitis. Northern International Medical College Journal Vol. 12 No.2 Jan 2021, Page 535-538

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Bronchiolitis: State-of-the-art

Cited by 2 publications

References 62 publications

Evaluation of the Clinical Features of Bronchiolitis in Paediatric Patients and Exploration of the Risk Factors

Evaluation of the Clinical Features of Bronchiolitis in Paediatric Patients and Exploration of the Risk Factors

The Role of Zinc in Acute Bronchiolitis in children less than 2 years old

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