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Acute bronchiolitis in children

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https://www.readbyqxmd.com/read/27892438/comparison-of-initial-response-of-nebulized-salbutamol-and-adrenaline-in-infants-and-young-children-admitted-with-acute-bronchiolitis
#1
S Adhikari, P Thapa, K S Rao, G Bk
Background Acute bronchiolitis is common cause of hospitalization in infants and young children. There are widespread variations in the diagnosis and management. Despite the use of bronchodilators for decades, there is lack of consensus for the benefit of one above another. Objective To compare initial response of nebulized adrenaline and salbutamol. Method Children aged two months to two years admitted with acute bronchiolitis in the department of Paediatrics of Manipal teaching hospital, Pokhara, Nepal, from 1st March 2014 to 28th February 2015 were enrolled...
January 2016: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/27889372/-non-invasive-ventilation-in-children-do-we-need-more-evidence
#2
G Mortamet, G Emeriaud, P Jouvet, B Fauroux, S Essouri
Respiratory failure is the leading cause of hospital admissions in the pediatric intensive care unit (PICU) and is associated with significant morbidity and mortality. Mechanical ventilation, preferentially delivered by a non-invasive route (NIV), is currently the first-line treatment for respiratory failure since it is associated with a reduction in the intubation rate. This ventilatory support is increasingly used in the PICU, but its wider use contrasts with the paucity of studies in this field. This review aims to describe the main indications of NIV in acute settings: (i) bronchiolitis; (ii) postextubation respiratory failure; (iii) acute respiratory distress syndrome; (iv) pneumonia; (v) status asthmaticus; (vi) acute chest syndrome; (vii) left heart failure; (viii) exacerbation of chronic respiratory failure; (ix) upper airway obstruction and (x) end-of-life care...
November 23, 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/27885562/respiratory-syncytial-virus-and-influenza-are-the-key-viral-pathogens-in-children-2%C3%A2-years-hospitalized-with-bronchiolitis-and-pneumonia-in-islamabad-pakistan
#3
Uzma Bashir, Nadia Nisar, Yasir Arshad, Muhammad Masroor Alam, Asiya Ashraf, Hajra Sadia, Birjees Mazher Kazi, Syed Sohail Zahoor Zaidi
Pneumonia remains a leading cause of morbidity and mortality in developing countries. Comprehensive surveillance data are needed to review the prevention and control strategies. We conducted active surveillance of acute lower respiratory infections among children aged <2 years hospitalized at two hospitals of Islamabad, Pakistan. Viral etiology was determined using real-time PCR on respiratory specimens collected during March 2011-April 2012. The overall mean age was 7.83 ± 5.25 months while no statistical difference between age or sex distribution of patients with positive and negative viral etiology (p > 0...
November 24, 2016: Archives of Virology
https://www.readbyqxmd.com/read/27865727/-epidemiology-of-patients-hospitalised-due-to-bronchiolitis-in-the-south-of-europe-analysis-of-the-epidemics-2010-2015
#4
José Miguel Ramos-Fernández, Eva Pedrero-Segura, Mario Gutiérrez-Bedmar, Beatriz Delgado-Martín, Ana María Cordón-Martínez, David Moreno-Pérez, Antonio Urda-Cardona
INTRODUCTION: The renewal of clinical practice guidelines on acute bronchiolitis (AB) requires the re-assessment of the consequences of their implementation. An update is presented on the main clinical and epidemiological variables in patients hospitalised due to AB in Southern Europe and an analysis made of the causes associated with longer hospital stay. PATIENTS AND METHOD: A retrospective study was conducted on patients admitted to hospital due to AB during 5 epidemics (2010-2015), with an analysis of the major clinical and epidemiological variables...
November 16, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/27805553/-monoinfection-of-human-metapneumovirus-in-cordoba-first-clinical-and-epidemiological-research-in-children-with-respiratory-infection-in-2011
#5
Pamela Elizabeth Rodriguez, María Pilar Adamo, María Gabriela Paglini, Laura Moreno, Jorge Augusto Camara, Alicia Camara
: Human metapneumovirus (hMPV) RNA virus discovered in 2001, is a pathogen associated with acute respiratory infection (ARI) in children under 5 years; its prevalence ranges from 5-15%. In Córdoba, it is not integrated into the viral research in patients with low IRA (LARI). OBJECTIVE: Detect hMPV in children under 5 years hospitalized for LARI in the Children's Hospital "Santísima Trinidad" of Cordoba (HNC) in 2011 and describe the clinical and epidemiological characteristics of monoinfecciones without comorbidity...
