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Evaluation of the Clinical, Laboratory and Radiology Findings and Treatment Methods of Children with Acute Bronchiolitis
  • Cüneyt Uğur,
  • Elif Somuncu,
  • Taha Demirci
Cüneyt Uğur
Department of Pediatrics, University of Health Sciences Turkey, Konya City Health Application and Research Center, Konya, Türkiye

Corresponding Author:[email protected]

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Elif Somuncu
Department of Pediatrics. Van Education and Research Hospital, Van, Türkiye.
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Taha Demirci

Abstract

In this study, it is aimed to determine the factors affecting the duration of hospitalization and causing the initiation of antibiotics in children with acute bronchiolitis. This study was conducted at a Training and Research Hospital retrospectively. Demographic data, clinical features, laboratory and radiological findings, treatment method and duration of hospitalization of 102 patients who were followed up in the pediatric ward, between September 2017 and April 2019 and in the autumn, winter and spring months were recorded from the patients’ files. The subjects of this study were 67 (65.7%) male and 35 (34.3%) female. Median age was 6.5 (11) months. Age range was 1-6 months 50.0%, 7-12 months 20.6%, 13-24 months 13.7% and 25-36 months 15.7%. Median duration of hospitalization was 7 (4) days. Distribution according to the seasons was winter 66.7%, spring 20.6% and autumn 12.7%. The patients were bronchiolitis that mild 35.3%, moderate 50%, and severe 14.7%. The most common agents in polymerase chain reaction (PCR) were respiratory syncytial virus (58.8%), influenza virus (19.6%), rhinovirus (14.7%), bocavirus (14.7%) and parainfluenza virus (11.7%). The crepitant ral in physical examination, respiratory acidosis in blood gas analysis, co-infection with influenza virus in PCR, and the viral pneumonia on chest radiography were found as significant factors prolonging the patient’s duration of hospitalization. Wheezing, crepitant ral, leukocytosis, and neutrophilia were determined as significant reasons of antibiotic initiation.