Audit on the Management of Bronchiolitis: A Single Centre Real World Experience in Bangladesh Can We do Better ?

Hamid, Farzana; Quaium, Syed Moosa M. A.; Rahman, Azizur; Ahmad, AT Reza; Khan, Shahariar; Hussain, Tania; Zahra, Fatematuz

doi:10.3329/cmoshmcj.v14i1.22871

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…The residence of bronchiolitis children in present study was commonly urban. This finding is consistent with results of Hamid et al (11) study in Bangladesh and attributed this difference to air pollution and crowding environment in urban areas. The family history of atopy was relatively high among children with bronchiolitis.…”

Section: Discussion:-supporting

confidence: 93%

Role of Vitamin D on Treatment of Bronchiolitis in Children

Falah¹,

FICMS²,

CABP³

2020

IJAR

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Background: Vitamin D plays a major role in growth and development of children. Optimal levels of vitamin D in first year of life are found to be preventive for lower respiratory tract infections. Aim of Study:To assess the effect of vitamin D supplementation on treatment of bronchiolitis. Patients and methods:This study is prospective follow up study conducted in Pediatric Wards of Al-Imamain Medical city in Baghdad through the period from 1 st of January, 2018 to 31 st of January, 2019 on convenient sample of 200 children with bronchiolitis divided into two group .group A include 98 children who were managed by traditional treatment of bronchiolitis (oxygen ,fluid ,frequent sucking of secretion ) and V.D supplementation (400 iu)daily and group B that include 102 children managed with traditional treatment only . The vital signs and hospital stay duration of children were assessed daily . Results: No significant differences were observed between two study groups regarding demographic, social, clinical and feeding characteristics. Also no significant differences were observed regarding respiratory rate at admission and at discharge. There was a significant difference regarding heart rate at discharge (p=0.05). A significant association was observed between children with vitamin D and shorter hospital stay duration (p<0.001).

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Section: Discussion:-supporting

confidence: 93%

Role of Vitamin D on Treatment of Bronchiolitis in Children

Falah¹,

FICMS²,

CABP³

2020

IJAR

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“…A study by Kabir AL et al 16 also found that pneumonia was treated mostly with ceftriaxone in 47.5% cases followed by other antibiotics. In this study, most common antibiotics used for the treatment bronchiolitis was ceftriaxone in 25% cases followed by other antibiotics; but different studies by Hamid F et al 23 and Kabir AL et al 16 do not support the routine use of antibiotics in the treatment of bronchiolitis. Antibiotic should be considered only when there is evidence of secondary bacterial infection.…”

Section: Discussioncontrasting

confidence: 55%

Magnitude of Pneumonia and Bronchiolitis and Their Treatment Modalities Practiced in Under Five Children Attending a Tertiary Care Hospital

Amin,

Ahmmad,

Rahman

et al. 2023

TAJ: J of Teachers Assoc

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Background: Pneumonia is the leading cause of death globally among children younger than five years of age. Acute bronchiolitis is also a major public health problem throughout the world. Many children with pneumonia and bronchiolitis are not properly diagnosed, and overuse of antibiotics has led to increasing drug resistance. Objectives: To determine the magnitude of pneumonia and bronchiolitis and to study their treatment modalities practiced in under five children. Methods: This cross-sectional observational study was carried out in the Pediatric inpatient department and outpatient department of Rajshahi Medical college Hospital from October 2015 to March 2016. Total 373 cases between 1 month to 59 months of age with acute respiratory infection who fulfilled the inclusion criteria were enrolled in the study. The inclusion criteria were any child between 1 month to 59 months of age presented with respiratory symptoms including cough/runny nose or breathing difficulty as complained by the caregivers or having chest in-drawing. Detailed information was obtained through structured questionnaire and then analyzed. Results: In this study majority of the children 223 (59.78%) were under 12 months of age. There were 234 (62.73%) male and 139 (37.27%) female cases, male to female ratio being 1.68:1. Among studied children 217 (58.18%) were urban dwellers and 156 (41.82%) were from rural areas and majority of the children 268 (71.85%) came from lower socioeconomic strata. Out of 373 cases, pneumonia was diagnosed in 131(35.12%) cases, bronchiolitis in 88 (23.60%) cases and other acute respiratory tract infections in 154 (41.28%) cases. Most common antibiotic used for the treatment of both pneumonia and bronchiolitis was ceftriaxone in 34.35% and 25% cases respectively followed by other antibiotics and medications. Conclusion: It is concluded that pneumonia was found in 35.12% cases and bronchiolitis in 23.60% cases among the under five children attending a tertiary care hospital with acute respiratory infection. Majority were under 12 months of age, male children, residing in urban areas and coming from lower socioeconomic status. Ceftriaxone was the commonest antibiotic used in the treatment of both pneumonia and bronchiolitis. TAJ 2023; 36: No-2: 163-170

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“…They also determined to difference in terms of clinical outcomes and lengths of hospital stay. Hamid et al 19 examined 100 patients with acute viral bronchiolitis in a retrospective study. No positive contribution to healing at clinical follow-up or significantly significant difference in length of hospital stay was observed between the group using iv or oral antibiotics and the no antibiotic group.…”

Section: Discussionmentioning

confidence: 99%

Does Clarithromycin Use in Acute Viral Bronchiolitis Shorten Length of Hospital Stay?

Esenülkü¹,

Hancı²

2020

J. Pediatr. Acad.

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Introduction: Acute bronchiolitis is the most common cause of hospitalization among infants. Although antibiotics are not recommended in the absence of secondary bacterial infection, rates of antibiotic usage is high rate in clinical practices Objectives: To test the hypothesis that clarithromycin use in infants with acute viral bronchiolitis shortens length of hospital stay. Materials and Methods: One hundred sixty-seven patients aged 1-24 months hospitalized for treatment with a diagnosis of acute viral bronchiolitis at pediatric clinic between April 2017 and May 2018 were investigated retrospectively. The patients were divided into two separate groups, Group A (122 patients), using clarithromycin therapy during hospitalization, and Group B (45 patients), which did not receive clarithromycin (Group B). Demographic and clinical data, treatments received, and duration of hospital stay were obtained from patients’ records. Results: The rate of clarithromycin use in this study was 73%. No statistically significant difference in length of hospital stay was determined between patients receiving clarithromycin and those receiving no antibiotic therapy. However, length of hospital stay decreased with age. Clarithromycin use elicited no statistically significant decrease in hospital stay in patients with acute viral bronchiolitis. Conclusions: The routine use of clarithromycin is not recommended in acute viral bronchiolitis in the light of its cost and side-effects, and the fact is has no impact on clinical status and hospital stay

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Audit on the Management of Bronchiolitis: A Single Centre Real World Experience in Bangladesh Can We do Better ?

Cited by 4 publications

References 18 publications

Role of Vitamin D on Treatment of Bronchiolitis in Children

Role of Vitamin D on Treatment of Bronchiolitis in Children

Magnitude of Pneumonia and Bronchiolitis and Their Treatment Modalities Practiced in Under Five Children Attending a Tertiary Care Hospital

Does Clarithromycin Use in Acute Viral Bronchiolitis Shorten Length of Hospital Stay?

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