2016: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/27799386/association-of-nasopharyngeal-microbiota-profiles-with-bronchiolitis-severity-in-infants-hospitalised-for-bronchiolitis
#6
Kohei Hasegawa, Jonathan M Mansbach, Nadim J Ajami, Janice A Espinola, David M Henke, Joseph F Petrosino, Pedro A Piedra, Chad A Shaw, Ashley F Sullivan, Carlos A Camargo
Little is known about the relationship between the specific airway microbiota composition and severity of bronchiolitis. We aimed to identify nasopharyngeal microbiota profiles and link these profiles to acute severity in infants hospitalised for bronchiolitis.We conducted a multicentre prospective cohort study of 1005 infants (age <1 year) hospitalised for bronchiolitis over three winters, 2011-2014. By applying a 16S rRNA gene sequence and clustering approach to the nasopharyngeal aspirates collected within 24 h of hospitalisation, we determined nasopharyngeal microbiota profiles and their association with bronchiolitis severity...
November 2016: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/27798551/risk-factors-for-virus-induced-acute-respiratory-tract-infections-in-children-younger-than-3-years-and-recurrent-wheezing-at-36-months-follow-up-after-discharge
#7
Ambra Nicolai, Antonella Frassanito, Raffaella Nenna, Giulia Cangiano, Laura Petrarca, Paola Papoff, Alessandra Pierangeli, Carolina Scagnolari, Corrado Moretti, Fabio Midulla
BACKGROUND: We sought to know more about how 14 common respiratory viruses manifest clinically, and to identify risk factors for specific virus-induced acute respiratory tract infections (ARTIs) in children younger than 3 years and for wheezing at 36-months follow-up. METHODS: We retrospectively studied the clinical records for 273 full-term children (median age, 2.9 months, range 0.26-39, boys 61.2%) hospitalized for ARTIs whose nasopharyngeal specimen tested positive for a respiratory virus and 101 children with no history of respiratory diseases (median age, 8 months, range: 0...
October 27, 2016: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/27790933/nutritional-status-metabolic-state-and-nutrient-intake-in-children-with-bronchiolitis
#8
V De Cosmi, N M Mehta, A Boccazzi, G P Milani, S Esposito, G Bedogni, C Agostoni
Nutrition has a coadjuvant role in the management of children with acute diseases. We aimed to examine nutritional status, macronutrient requirements and actual macronutrient delivery in bronchiolitis. The nutritional status was classified according to WHO criteria and resting energy expenditure (MREE) was measured using an indirect calorimeter. Bland-Altman analysis was used to examine the agreement between MREE and estimated energy expenditure (EEE) with standard equations. Based on the ratio MREE/EEE in relation to Schofield equation on admission, we defined the subjects' metabolic status...
October 28, 2016: International Journal of Food Sciences and Nutrition
https://www.readbyqxmd.com/read/27722041/hypoxemia-is-an-independent-predictor-of-bronchiolitis-obliterans-following-respiratory-adenoviral-infection-in-children
#9
Pei-Qiong Wu, Xing Li, Wen-Hui Jiang, Gen-Quan Yin, Ai-Hua Lei, Qiang Xiao, Jian-Jun Huang, Zhi-Wei Xie, Li Deng
Bronchiolitis obliterans (BO) is an uncommon and severe sequela of chronic obstructive lung disease in children that results from an insult to the lower respiratory tract. Few prognostic factors achieved worldwide acknowledgment. In the present study, we retrospectively collected the children with respiratory adenoviral infection and identified the predictive factors of BO. In the period between Jan 2011 and December 2014, the consecutive in-hospital acute respiratory infection children with positive result for adenovirus were enrolled into the present study...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27668919/the-utility-of-bedside-lung-ultrasound-findings-in-bronchiolitis
#10
Joanna S Cohen, Naomi Hughes, Sonny Tat, James M Chamberlain, Stephen J Teach, Keith Boniface
OBJECTIVES: Recent literature suggests that bedside lung ultrasound may have a role in the evaluation of infants with bronchiolitis. B lines, which are multiple and diffuse vertical artifacts spreading from the lung pleural interface to the edge of the ultrasound screen, have been associated with thickened interlobular septa, extravascular lung water, and diffuse parenchymal disease. The aims of this study were (1) to describe the prevalence of B lines in children younger than 24 months presenting to the emergency department with wheezing, (2) to determine the interrater reliability of lung ultrasound findings in this setting, and (3) to determine the association of B lines with atopy and other clinical findings...
