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Associated Risk Factors and Diagnostic Value of Fiberoptic Bronchoscopy for Protracted Bacterial Bronchitis in Children

Authors :
Rong Zhang
Li Wang
Chen Gong
Hui Gao
Wenhong Li
Chenrong Bian
Jiaying Zhao
Shenggang Ding
Yulin Zhu
Source :
International Journal of Clinical Practice, Vol 2023 (2023)
Publication Year :
2023
Publisher :
Hindawi-Wiley, 2023.

Abstract

Objective. Untreated protracted bacterial bronchitis (PBB), a chronic wet cough prevalent in children, may lead to chronic suppurative lung disease. However, clinical diagnostic criteria are currently nonspecific; thus, PBB may be misdiagnosed. Thus, we assessed the diagnostic value of fiberoptic bronchoscopy (FOB) and the risk factors associated with PBB. Methods. Children with chronic cough at The First Affiliated Hospital of Anhui Medical University from January 2015 to May 2020 were enrolled and allocated to a suspected PBB (n = 141) or a non-PBB (n = 206) group. All children underwent extensive laboratory, chest imaging, and allergen tests. Children with suspected PBB underwent FOB with bronchoalveolar lavage; lavage and sputum samples were cultured. Results. All 347 children had a chronic wet cough for approximately 2 months. Of 141 children with suspected PBB, 140 received FOB with bronchoalveolar lavage. Visible tracheal changes included pale mucosa, mucosal congestion, edema, swelling, and increased secretions attached to the wall. Sputum was visible primarily in the left main bronchus (78.7%), left lower lobe (59.6%), right upper lobe (62.4%), and right lower lobe (64.5%). Sputum properties and amounts significantly differed between children with vs. without PBB P

Subjects

Subjects :
Medicine

Details

Language :
English
ISSN :
17421241
Volume :
2023
Database :
Directory of Open Access Journals
Journal :
International Journal of Clinical Practice
Publication Type :
Academic Journal
Accession number :
edsdoj.13173ea3d8454f4a9ea350b67fce70af
Document Type :
article
Full Text :
https://doi.org/10.1155/2023/8116651