A case control study of the factors associated with occurrence of aerodigestive foreign bodies in children in a regional referral hospital in South Western Uganda

Abstract

BackgroundAerodigestive foreign bodies (ADFB) in children are a common emergency in ENT clinics globally. The aim of this study was to determine the prevalence and common types of ADFB’s presenting to a referral hospital in South Western Uganda, and to review clinical presentation and factors that influence their occurrence among children under 12 years of age.MethodsWe conducted a case control study comprising 40 cases and 80 unmatched controls. Consecutive and random sampling were used for the cases and controls respectively. A questionnaire was used to collect data. Clinic records were reviewed to calculate prevalence.ResultsPrevalence was 6.6 % of all paediatric cases seen in the ENT department that year. The most common symptoms included: history of choking [45 %], sudden cough [72.5 %], stridor [60 %] and failure to swallow [35 %]. The most common location for an airway foreign body was the right main bronchus [40 %] and the upper one third of the oesophagus [32.5 %] for digestive tract foreign bodies. Seeds and coins were most frequently removed. Children from upper level SES had a significantly lower risk of foreign body occurrence [OR = 0.29, p = 0.02] compared to those from a low SES. Also significantly, most cases were referrals from other government health centres [p = <0.01]. The male to female ratio among cases was 2:1. Children of older mothers were less likely to have an ADFB.ConclusionPrevalence of ADFB’s is relatively high. The most common symptoms are a history of choking, cough and failure to swallow. Age under 5 years, male sex, younger maternal age and low socioeconomic status increased odds of ADFBs.

Clinical spectrum of ear, nose and throat foreign bodies at a tertiary hospital in Zanzibar, Tanzania

“…In this study inorganic foreign bodies (51.6%) were commonly encountered in the ear, nose and throat and the commonest inorganic foreign body was the coin (17.9%). Such nding appears to be in line with what was found in Tanzania mainland [7,8], Uganda [12] and Italy [13].…”

“…Most foreign bodies in the pharynx (72.7%) and esophagus (100%) lodged in < 24 hours while those in the ear lodged equally < 24 hours and between 24 to 72 hours (48.3%) and in the nose lodged mostly between 24 to 72 hours (55.6%) by the time they presented at our hospital. These ndings appear to be in line with those from Tanzania mainland [7] and Uganda [12]. Early presentation to our hospital may be due to free health services provision to all citizens in Zanzibar.…”

Prevalence of Foreign Body in Ear, Nose, and Throat inImam Khomeini hospital, Iran

“…The Foreign Body (FB) as saying goes, is physically located where it should not be, and if care is not taken quickly and clinically, with just its presence it can cause damage (1,2) . Foreign Body is known as one of the most common Otorhinolaryngology diseases in the ENT (3) . Although it is more common in children, it may occur at any age (1,3) .…”

“…Foreign Body is known as one of the most common Otorhinolaryngology diseases in the ENT (3) . Although it is more common in children, it may occur at any age (1,3) . Naturally, the type of foreign body is different in each of the ages; in children, things that a child will play with such as beads, various pieces of toys, coins, etc.…”

Changing Nature of Aerodigestive Foreign Bodies in a Tertiary Care Centre of West Bengal

“…1 It commonly caused by hasty eating, ignorance in children, postural change during eating (artificial dentures), contaminated food. Respiratory distress, dysphagia, choking are the commonest clinical presentation while point tenderness, stridor are the not very uncommon features 2,3 Foreign bodies (FB) occur in the aerodigestive tract because of greediness, inattention and haste while eating 3 . Often individuals quite literally bite off more than they can chew, or fail to give the ingestion process proper attention and time.…”