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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Santiago-Burruchaga, Mikel Zalacain-Jorge, Rafael Vazquez-Cordero, Carlos |
| Description | Author Affiliation: Santiago-Burruchaga M ( Paediatric Pulmonology Unit, Paediatric Department, Spain. Electronic address: MIKEL.SANTIAGOBURRUCHAGA@osakidetza.net.); Zalacain-Jorge R ( Pulmonology Department, Spain. Electronic address: RAFAEL.ZALACAINJORGE@osakidetza.net.); Vazquez-Cordero C ( Paediatric Pulmonology Unit, Paediatric Department, Spain. Electronic address: CARLOS.VAZQUEZCORDERO@osakidetza.net.) |
| Abstract | UNLABELLED: We report bronchoscopic changes observed in children with recurrent lower airways infections (RLAI) and findings in control children undergoing bronchoscopy for causes other than RLAI. PATIENTS AND METHODS: Retrospective case-control cohorts study. The clinical records of children who had fiberoptic bronchoscopy (FB) for a history of RLAI without any known underlying disorder between 2007 and 2013 and of control children who required FB for other causes were reviewed. Clinical features, bronchospic findings and bronchoalveolar lavage (BAL) results were assessed. RESULTS: Cases were 62 (32 female) children aged 5 years (1-12) and controls 29 children aged 4.5 years (0.5-14). Airway malacia was observed in 32 (52%) vs. 4 (13%) (p = 0.001), profuse respiratory secretions in 34(55%) vs. 6 (20%) (p = 0.007). Endobronchial obstruction: 4 (6.4%) and tracheobronchomegaly were observed only in cases. In cases with profuse respiratory secretions there was a higher prevalence of airways malacia: 64.7% vs. 35.7% (p = 0.04) and of positive BAL cultures: 45.5% vs. 13.3% (p = 0.04). Isolated organisms in cases were non-typable Haemophilus influenzae and Streptococcus pneumoniae most frequently. Pneumocystiis jirovecii, Staphylococcus aureus, and Streptococcus mitis were isolated in controls. CONCLUSIONS: Half of the children with RLAI had tracheo and/or bronchomalacia, their frequency being in keeping with previous reports and far higher than that observed in controls. It was associated with profuse respiratory secretions and with a higher frequency of positive BAL cultures mostly for non typable H. influenzae and S. pneumoniae which were not isolated in controls. |
| File Format | HTM / HTML |
| ISSN | 09546111 |
| Issue Number | 5 |
| Volume Number | 108 |
| e-ISSN | 15323064 |
| Journal | Respiratory Medicine |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2014-05-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Pulmonary Medicine Respiratory Tract Infections Complications Tracheobronchomalacia Adolescent Bronchial Diseases Bronchitis Bronchoalveolar Lavage Bronchoalveolar Lavage Fluid Microbiology Bronchoscopy Child Child, Preschool Constriction, Pathologic Female Haemophilus Infections Haemophilus Influenzae Isolation & Purification Humans Infant Male Opportunistic Infections Pneumococcal Infections Recurrence Retrospective Studies Streptococcus Pneumoniae Tracheobronchomegaly Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pulmonary and Respiratory Medicine |
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