September 23, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27665269/acute-viral-bronchiolitis-and-risk-of-asthma-in-schoolchildren-analysis-of-a-brazilian-newborn-cohort
#11
Heli V Brandão, Graciete O Vieira, Tatiana O Vieira, Álvaro A Cruz, Armênio C Guimarães, Carlos Teles, Paulo Camargos, Constança M S Cruz
OBJECTIVE: To verify whether the occurrence of acute viral bronchiolitis in the first year of life constitutes a risk factor for asthma at age 6 considering a parental history of asthma. METHODS: Cross-sectional study in a cohort of live births. A standardized questionnaire of the International Study of Asthma and Allergies in Childhood was applied to the mothers to identify asthma in children at the age of 6 years. Acute viral bronchiolitis diagnosis was performed by maternal report of a medical diagnosis and/or presence of symptoms of coryza accompanied by cough, tachypnea, and dyspnea when participants were 3, 6, 9, and 12 months...
September 22, 2016: Jornal de Pediatria
https://www.readbyqxmd.com/read/27650524/bronchiolitis-in-young-infants-is-it-a-risk-factor-for-recurrent-wheezing-in-childhood
#12
Firas Rinawi, Imad Kassis, Rina Tamir, Amir Kugelman, Isaac Srugo, Dan Miron
BACKGROUND: Acute bronchiolitis in infancy is considered a risk factor for recurrent wheezing episodes in childhood. The present study assessed prevalence, clinical manifestations and risk factors for recurrent wheezing events during the first 3 years of life and persistent wheezing events beyond this age in children hospitalized as young infants with acute bronchiolitis. METHODS: Two groups of children aged 6 years were included. The study group comprised 150 children with a history of hospitalization for bronchiolitis, with the first event at <6 months of age...
September 20, 2016: World Journal of Pediatrics: WJP
https://www.readbyqxmd.com/read/27632796/clinical-characteristics-and-viral-load-of-respiratory-syncytial-virus-and-human-metapneumovirus-in-children-hospitalized-for-acute-lower-respiratory-tract-infection
#13
Xiao-Li Yan, Yu-Ning Li, Yi-Jie Tang, Zhi-Ping Xie, Han-Chun Gao, Xue-Mei Yang, Yu-Mei Li, Li-Jun Liu, Zhao-Jun Duan
Respiratory syncytial virus (RSV) and human metapneumovirus (HMPV) are two common viral pathogens in acute lower respiratory tract infections (ALRTI). However, the association of viral load with clinical characteristics is not well-defined in ALRTI. To explore the correlation between viral load and clinical characteristics of RSV and HMPV in children hospitalized for ALRTI in Lanzhou, China. 387 children hospitalized for ALRTI were enrolled. Nasopharyngeal aspirates (NPAs) were sampled from each children. Real-time PCR was used to screen RSV, HMPV and twelve additional respiratory viruses...
September 15, 2016: Journal of Medical Virology
https://www.readbyqxmd.com/read/27603535/heated-humidified-high-flow-nasal-cannulae-as-a-form-of-noninvasive-respiratory-support-for-preterm-infants-and-children-with-acute-respiratory-failure
#14
Veronica Mardegan, Elena Priante, Elisabetta Lolli, Paola Lago, Eugenio Baraldi
Heated, humidified high-flow delivered by nasal cannulae (HHHFNC) is increasingly used for noninvasive respiratory support in preterm infants and critically ill children due to its perceived effectiveness and ease of use. Evidence from randomized controlled trials suggests that HHHFNC and continuous positive airway pressure (CPAP) are equally effective as postextubation support in preterm infants. HHHFNC is also used for weaning preterm infants from CPAP. Data on HHHFNC used as the primary support for treating respiratory distress syndrome are conflicting...
