Bronquiectasias não fibrocísticas: um perfil epidemiológico em hospital pediátrico
OBJECTIVES: to describe the epidemiological profile of patients with non-cystic fibrosis bronchiectasis in a pediatric hospital and to expand the knowledge of this comorbidity in the pediatric population. METODOLOGY: Chest CT scans performed from January 2016 to January 2020 in a pediatric care ser...
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Format: | Article |
Language: | English |
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Sociedade Brasileira de Pediatria
2024-03-01
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Series: | Residência Pediátrica |
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Online Access: | https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/v14n1e941.pdf |
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author | Brenda Souza de Oliveira Reis Ângelo Antônio Gonçalves de Quadros Raisa Elena Tavares Pinheiro |
author_facet | Brenda Souza de Oliveira Reis Ângelo Antônio Gonçalves de Quadros Raisa Elena Tavares Pinheiro |
author_sort | Brenda Souza de Oliveira Reis |
collection | DOAJ |
description | OBJECTIVES: to describe the epidemiological profile of patients with non-cystic fibrosis bronchiectasis in a pediatric hospital and to expand the knowledge of this comorbidity in the pediatric population.
METODOLOGY: Chest CT scans performed from January 2016 to January 2020 in a pediatric care service were selected. The reports were consulted, verifying those with compatible criteria currently accepted for the diagnosis of bronchiectasis. The medical records of those selected underwent a review process in search of the variables analyzed. Patients diagnosed with cystic fibrosis and with outdated medical records were excluded.
RESULTS: Of the 2319 reports studied, 42 patients were identified. Among these, 59.5% were female, 66.7% were followed up at a pneumopediatrics outpatient clinic, and the mean age at the time of imaging diagnosis was 9.3 years (±4.9). At follow-up, 57.1% of patients underwent spirometry and 35.7% underwent sputum culture. The most observed bacterial growth was that of Pseudomonas aeruginosa (33.4%) and the most frequent spirometric pattern was restrictive (29.2%). Of the presumptive etiologies, the most prevalent was recurrent pneumonia (21.4%), followed by bronchiolitis obliterans (14.3%) and collagen diseases (14.3%).
CONCLUSION: The results found in this study allowed a better characterization of this subgroup of patients. In addition, the importance of diagnosing non-cystic fibrosis bronchiectasis is reinforced, as its therapy requires specific and individualized management. |
first_indexed | 2024-04-24T11:14:07Z |
format | Article |
id | doaj.art-91c83e12ee0e4a95a498c91a039fe563 |
institution | Directory Open Access Journal |
issn | 2236-6814 |
language | English |
last_indexed | 2024-04-24T11:14:07Z |
publishDate | 2024-03-01 |
publisher | Sociedade Brasileira de Pediatria |
record_format | Article |
series | Residência Pediátrica |
spelling | doaj.art-91c83e12ee0e4a95a498c91a039fe5632024-04-11T11:56:17ZengSociedade Brasileira de PediatriaResidência Pediátrica2236-68142024-03-0114110.25060/residpediatr-2024.v14n1-941Bronquiectasias não fibrocísticas: um perfil epidemiológico em hospital pediátricoBrenda Souza de Oliveira Reis0Ângelo Antônio Gonçalves de Quadros1Raisa Elena Tavares Pinheiro2Hospital Erasto Gaertner, Medicina Intensiva Pediátrica - Curitiba - Paraná - BrasilHospital Pequeno Príncipe, Pediatria - Curitiba - Paraná - Brasil.Hospital Pequeno Príncipe, Pneumologia Pediátrica - Curitiba - Paraná - BrasilOBJECTIVES: to describe the epidemiological profile of patients with non-cystic fibrosis bronchiectasis in a pediatric hospital and to expand the knowledge of this comorbidity in the pediatric population. METODOLOGY: Chest CT scans performed from January 2016 to January 2020 in a pediatric care service were selected. The reports were consulted, verifying those with compatible criteria currently accepted for the diagnosis of bronchiectasis. The medical records of those selected underwent a review process in search of the variables analyzed. Patients diagnosed with cystic fibrosis and with outdated medical records were excluded. RESULTS: Of the 2319 reports studied, 42 patients were identified. Among these, 59.5% were female, 66.7% were followed up at a pneumopediatrics outpatient clinic, and the mean age at the time of imaging diagnosis was 9.3 years (±4.9). At follow-up, 57.1% of patients underwent spirometry and 35.7% underwent sputum culture. The most observed bacterial growth was that of Pseudomonas aeruginosa (33.4%) and the most frequent spirometric pattern was restrictive (29.2%). Of the presumptive etiologies, the most prevalent was recurrent pneumonia (21.4%), followed by bronchiolitis obliterans (14.3%) and collagen diseases (14.3%). CONCLUSION: The results found in this study allowed a better characterization of this subgroup of patients. In addition, the importance of diagnosing non-cystic fibrosis bronchiectasis is reinforced, as its therapy requires specific and individualized management.https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/v14n1e941.pdfbronchiectasischildepidemiology |
spellingShingle | Brenda Souza de Oliveira Reis Ângelo Antônio Gonçalves de Quadros Raisa Elena Tavares Pinheiro Bronquiectasias não fibrocísticas: um perfil epidemiológico em hospital pediátrico Residência Pediátrica bronchiectasis child epidemiology |
title | Bronquiectasias não fibrocísticas: um perfil epidemiológico em hospital pediátrico |
title_full | Bronquiectasias não fibrocísticas: um perfil epidemiológico em hospital pediátrico |
title_fullStr | Bronquiectasias não fibrocísticas: um perfil epidemiológico em hospital pediátrico |
title_full_unstemmed | Bronquiectasias não fibrocísticas: um perfil epidemiológico em hospital pediátrico |
title_short | Bronquiectasias não fibrocísticas: um perfil epidemiológico em hospital pediátrico |
title_sort | bronquiectasias nao fibrocisticas um perfil epidemiologico em hospital pediatrico |
topic | bronchiectasis child epidemiology |
url | https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/v14n1e941.pdf |
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