Injuries due to foreign body aspirations in Georgia: A prevention perspective

Gvetadze, Paata; Chkhaidze, Ivane; Baldas, Solidea; Comoretto, Rosanna Irene; Gregori, Darío

doi:10.1016/j.ijporl.2015.12.007

Cited by 7 publications

(5 citation statements)

References 10 publications

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“…Another interesting complex study is the one published by Ulas et al, 2022, who reported similar results to our findings, with the greatest number of cases identified in children younger than 3 years old, and the most important symptoms observed being a sudden cough and wheezing [ 1 ]. Meta-analyzes available in the literature also supports the fact that in the majority of cases, the foreign body is of an organic nature [ 23 ].…”

Section: Discussionmentioning

confidence: 94%

Foreign Body Aspiration in Children—Retrospective Study and Management Novelties

Mîndru,

Păduraru,

Rusu

et al. 2023

Medicina

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Foreign body aspiration (FBA) is a frequent diagnosis in children. In the absence of other lung conditions, such as asthma or chronic pulmonary infections, this manifests as a sudden onset of cough, dyspnea, and wheezing. The differential diagnosis is based on a scoring system which takes into account the clinical picture as well as the radiologic aspects. The treatment that is considered the gold-standard for FBA in children remains to be rigid fibronchoscopy, however it comes with several potentially crucial local complications such as airway edema, bleeding, and bronchospasm, along inherent issues due to general anesthesia. Material and methods: Our study is a retrospective study analyzing the medical files of the cases from our hospital over the span of 9 years. The study group consisted of 242 patients aged 0–16 years diagnosed with foreign body aspiration in the Emergency Clinical Hospital for Children “Sfânta Maria” Iași, between January 2010–January 2018. Clinical and imaging data were extracted from the patients’ observation sheets. Results: In our cohort, the distribution of children with foreign body aspiration was uneven, with the highest incidence being reported in children from rural areas (70% of cases), whereas the most affected age group was 1–3 years, amounting to 79% of all cases. The main symptoms which led to emergency admittance were coughing (33%) and dyspnea (22%). The most important factors that determined the unequal distribution were socio-economic status, which relates to a lack of adequate supervision by parents, as well as the consumption of food inappropriate for their age. Conclusions: Foreign body aspiration is a major medical emergency that may be associated with dramatic clinical manifestations. Several scoring algorithms designed to establish the need for bronchoscopy have been proposed, taking into account both the clinical and radiological results. The issue with asymptomatic or mild symptomatic cases, as well as difficulties managing cases with radiolucent foreign bodies, remains a challenge.

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Section: Discussionmentioning

confidence: 94%

Foreign Body Aspiration in Children—Retrospective Study and Management Novelties

Mîndru,

Păduraru,

Rusu

et al. 2023

Medicina

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“…Upon analyzing available literature, meta-analyses affirm that the majority of foreign bodies are organic [9], with the bronchus being the most common location, accounting for less than 10% in the larynx [10]. Notably, Rothman et al [11] found only 5 cases of laryngeal foreign bodies in a series of 225 patients.…”

Section: Discussionmentioning

confidence: 99%

An Occult Laryngeal Foreign Body in A 2-Year-Old Child: A Case Report

2024

IJRR

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Lodgment of foreign bodies in the larynx is a relatively infrequent incident, given that aspirated foreign bodies generally traverse the respiratory tract and often get stuck in the lower airways. The diagnosis of a laryngeal foreign body poses significant challenges, particularly when the object in question is small, radiolucent, and induces partial airway obstruction. Foreign body aspiration (FBA) is commonly identified in pediatric cases, characterized by a sudden onset of symptoms such as cough, dyspnea, and wheezing. This manifestation becomes especially conspicuous when there are no underlying lung conditions like asthma or chronic pulmonary infections. The differential diagnosis hinges on a comprehensive scoring system that evaluates both clinical and radiological aspects. Presented here is a case involving a 4-year-old child with a laryngeal foreign body, initially misdiagnosed due to the patient's asymptomatic presentation. This case underscores the nuances of clinical manifestation, the investigative process, and subsequent management strategies.

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“…However, the literature from newly industrialized countries [ 17 , 59 ] or Eastern European nations [ 60 , 61 ], demonstrates that extensive and comprehensive prevention policies on the topic are still in progress [ 60 ].…”

Section: Discussionmentioning

confidence: 99%

Monitoring Public Perception of Health Risks in Brazil and Italy: Cross-Cultural Research on the Risk Perception of Choking in Children

et al. 2021

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One of the most relevant public health issues among pediatric injuries concerns foreign body (FB) aspiration. The risk perception of choking hazards (CH) and risk perception, in general, are complex multifactorial problems that play a significant role in defining protective behavior. Risk prevention policies should take this aspect into account. A lack of scientific knowledge of FB injury risk perception may be evidenced in Brazil and other newly developed countries. This study aims to characterize the differences and peculiarities in risk perception of CH between Italian and Brazilian populations. The risk perception among adults in Italy and Brazil between September and October 2017 was investigated in a survey. A Multiple Correspondence Analysis was carried out to identify the latent components characterizing the risk perception in Italian and Brazilian population samples. The most relevant dimension characterizing risk perception is the “Professional–educational status and the related perception of Risk” (13% of factorial inertia). The Italians identify batteries and magnets as the most dangerous choking risks (20% of responses). On the other hand, Brazilian people, mainly manual laborers (22%) with secondary or primary education (94%), perceive coins as the most dangerous items (30% of responses, p < 0.001). Socio-economic issues characterize the subjective risk perception of Italian and Brazilian survey respondents. In this framework, data-driven prevention strategies could be helpful to tailor intervention strategies to the cultural context to which they are addressed.

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Injuries due to foreign body aspirations in Georgia: A prevention perspective

Abstract: Level V, Epidemiological case series.

Cited by 7 publications

References 10 publications

Foreign Body Aspiration in Children—Retrospective Study and Management Novelties

Foreign Body Aspiration in Children—Retrospective Study and Management Novelties

An Occult Laryngeal Foreign Body in A 2-Year-Old Child: A Case Report

Monitoring Public Perception of Health Risks in Brazil and Italy: Cross-Cultural Research on the Risk Perception of Choking in Children

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