Risk factors for lower respiratory tract infection in children with tracheobronchial foreign body aspiration

Zhong, Bing; Sun, Silu; Du, Jing; Deng, Di; Liu, Feng; Liu, Yafeng; Liu, Shixi; Chen, Fei

doi:10.1097/md.0000000000014655

Cited by 23 publications

(40 citation statements)

References 32 publications

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“…For anatomic reasons, the foreign body most often locates in right main bronchi. The right bronchi is an extension of the trachea, it runs more vertically, it is wider and shorter compared to the left bronchi [6,7].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have shown that thoracic computed tomography (CT) has higher specificity and sensitivity than chest X-ray in the diagnosis of FBA [6,10]. CT may allow for a more accurate assessment of the location of the foreign body, determine to what extent the foreign body obstructs the airway, and may identify related complications [11].…”

Section: Discussionmentioning

confidence: 99%

“…The retained secretion is colonized by bacteria gaining access with inhaled air or present on the foreign body, as a result of which inflammation develops. The factors that increases the risk of pneumonia in the course of FBA include: age under two years, plant foreign body, non-smooth foreign body, and long term incarceration (> 7 days) [6]. In view of the above, recurrent pneumonia should suggest the possibility of FBA, especially when symptoms persist despite appropriate treatment for pneumonia, or if these are recurrent, pneumonia occurring within a short period of time [17,18].…”

Section: Discussionmentioning

confidence: 99%

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Foreign body aspiration as a cause of recurrent pneumonia – case report

Janeczek¹,

Piędel²,

Rocka³

et al. 2020

Med Og Nauk Zdr.

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Foreign body aspiration (FBA) is a life-threatening clinical condition, usually requiring immediate intervention involving the removal of a foreign body from the airways during bronchoscopy. Relevant history taking is a very important element in the diagnosis of FBA. Lack of information about the child's choking episode may delay making the correct diagnosis, and increase the risk of long-term complications of foreign body retention in the airways, including recurrent pneumonia. The case is presented of a 13-year-old boy diagnosed with pneumonia three times in four months. FBA was diagnosed after performing additional laboratory tests, imaging tests, and repeated history taking from the boy. The case report highlights the need for FBA suspicion if symptoms of pneumonia recur or persist despite proper treatment, even if insufficient evidence of FBA is provided in the initial interview.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Foreign body aspiration as a cause of recurrent pneumonia – case report

Janeczek¹,

Piędel²,

Rocka³

et al. 2020

Med Og Nauk Zdr.

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“…LRTI is defined as infection and inflammation of trachea, main bronchus and lung bronchi. Imaging basis includes preoperative cervicothoracic CT and intraoperative rigid bronchoscopy 10 . Clinical diagnosis is based on relevant clinical guidelines 11,12 .…”

Section: Collection Of Clinical Datamentioning

confidence: 99%

“…According to previous studies, there was no correlation between the type of TFBA and LRTI in animal studies, whereas the retention time of TFBA was related 9 . A research reported that type, shape and the retention time of TFBA and age were associated with LRTI 10 . Therefore, we retrospectively analyzed the children who were applied TFBA extraction in our hospital in order to determine the occurrence of LRTI and analyze its risk factors.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for lower respiratory tract infection associated with tracheobronchial foreign body aspiration in children

Lin

et al. 2021

Preprint

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Background: Tracheobronchial foreign body aspiration (TFBA) is a major cause of death in children. There are few reports about lower respiratory tract infection (LRTI) caused by TFBA. This study collected the TFBA in our hospital to analyze the LRTI and to determine its risk factors. Methods: A total of 194 children who were performed TFBA extraction in The Children’s Hospital of Zhejiang University School of Medicine between June 2019 and April 2020 were enrolled. The clinical data, cervicothoracic CT and operation records were collected. Chi-square test, rank sum test and multivariate logistics regression analysis were applied. Results: The incidence of LRTI was 46.6%, 68.6% and 68.6% respectively when retention time was within 24 hours, 1 week and more than 1 week. Cervicothoracic CT showed embedding site in and above trachea in 24 cases, in main bronchus in 134 cases, in segmental bronchus and below in 36 cases. Cervicothoracic CT showed no obvious abnormality in 60 cases, obstructive emphysema or atelectasis in 77 cases, obstructive pneumonia in 50 cases, and the rest in 7 cases. Cervicothoracic CT diagnosis and retention time of TFBA were different between LRTI group and non-LRTI group in univariate analysis. There was a correlation between the retention time of TFBA and LRTI in multivariate logistics regression analysis. Conclusionss: The incidence of LRTI caused by TFBA is high. There was no difference in the incidence of LRTI between organic and inorganic TFBA. The retention time of TFBA is an independent risk factor for LRTI.

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Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study

Mohsen

Bakkar

Melhem

et al. 2021

Heliyon

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Background: Paediatric foreign body aspiration constitutes significant lethal sequela worldwide. This is the first descriptive Syrian study that aims to describe the epidemiology of foreign body aspiration in a tertiary centre in Syria. Methods: This is a retrospective cohort study conducted at the Children's University Hospital, Damascus, from 2011 to 2018 during the Syrian crisis. The children underwent rigid bronchoscopy at Al Mouwasat University hospital, the only properly equipped hospital to perform paediatric rigid bronchoscopy in Damascus. We included all cases with complete medical records of children under the age of 13 years with positive bronchoscopy findings of foreign body aspiration. The records of patients were examined, and data extracted included physical examination, CXR reports, bronchoscopy reports, and complications. Statistical package for social sciences 25.0 program for Windows was used to report frequencies, percentages, means, medians, and standard deviations. Results: Of 560 children diagnosed with foreign body aspiration, the peak incidence was at the age of 1-3 years 376 (67.2%). Most patients presented with an explicit history of inhalation 453 (80.9%). The most frequent clinical findings were dyspnoea 320 (57.1%), wheezing 308 (55%), and chest retraction 209 (37.35%). Hyperinflation 260 (46.4%) followed by pulmonary infiltration 197 (35.2%) were the most common abnormal radiological findings. Seeds 273 (48.8%) were the most frequent foreign body extracted by rigid bronchoscopy. The right main bronchus 255 (40.2%) was the most frequent site of foreign body lodgement. Lobar pneumonia 16 (2.8%) was the commonest complication of foreign body aspiration. Conclusion: Foreign body aspiration is a major public health problem in Syria. The child's welfare must be our paramount concern. To prevent this accident, we should address a change in raising public health awareness with regards to appropriate food and eating habits. This would limit hazardous complications.

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Risk factors for lower respiratory tract infection in children with tracheobronchial foreign body aspiration

Cited by 23 publications

References 32 publications

Foreign body aspiration as a cause of recurrent pneumonia – case report

Foreign body aspiration as a cause of recurrent pneumonia – case report

Risk factors for lower respiratory tract infection associated with tracheobronchial foreign body aspiration in children

Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study

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