Inhaled foreign bodies in children: A global perspective on their epidemiological, clinical, and preventive aspects

Foltran, Francesca; Ballali, Simonetta; Rodríguez, Hugo; As, Arjan B Sebastian Van; Passàli, Desiderio; Gulati, Achal; Gregori, Darío

doi:10.1002/ppul.22701

Cited by 94 publications

(99 citation statements)

References 14 publications

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“…when a caregiver visits the local doctor with a child with acute-onset breathing difficulties [171][172][173]. Recognising FBA as a potential cause of breathing difficulties and performing a bronchoscopy within 24 h of symptom onset reduces the risk of complications [83,174].…”

Section: Foreign Body Removalmentioning

confidence: 99%

“…Caregiver education and awareness is essential in reducing the incidence of FBA in preschool children [171,172,174]. Caregivers and healthcare professionals have called for the general public, and especially parents of young children, to be made aware of the risks of giving children foods that are too small for them to chew and swallow safely, or toys with small detachable parts, and how to identify the signs of FBA [171,[174][175][176].…”

Section: Foreign Body Removalmentioning

confidence: 99%

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ERS statement: interventional bronchoscopy in children

et al. 2017

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Paediatric airway endoscopy is accepted as a diagnostic and therapeutic procedure, with an expanding number of indications and applications in children. The aim of this European Respiratory Society task force was to produce a statement on interventional bronchoscopy in children, describing the evidence available at present and current clinical practice, and identifying areas deserving further investigation. The multidisciplinary task force panel performed a systematic review of the literature, focusing on whole lung lavage, transbronchial and endobronchial biopsy, transbronchial needle aspiration with endobronchial ultrasound, foreign body extraction, balloon dilation and occlusion, laser-assisted procedures, usage of airway stents, microdebriders, cryotherapy, endoscopic intubation, application of drugs and other liquids, and caregiver perspectives. There is a scarcity of published evidence in this field, and in many cases the task force had to resort to the collective clinical experience of the committee to develop this statement. The highlighted gaps in knowledge underline the need for further research and serve as a call to paediatric bronchoscopists to work together in multicentre collaborations, for the benefit of children with airway disorders.

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Section: Foreign Body Removalmentioning

confidence: 99%

Section: Foreign Body Removalmentioning

confidence: 99%

ERS statement: interventional bronchoscopy in children

et al. 2017

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“…Indeed, in 73% of the children, the FB remained in the tracheobronchial tree for less than 72 hours. Recently, Foltran et al [29] reported that complications are more frequent in low-middle income countries compared to high income countries (20% versus 10%), and death occurs in about 5-7% of cases.…”

Section: Discussionmentioning

confidence: 99%

Foreign body inhalation in Tunisian children: Experience of a pediatric respiratory diseases department

2015

Adv Ped Res

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Background:The aim of the present study was to analyze the epidemiological, clinical, radiological and endoscopic characteristics of pediatric foreign body aspiration in Tunisian children. Methods: This was a retrospective study of 76 children with foreign body aspiration who were admitted to our department for flexible and/or rigid bronchoscopy between January 2002 and January 2013. Results:The median age of the children was 2.8 years (range: 1.58-6 years). Of these, 61.6% were aged between one and three years. The aspirated foreign bodies were nuts and seeds in 44.64 % of cases, with sunflower seeds representing 19.64% of these cases. Scarf pins were the most frequent metallic foreign body in 7.9% of cases. Almost half of cases were presented within 72 hours of inhalation. Diagnosis of an inhaled foreign body was delayed by more than 30 days in 23.8% of cases. In 79.6% of subjects, a typical penetration syndrome was found on interviewing the parents. Chest X-ray was normal in 18.5% of cases. All children underwent flexible bronchoscopy first, or after rigid bronchoscopy. In 73 (96%) children, the foreign body was seen during flexible bronchoscopy. Eleven foreign bodies (15.2%) were removed safely in our department, via the flexible bronchoscope under general anesthesia. Surgery for foreign body extraction, or for treatment of complications, was necessary in 21.05% of children. Conclusions: Inhalation of seeds and nuts by children is a serious problem. Education by physicians, and especially parents, is the main guarantor to significantly reduce morbidity and mortality in this pathology.

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“…Foreign body aspiration is the most frequent pediatric domestic accident, and has serious and sometimes fatal sequelae (Black et al 1984;Fitzpatrick and Guarisco 1998;Bhana et al 2000;Ciftci et al 2003;Qureshi and Mink 2003;Li et al 2009;Gang et al 2012;Pan et al 2012;Foltran et al 2013;Bamber et al 2013). Most cases occur under the age of 4 years (Mantel and Butenandt 1986;Esclamado and Richardson 1987;Piepsz 1988;Schmidt and Manegold 2000;Oguz et al 2000;Lima and Fischer 2002;Roda et al 2008;Kitcher 2009;de Sousa et al 2009;Goktas et al 2010;Orji and Akpeh 2010;Paksu et al 2012;Pan et al 2012;Boufersaoui et al 2013).…”

Section: Introductionmentioning

confidence: 94%