engleski

Frequencies And Characteristics Of Bronchoobstructive Syndrome In Children - Then And Now

Background and aims: Upper and lower respiratory tract obstruction is often found in children. The aim of this study was to compare the frequency and characteristics of bronchoobstructive syndrome (BOS ; obstructive bronchitis - OB and subglottic laryngitis - SL) in primary pediatric care during the period from 1987. - 1989. (period I) and the period from 2007. - 2009. (period II). Methods: During those periods the same number of children (N=1717) aged from 0 to 6 years was used to edit data: number of children with BOS, number of attacks, characteristics of BOS during attacks (frequency of acute respiratory infection symptoms - ARIS, children treated with antibiotics, frequency of pneumonia, number of hospitalized children). Results: In period II, statistically significant higher frequency of BOS was found (9.1% versus 25.3% ; P< 0.001), particularly the frequency of OB (5.6% versus 15.7% ; P=0.018), as well as the higher consumption of antibiotics during OB attacks (17.6% versus 40.2% ; P=0.015). The frequency of pneumonia was higher during OB attacks (4.3% versus 11.6% ; P=0.937). There was no difference in the frequency of ARIS during OB attacks (80.0% versus 81.4% ; P=0.787) or SL attacks (60.8% versus 45.4% ; P=0.085). The children hospitalized because of BOS attacks was lower during period II (4.2% versus 3.8% ; P=0.419). Conclusion: Despite the current antibiotic treatments during OB attacks, that has not significantly decreased the percentage of hospitalizated children. ARIS are commonly found in the clinical presentation of OB ; therefore considering their virus etiology the consumption of antibiotics should be more rational.

Bronchoobstructive Syndrome ; Obstructive Bronchitis ; Subglottic Laryngitis ; Children

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