Late diagnosis of foreign body aspiration in children with chronic respiratory symptoms

Karakoç, Fazilet; Çakır, Erkan; Ersu, Refika; Uyan, Zeynep Seda; Colak, Burkay Cagan; Karadağ, Bülent; Kıyan, Gürsu; Dağlı, Tolga E.; Dağlı, Elif

doi:10.1016/j.ijporl.2006.10.006

Cited by 92 publications

(83 citation statements)

References 22 publications

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“…In this study, 18% of parents were unsure whether peanuts are considered as an identifiable cause of FBA; and almost the same percentage disagreed that peanuts and hard nuts should not be given for children under three years of age. Even though most studies have shown that peanuts are the most frequent cause of FBA worldwide [6,[35][36][37][38][39][40].…”

Section: Discussionmentioning

confidence: 99%

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2015

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Introduction: Although foreign body aspiration (FBA) can be a life-threatening event, it still can be Preventable. One of the most important risk factors for FBA is a lack of knowledge by the caregivers. Moreover, there are only a few publications evaluating parental knowledge, and none of them address the parents' level of education. Aim of the study:The primary aim is to evaluate parental knowledge of foreign body aspiration among Saudis, and to correlate FBA knowledge with parental level of education; the secondary aim is to choose the most suitable method to spread the knowledge of FBA prevention, and to compare parental knowledge of FBA between Saudis and other nations.Method: A15 FBA-related items questionnaire was developed. The questionnaires were distributed to parents attending routine check up in different outpatient clinics across the two largest advanced secondary hospitals in Dammam city located in the Eastern Province of the Kingdom of Saudi Arabia.Results: Out of the 500 questionnaires distributed, 452 were recovered and mothers answered most of them. Only17 questionnaires were incomplete and excluded, while 435 questionnaires were analyzed. The studied group was divided into two groups based on level of education; the first group is the middle and high school graduates and was about 55%, and the rest, 45%, were the college graduates. One third of the parents in both studied groups did not recognize a small toy, and/or peanuts as a cause of FBA. Regarding clinical presentation of FBA, 14% and 27% of mothers did not know that sudden choking and coughing were symptoms suggesting FBA, respectively. No statistical significant difference in both studied groups (p-value = 0.785). Conclusion:A substantial number of parents globally including Saudis lack knowledge regarding FBA even among college graduates. To prevent FBA, and to make timely diagnoses, parents should have a thorough continuous education regarding FBA risks, presentation, and management.

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Section: Discussionmentioning

confidence: 99%

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2015

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“…Aspiration of a foreign body may result in immediate choking when lodged in larynx or may lead to complete obstruction of air entry into a lung segment [5,6]. Retained foreign body in the airway leads to local mechanical effects, chemical reactions and inflammation.…”

Section: Discussionmentioning

confidence: 99%

“…Physical examination may reveal focal wheezing or decreased air entry but the findings may also reveal generalized wheezing or it may be completely normal [8]. Similarly plain radiographs of chest may reveal unilateral hyperinflation, atelectasis, consolidation or mediastinal shift if there is complete obstruction of airflow by the foreign body or they may be normal especially if there is no obstruction to airflow [5,8]. Therefore, it is impossible to exclude diagnosis of foreign body aspiration with a normal radiograph [9].…”

Section: Discussionmentioning

confidence: 99%

“…Foreign body is encountered only in 5% of cases that undergo flexible bronchoscopy without a prior suspicion of aspiration [3,5]. Considering that early removal of aspirated foreign bodies is necessary to avoid the pathological progress from inflammation that initiates at third day to development of bronchiectasis after 30 days, high suspicion even in cases with vague clinical or radiological findings is required [7,8].…”

Section: Discussionmentioning

confidence: 99%

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Aspiration of foreign bodies that allow air passage through

Can¹,

Yılmaz²,

Asilsoy³

et al. 2011

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“…26 Aproximadamente, el 18,8% de los CE no diagnosticados precozmente desarrollan bronquiectasias. 27 Otra entidad es el síndrome del lóbulo medio, caracterizado por la atelectasia persistente o recurrente del lóbulo medio asociada habitualmen- [28][29][30] Debe tenerse en cuenta que, en general, el asma en pediatría no se asocia con frecuencia a bronquiectasias (alrededor del 4,5%), 24 por lo que su presencia debe hacer dudar del diagnóstico exclusivo de asma. Se describe más frecuentemente en adultos con enfermedad grave.…”

Section: Etiologíaunclassified

Bronquiectasias en pediatría, aproximación diagnóstica y tratamiento

et al. 2012

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RESUMENLas bronquiectasias son un problema de salud en países desarrollados y en vías de desarrollo. La fibrosis quística es una causa importante, si bien fuera de ésta existen causas que convierten a las bronquiectasias no relacionadas con fibrosis quística en un diagnóstico frecuente. Su diagnóstico precoz basado en la clínica y posterior confirmación radiológica es el punto de partida para determinar la etiología e instaurar un tratamiento dirigido a la causa subyacente. Para ello es menester una evaluación ordenada y sistemá-tica. Se presenta una revisión sobre la etiología y tratamiento de las bronquiectasias, especialmente de las no relacionadas con fibrosis quística. Palabras clave: bronquiectasias, fibrosis quística, antibióticos, infección bronquial, diagnóstico. SUMMARYBronchiectasis is still an important health problem in both, developed and developing countries. Cystic fibrosis is one of the most important causes, but a great variety of other causes makes non cystic fibrosis bronchiectasis a relatively frequent diagnosis. Early diagnosis based on medical history and radiological confirmation is only the starting point to determine the specific etiology, in order to establish a treatment focused on the underlying cause. For this purpose, an orderly and systematic diagnostic evaluation is required. A review article about bronchiectasis, particularly those not related to cystic fibrosis, is presented.

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Late diagnosis of foreign body aspiration in children with chronic respiratory symptoms

Cited by 92 publications

References 22 publications

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Aspiration of foreign bodies that allow air passage through

Bronquiectasias en pediatría, aproximación diagnóstica y tratamiento

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