Viral Etiology of Acute Bronchiolitis in Hospitalized Infants and the Effect on Clinical Course

Kanık, Ali; Eliaçık, Kayı; Koyun, Begum; Ince, Osman Tolga; Derici, Yeşer Karaca; Yılmaz, Nisel; Çiftdoğan, Dilek Yılmaz

doi:10.5152/ced.2016.2425

Cited by 5 publications

(6 citation statements)

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“…In a study conducted by Janahi et al ( 7 ), multiple viral agents were found in 33% of the subjects. In a study conducted by Kanık et al ( 27 ), a single viral agent was found in 55.3% of the subjects, and no difference was found in hospitalization duration between the subjects with single and multiple viral agents. In our study, viral agents were evaluated in single and multiple groups, and similar agents were observed between the two groups.…”

Section: Discussionmentioning

confidence: 89%

Akut bronşiolitli olgularda klinik ilişkili faktörler ve tedavi yaklaşımlarının karşılaştırılması

Üzüm¹,

Kanık

Eliaçık³

et al. 2020

Turk Pediatri Ars

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Section: Discussionmentioning

confidence: 89%

Akut bronşiolitli olgularda klinik ilişkili faktörler ve tedavi yaklaşımlarının karşılaştırılması

Üzüm¹,

Kanık

Eliaçık³

et al. 2020

Turk Pediatri Ars

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“…[ 19 , 20 ] It is important to investigate the viral etiology in order to prevent the unnecessary use of antibiotics and to initiate antiviral therapy for some viruses. [ 21 ] In a study conducted by Petrarca et al [ 22 ] the PCR results of patients hospitalized due to acute bronchiolitis were examined, and it was reported that the two most common agents were RSV (75.1%) and rhinovirus (18.3%). In a study conducted by Kanık et al [ 21 ] the most frequently determined agents were RSV (57.1%), rhinovirus (27.1%), influenza virus (13.0%) and bocavirus (9.0%).…”

Section: Discussionmentioning

confidence: 99%

“…[ 21 ] In a study conducted by Petrarca et al [ 22 ] the PCR results of patients hospitalized due to acute bronchiolitis were examined, and it was reported that the two most common agents were RSV (75.1%) and rhinovirus (18.3%). In a study conducted by Kanık et al [ 21 ] the most frequently determined agents were RSV (57.1%), rhinovirus (27.1%), influenza virus (13.0%) and bocavirus (9.0%). In this study, the most frequently detected agent was RSV (58.8%), followed by influenza virus (19.6%), rhinovirus (14.7%) and bocavirus (14.7%).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Clinical, Laboratory and Radiology Findings and Treatment Methods of Children with Acute Bronchiolitis: Experience of a Tertiary Center

Ugur

2024

Sisli Etfal

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The aim of this study is to determine the factors affecting the duration of hospitalization and causing the initiation of antibiotics in children with acute bronchiolitis. Methods: This study was conducted retrospectively in Konya Training and Research Hospital. Demographic data, clinical features, laboratory and radiological findings, treatment methods and duration of hospitalization of 102 patients followed up in the pediatric service between September 2017 and April 2019 (in autumn, winter and spring seasons) were recorded from patient files. Results: 67 (65.7%) of 102 patients were male, and 35 (34.3%) were female. Median age was 6.5 (11.0) months. According to Wang bronchiolitis clinical scoring, 36 (35.3%) of the patients were mild, 51 (50.0%) were moderate, 15 (14.7%) were severe bronchiolitis The most common agents in polymerase chain reaction (PCR) were respiratory syncytial virus 60 (58.8%), influenza virus 20 (19.6%), rhinovirus 15 (14.7%), bocavirus 15 (14.7%) and parainfluenza virus 12 (11.7%). The median duration of hospitalization was 7.0 (4.0) days. Forty-two (41.2%) of the patients were hospitalized for ≤5 days, and 60 (58.8%) were hospitalized for >5 days. Duration of hospitalization was significantly and positively correlated with crepitant crackles, leukocytosis, neutrophilia, and coinfection with influenza virus (p=0. 036, p=0.034, p=0.028, p=0.036, respectively). Duration of hospitalization was significantly and negatively correlated with pH and increased aeration (p=0.002, p=0.003, respectively) Antibiotic initiation was significantly and positively correlated with wheezing, crepitant crackles, leukocytosis, and neutrophilia (p=0.033, p=0.013, p=0.028, p=0.002, respectively). Conclusion: A significant relationship was found between crepitant crackles in physical examination, respiratory acidosis in laboratory, co-infection with influenza virus detected by PCR and hospitalization for more than 5 days. A significant relationship was determined between wheezing or crepitant crackles in physical examination, leukocytosis or neutrophilia in laboratory and the initiation of antibiotic.

