Acute bronchiolitis: hospitalization, complications and therapeutic management in children less than two years old at a high complexity institution during 2017-2018: A descriptive study
Introduction: Acute bronchiolitis is defined as the first bronchoobstructive episode in children under two years of age, preceded by signs of upper respiratory tract infection. Its significance lies in its high prevalence, as it is the leading cause of hospitalization in children under one year in C...
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| Format: | Article |
| Language: | Spanish |
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Universidad de Antioquia
2023-07-01
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| Series: | Iatreia |
| Subjects: | |
| Online Access: | https://revistas.udea.edu.co/index.php/iatreia/article/view/350666 |
| _version_ | 1797785210741325824 |
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| author | Andrea Jaramillo Cerezo Laura Valentina Cardona Olga Isabel Arango Nathalia Andrea Tamayo González Libia María Rodriguez Padilla Andrea Parra Buitrago |
| author_facet | Andrea Jaramillo Cerezo Laura Valentina Cardona Olga Isabel Arango Nathalia Andrea Tamayo González Libia María Rodriguez Padilla Andrea Parra Buitrago |
| author_sort | Andrea Jaramillo Cerezo |
| collection | DOAJ |
| description | Introduction: Acute bronchiolitis is defined as the first bronchoobstructive episode in children under two years of age, preceded by signs of upper respiratory tract infection. Its significance lies in its high prevalence, as it is the leading cause of hospitalization in children under one year in Colombia. While it is a disease with low fatality, there are patient groups that may develop severe complications.
Objective: This study aimed to describe the frequency of hospitalization and complications, as well as the treatment, of children under two years of age with acute bronchiolitis in a high-complexity institution.
Methods: A retrospective descriptive observational study was conducted. The study population consisted of infants diagnosed with bronchiolitis who were admitted to the institution during 2017 and 2018. The information was recorded in a database and analyzed with SPSS-24.0.
Results: A total of 427 patients were included, of whom 266 were females (62.3%). The median age was 2 months (1-5 months). Retractions were present in 242 infants (56.7%). Hospitalization was required for 268 patients (62.8%), with a median length of stay of 4 days (2-7 days). Among the hospitalized patients, 32 (11.9%) were admitted to the Intensive Care Unit (ICU). Nasal lavage was the most commonly used therapy, applied to 365 patients (85.5%). Viral panel testing was performed in 259 patients (60.6%), with respiratory syncytial virus (RSV) being the primary agent detected.
Conclusions: Although more than half of the patients required hospitalization, the majority had a benign course. While management approaches varied, symptomatic treatment was predominant.
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| first_indexed | 2024-03-13T00:50:52Z |
| format | Article |
| id | doaj.art-f56995e3534c4d2c9470190fd79169f6 |
| institution | Directory Open Access Journal |
| issn | 0121-0793 2011-7965 |
| language | Spanish |
| last_indexed | 2024-03-13T00:50:52Z |
| publishDate | 2023-07-01 |
| publisher | Universidad de Antioquia |
| record_format | Article |
| series | Iatreia |
| spelling | doaj.art-f56995e3534c4d2c9470190fd79169f62023-07-07T20:08:20ZspaUniversidad de AntioquiaIatreia0121-07932011-79652023-07-01363317329https://doi.org/10.17533/udea.iatreia.173Acute bronchiolitis: hospitalization, complications and therapeutic management in children less than two years old at a high complexity institution during 2017-2018: A descriptive studyAndrea Jaramillo Cerezo0https://orcid.org/0000-0001-6513-5457Laura Valentina Cardona1https://orcid.org/0000-0002-0034-0676Olga Isabel Arango2https://orcid.org/0000-0001-8191-2279Nathalia Andrea Tamayo González3https://orcid.org/0000-0002-1946-5452Libia María Rodriguez Padilla4https://orcid.org/0000-0001-7294-3735Andrea Parra Buitrago5https://orcid.org/0009-0002-9665-5791Universidad Pontificia Bolivariana, Medellín, AntioquiaUniversidad Pontificia Bolivariana, Medellín, AntioquiaUniversidad Pontificia Bolivariana, Medellín, AntioquiaUniversidad Pontificia Bolivariana, Medellín, AntioquiaUniversidad Pontificia Bolivariana, Medellín, AntioquiaUniversidad Pontificia Bolivariana, Medellín, AntioquiaIntroduction: Acute bronchiolitis is defined as the first bronchoobstructive episode in children under two years of age, preceded by signs of upper respiratory tract infection. Its significance lies in its high prevalence, as it is the leading cause of hospitalization in children under one year in Colombia. While it is a disease with low fatality, there are patient groups that may develop severe complications. Objective: This study aimed to describe the frequency of hospitalization and complications, as well as the treatment, of children under two years of age with acute bronchiolitis in a high-complexity institution. Methods: A retrospective descriptive observational study was conducted. The study population consisted of infants diagnosed with bronchiolitis who were admitted to the institution during 2017 and 2018. The information was recorded in a database and analyzed with SPSS-24.0. Results: A total of 427 patients were included, of whom 266 were females (62.3%). The median age was 2 months (1-5 months). Retractions were present in 242 infants (56.7%). Hospitalization was required for 268 patients (62.8%), with a median length of stay of 4 days (2-7 days). Among the hospitalized patients, 32 (11.9%) were admitted to the Intensive Care Unit (ICU). Nasal lavage was the most commonly used therapy, applied to 365 patients (85.5%). Viral panel testing was performed in 259 patients (60.6%), with respiratory syncytial virus (RSV) being the primary agent detected. Conclusions: Although more than half of the patients required hospitalization, the majority had a benign course. While management approaches varied, symptomatic treatment was predominant. https://revistas.udea.edu.co/index.php/iatreia/article/view/350666bronchiolitiscomplicationshospitalizationinfant |
| spellingShingle | Andrea Jaramillo Cerezo Laura Valentina Cardona Olga Isabel Arango Nathalia Andrea Tamayo González Libia María Rodriguez Padilla Andrea Parra Buitrago Acute bronchiolitis: hospitalization, complications and therapeutic management in children less than two years old at a high complexity institution during 2017-2018: A descriptive study Iatreia bronchiolitis complications hospitalization infant |
| title | Acute bronchiolitis: hospitalization, complications and therapeutic management in children less than two years old at a high complexity institution during 2017-2018: A descriptive study |
| title_full | Acute bronchiolitis: hospitalization, complications and therapeutic management in children less than two years old at a high complexity institution during 2017-2018: A descriptive study |
| title_fullStr | Acute bronchiolitis: hospitalization, complications and therapeutic management in children less than two years old at a high complexity institution during 2017-2018: A descriptive study |
| title_full_unstemmed | Acute bronchiolitis: hospitalization, complications and therapeutic management in children less than two years old at a high complexity institution during 2017-2018: A descriptive study |
| title_short | Acute bronchiolitis: hospitalization, complications and therapeutic management in children less than two years old at a high complexity institution during 2017-2018: A descriptive study |
| title_sort | acute bronchiolitis hospitalization complications and therapeutic management in children less than two years old at a high complexity institution during 2017 2018 a descriptive study |
| topic | bronchiolitis complications hospitalization infant |
| url | https://revistas.udea.edu.co/index.php/iatreia/article/view/350666 |
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