Tracheobronchial Foreign Bodies in Infants in Serbia

Tatic, Milanka; Gvozdenović, Ljiljana; Skeledzija-Miskovic, Sanja

doi:10.1097/pec.0000000000000736

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…TFBA is an acute disease in children that may endanger lives; it often occurs in children aged 0 to 3 years, accounting for 65% to 75% of all cases. [11,12] Early diagnosis and surgery are the keys to reducing mortality. [4,13] Peanuts and sunflower seeds had been the most-reported foreign bodies in previous studies.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for lower respiratory tract infection in children with tracheobronchial foreign body aspiration

Zhong

Sun

et al. 2019

Medicine

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The aim of this study was to determine the risk factors for lower respiratory tract infection (LRTI) in children caused by tracheobronchial foreign body aspiration (TFBA).A total of 351 patients were retrospectively reviewed; all patients were diagnosed with TFBA at West China Hospital of Sichuan University from 2015 to 2017. Univariate analyses and multivariate analysis were used.Age (<2 years) (P < .001), type of foreign body (plant) (P < .001), shape of foreign body (nonsmooth) (P < .001), and residence time of foreign body (>7 days) (P = .001) were risk factors for LRTI on univariate analysis. Multivariate analysis showed age (<2 years) (hazard ratio [HR] = 4.457; 95% confidence interval [CI] = 2.031–6.884; P < .001), type of foreign body (plant) (HR = 2.686; 95% CI = 1.577–3.452; P < .001), shape of foreign body (nonsmooth) (HR = 1.649; 95% CI = 1.437–3.663; P < .008), and residence time of foreign body (>7 days) (HR = 1.751; 95% CI = 1.329–3.554; P = .004) were independent risk factors for LRTI. Furthermore, children with LRTI also had longer lengths of hospital stays and antibiotic use than did children without LRTI.Age, plant foreign body, nonsmooth foreign body, and long-term incarceration were all independent risk factors for LRTI in children. These results can help us to select more appropriate intervention times and stratified treatment for children with TFBA.

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Section: Discussionmentioning

confidence: 99%

Risk factors for lower respiratory tract infection in children with tracheobronchial foreign body aspiration

Zhong

Sun

et al. 2019

Medicine

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“…Tracheobronchial foreign bodies represent an emergency that may be life-threatening and often occurs in children, with 65% to 75% of cases reported in children aged 0 to 3 years. 8,9 A history of foreign body inhalation is the basis of diagnosis, whereas lung auscultation may lead to a misdiagnosis. Imaging is an important diagnostic method.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive Analysis of the Diagnosis and Treatment of Tracheobronchial Foreign Bodies in Children

et al. 2021

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Objective: To analyze the factors influencing the diagnosis and treatment of tracheobronchial foreign bodies (TFBs) in children. Methods: The clinical data of 300 consecutive children with suspected TFBs who were admitted to our department between January 2016 and December 2019 were retrospectively collected, including demographics, diagnosis, history of foreign body inhalation, preoperative chest computed tomography (CT) findings, duration of foreign body retention, time from admission to operation, operation duration, duration of hospitalization, and complications. Results: Among the 300 cases, the male:female ratio was 193:107, and the age range was 6 months to 12 years (median age: 19 months). A total of 291 cases (97.0%) involved TFBs confirmed by rigid bronchoscopy, while the other 9 cases (3.0%) involved bronchopneumonia. The diagnostic accuracy, sensitivity, and specificity of a history of foreign body inhalation and chest CT were 96.0%, 98.6%, and 11.1% and 97.7%, 97.6%, and 100%, respectively. The duration of hospitalization, time from admission to operation, and operation duration were all related to bronchopneumonia ( P < .05). Conclusions: A detailed history, adequate physical examination, and preoperative imaging examination help improve the diagnostic accuracy. Preoperative bronchopneumonia in children with TFBs will increase the surgical risks and treatment costs, prolonging the duration of hospitalization.

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Tracheobronchial Foreign Bodies in Infants in Serbia

Cited by 2 publications

References 4 publications

Risk factors for lower respiratory tract infection in children with tracheobronchial foreign body aspiration

Risk factors for lower respiratory tract infection in children with tracheobronchial foreign body aspiration

Comprehensive Analysis of the Diagnosis and Treatment of Tracheobronchial Foreign Bodies in Children

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