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Características epidemiológicas, clínicas y terapéuticas de lactantes hospitalizados por bronquiolitis

OBJECTIVES: To describe the epidemiology, clinical characteristics and treatments prescribed in children with bronchiolitis admitted to our hospital. MATERIAL AND METHODS: Observational, descriptive and prospective study of children younger than 18 months, admitted to Hospital Virgen de la Arrixaca...

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Autores principales: Piñero Fernández, J.A., Alfayate Migueléz, S., Menasalvas Ruiz, A., Salvador García, C., Moreno Docón, A., Sánchez-Solís de Querol, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Asociación Española de Pediatría. Published by Elsevier España, S.L. 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105076/
https://www.ncbi.nlm.nih.gov/pubmed/22726299
http://dx.doi.org/10.1016/j.anpedi.2012.05.007
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author Piñero Fernández, J.A.
Alfayate Migueléz, S.
Menasalvas Ruiz, A.
Salvador García, C.
Moreno Docón, A.
Sánchez-Solís de Querol, M.
author_facet Piñero Fernández, J.A.
Alfayate Migueléz, S.
Menasalvas Ruiz, A.
Salvador García, C.
Moreno Docón, A.
Sánchez-Solís de Querol, M.
author_sort Piñero Fernández, J.A.
collection PubMed
description OBJECTIVES: To describe the epidemiology, clinical characteristics and treatments prescribed in children with bronchiolitis admitted to our hospital. MATERIAL AND METHODS: Observational, descriptive and prospective study of children younger than 18 months, admitted to Hospital Virgen de la Arrixaca of Murcia (Spain), with the diagnosis of bronchiolitis, during the season of maximum incidence (December 2008-April 2009). RESULTS: A total of 235 infants were admitted, of whom 78.7% of them were aged 5 months or less. We found a positive correlation between the number of cigarettes smoked by their mothers during pregnancy and the number of hospitalization and oxygen therapy days. Children whose mothers were smokers at the time of their admission needed a greater number of oxygen therapy days. Also infants who were not breastfed needed oxygen therapy during more days. Just under one quarter (23.8%) of them had underlying diseases, with prematurity being the most frequent and a risk factor for the ongoing of oxygen therapy and hospital stay. The use of diagnostic tests, bronchodilators, corticosteroids and antibiotics was high. The onset of high temperature was associated with an increased use of antibiotics in outside and inside the hospital setting. An abnormal chest X-ray or a raised C-reactive protein was associated with a higher use of antibiotics. Respiratory Syncytial virus (RSV) was the main aetiological agent, followed by Rhinovirus, Bocavirus, Adenovirus and Metapneumovirus CONCLUSIONS: The majority of hospital admissions due to bronchiolitis took place during the first months of life. Infants whose mothers smoked during pregnancy had a worse clinical outcome. Despite the availability of clinical practice guidelines in our area, the use of diagnostic tests and pharmacological treatment was high.
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spelling pubmed-71050762020-03-31 Características epidemiológicas, clínicas y terapéuticas de lactantes hospitalizados por bronquiolitis Piñero Fernández, J.A. Alfayate Migueléz, S. Menasalvas Ruiz, A. Salvador García, C. Moreno Docón, A. Sánchez-Solís de Querol, M. An Pediatr (Barc) Article OBJECTIVES: To describe the epidemiology, clinical characteristics and treatments prescribed in children with bronchiolitis admitted to our hospital. MATERIAL AND METHODS: Observational, descriptive and prospective study of children younger than 18 months, admitted to Hospital Virgen de la Arrixaca of Murcia (Spain), with the diagnosis of bronchiolitis, during the season of maximum incidence (December 2008-April 2009). RESULTS: A total of 235 infants were admitted, of whom 78.7% of them were aged 5 months or less. We found a positive correlation between the number of cigarettes smoked by their mothers during pregnancy and the number of hospitalization and oxygen therapy days. Children whose mothers were smokers at the time of their admission needed a greater number of oxygen therapy days. Also infants who were not breastfed needed oxygen therapy during more days. Just under one quarter (23.8%) of them had underlying diseases, with prematurity being the most frequent and a risk factor for the ongoing of oxygen therapy and hospital stay. The use of diagnostic tests, bronchodilators, corticosteroids and antibiotics was high. The onset of high temperature was associated with an increased use of antibiotics in outside and inside the hospital setting. An abnormal chest X-ray or a raised C-reactive protein was associated with a higher use of antibiotics. Respiratory Syncytial virus (RSV) was the main aetiological agent, followed by Rhinovirus, Bocavirus, Adenovirus and Metapneumovirus CONCLUSIONS: The majority of hospital admissions due to bronchiolitis took place during the first months of life. Infants whose mothers smoked during pregnancy had a worse clinical outcome. Despite the availability of clinical practice guidelines in our area, the use of diagnostic tests and pharmacological treatment was high. Asociación Española de Pediatría. Published by Elsevier España, S.L. 2012-12 2012-06-20 /pmc/articles/PMC7105076/ /pubmed/22726299 http://dx.doi.org/10.1016/j.anpedi.2012.05.007 Text en Copyright © 2011 Asociación Española de Pediatría. Published by Elsevier España, S.L. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Piñero Fernández, J.A.
Alfayate Migueléz, S.
Menasalvas Ruiz, A.
Salvador García, C.
Moreno Docón, A.
Sánchez-Solís de Querol, M.
Características epidemiológicas, clínicas y terapéuticas de lactantes hospitalizados por bronquiolitis
title Características epidemiológicas, clínicas y terapéuticas de lactantes hospitalizados por bronquiolitis
title_full Características epidemiológicas, clínicas y terapéuticas de lactantes hospitalizados por bronquiolitis
title_fullStr Características epidemiológicas, clínicas y terapéuticas de lactantes hospitalizados por bronquiolitis
title_full_unstemmed Características epidemiológicas, clínicas y terapéuticas de lactantes hospitalizados por bronquiolitis
title_short Características epidemiológicas, clínicas y terapéuticas de lactantes hospitalizados por bronquiolitis
title_sort características epidemiológicas, clínicas y terapéuticas de lactantes hospitalizados por bronquiolitis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105076/
https://www.ncbi.nlm.nih.gov/pubmed/22726299
http://dx.doi.org/10.1016/j.anpedi.2012.05.007
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