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“…Kanık ve ark. [9] yaptıkları çalışmada akut bronşitli olgularda %89.9 oranında viral etken izole ettiler. Virüs izole edilen grupla viral etken saptanmayan grup arasında ortalama yatış süreleri açısından fark saptamadı-lar.…”

Section: Discussionunclassified

Effects of Isolated Viral Pathogens and Treatment Strategies on the Course of Acute Bronchiolitis

Akin¹

2017

Haydarpasa Numune Med J

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Giriş ve Amaç: Akut bronşiyolit süt çocukluğunda ve 2 yaşından küçük çocuklarda, genellikle viral etkenlere bağlı gelişen ve hastaneye yatışın majör sebeplerinden olan bir alt solunum yolu enfeksiyonudur. Çalışmamızın amacı akut bronşiolit nedeniyle hastanede yatan çocuklarda izole edilen laboratuvar bulguları ve uygulanan tedavi yöntemlerinin hastaların yatış sürelerine etkisini araştırmaktır. Yöntem ve Gereçler: Bu amaçla Konya Eğitim ve Araştırma Hastanesi Çocuk Kliniğinde Aralık 2013 -Mayıs 2014 tarihleri arasında bronşiyolit tanısıyla yatarak takip edilen 95 hastanın dosyaları retrospektif olarak incelendi. Bulgular: En fazla izole edilen viral patojenler respiratuvar sinsityal virüs (%21.8) ve rinovirüs idi (%21.8). Sadece rinovirüs üreyen grupla üreme olmayan grup arasında yatış süreleri açısından anlamlı bir fark bulunamazken, sadece RSV-A üreyen ve RSV-A+Rinovirüs birlikte üreyen grupta hastanede yatış süreleri anlamlı derecede uzun bulundu. İnhale bronkodilatatör, ipratropium bromid, hipertonik salin tedavisi uygulanan ve uygulanmayan hasta grupları arasında yatış süreleri açısından anlamlı fark saptanmazken, inhale streoid alan olguların yatış süresi almayanlara oranla daha uzun bulundu. İmmunglobulin E (Ig E) düzeyi yüksek ölçülen hastaların ortalama yatış süreleri, normal olanlara göre anlamlı olarak uzundu. Anne sütü alan ve almayan gruplar arasında ve sigara ile temas öyküsü olan ve olmayan gruplar arasında yatış süreleri açısından anlamlı fark saptanmadı. Tartışma ve Sonuç: Sonuç olarak, RSV ve rinovirüs hala akut bronşiyolitin majör sebepleridir. İnhale steroid tedavisi almak, yüksek Ig E düzeyi ve bronşiolit sebebinin RSV olması hastanede yatış süresini uzatmaktadır. Anahtar sözcükler: Akut bronşiyolit virüs; çocuk; inhale tedaviler; yatış süresi. Effects of Isolated Viral Pathogens and Treatment Strategies in the Course of Acute BronchiolitisAbstract Introduction: Acute bronchiolitis, is predominantly a viral disease, part of the spectrum of lower respiratory tract diseases, and is a major cause of illness and hospitalization in infants and children younger than 2 years of age. The aim of the present study was to determine the effects of treatment protocols, other laboratory results, and isolated viral agents on the duration of hospitalization. Methods: Data of 95 children who were hospitalized with the diagnosis of bronchiolitis at the pediatrics clinic of Konya

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Viral Etiology of Acute Bronchiolitis in Hospitalized Infants and the Effect on Clinical Course

Cited by 5 publications

References 0 publications

Akut bronşiolitli olgularda klinik ilişkili faktörler ve tedavi yaklaşımlarının karşılaştırılması

Akut bronşiolitli olgularda klinik ilişkili faktörler ve tedavi yaklaşımlarının karşılaştırılması

Evaluation of the Clinical, Laboratory and Radiology Findings and Treatment Methods of Children with Acute Bronchiolitis: Experience of a Tertiary Center

Effects of Isolated Viral Pathogens and Treatment Strategies on the Course of Acute Bronchiolitis

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