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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Main Authors: Brenda Souza de Oliveira Reis, Ângelo Antônio Gonçalves de Quadros, Raisa Elena Tavares Pinheiro
Format: Article
Language:English
Published: Sociedade Brasileira de Pediatria 2024-03-01
Series:Residência Pediátrica
Subjects:
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 Patients diagnosed with cystic fibrosis and with outdated medical records were excluded.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.
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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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