September 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27581977/packaging-and-prefusion-stabilization-separately-and-additively-increase-the-quantity-and-quality-of-respiratory-syncytial-virus-rsv-neutralizing-antibodies-induced-by-an-rsv-fusion-protein-expressed-by-a-parainfluenza-virus-vector
#15
Bo Liang, Joan O Ngwuta, Richard Herbert, Joanna Swerczek, David W Dorward, Emerito Amaro-Carambot, Natalie Mackow, Barbora Kabatova, Matthias Lingemann, Sonja Surman, Lijuan Yang, Man Chen, Syed M Moin, Azad Kumar, Jason S McLellan, Peter D Kwong, Barney S Graham, Anne Schaap-Nutt, Peter L Collins, Shirin Munir
: Human respiratory syncytial virus (RSV) and human parainfluenza virus type 3 (HPIV3) are major pediatric respiratory pathogens that lack vaccines. A chimeric bovine/human PIV3 (rB/HPIV3) virus expressing the unmodified, wild-type (wt) RSV fusion (F) protein from an added gene was previously evaluated in seronegative children as a bivalent intranasal RSV/HPIV3 vaccine, and it was well tolerated but insufficiently immunogenic for RSV F. We recently showed that rB/HPIV3 expressing a partially stabilized prefusion form (pre-F) of RSV F efficiently induced "high-quality" RSV-neutralizing antibodies, defined as antibodies that neutralize RSV in vitro without added complement (B...
November 1, 2016: Journal of Virology
https://www.readbyqxmd.com/read/27573216/incidence-of-respiratory-disease-during-the-first-two%C3%A2-years-of-life-in-children-with-hemodynamically-significant-congenital-heart-disease-in-italy-a-retrospective-study
#16
Giacomo Pongiglione, Alessandro Possidoni, Umberto di Luzio Paparatti, Anna Maria Costanzo, Giuliana Gualberti, Marco Bonvicini, Alessandro Rimini, Gabriella Agnoletti, Maria Pia Calabrò, Marco Pozzi, Roberto Tumbarello, Patrizia Salice, Patrizio Fiorini, Maria Giovanna Russo, Ornella Milanesi
Children affected by hemodynamically significant congenital heart disease (HSCHD) experience severe respiratory complications that can increase the frequency of hospitalizations. The aim of the SINERGY study was to describe the incidence of respiratory diseases and to collect information on active and passive immunoprophylaxis in the first 2 years of life. In this retrospective, multicenter, and epidemiologic study, children with HSCHD were enrolled across 11 Italian sites. Children born between December 31, 2007, and December 31, 2012, were observed during their first 2 years of life...
December 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/27566421/progress-in-pediatrics-in-2015-choices-in-allergy-endocrinology-gastroenterology-genetics-haematology-infectious-diseases-neonatology-nephrology-neurology-nutrition-oncology-and-pulmonology
#17
EDITORIAL
Carlo Caffarelli, Francesca Santamaria, Dora Di Mauro, Carla Mastrorilli, Virginia Mirra, Sergio Bernasconi
This review focuses key advances in different pediatric fields that were published in Italian Journal of Pediatrics and in international journals in 2015. Weaning studies continue to show promise for preventing food allergy. New diagnostic tools are available for identifying the allergic origin of allergic-like symptoms. Advances have been reported in obesity, short stature and autoimmune endocrine disorders. New molecules are offered to reduce weight gain and insulin-resistance in obese children. Regional investigations may provide suggestions for preventing short stature...
August 27, 2016: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/27555618/rhinopharyngeal-retrograde-clearance-induces-less-respiratory-effort-and-fewer-adverse-effects-in-comparison-with-nasopharyngeal-aspiration-in-infants-with-acute-viral-bronchiolitis
#18
Gabriela R Gomes, Fernanda Pg Calvete, Gabriela F Rosito, Márcio Vf Donadio
BACKGROUND: Acute viral bronchiolitis is an inflammatory disease of the lower respiratory tract. This study aimed to compare the immediate effects of retrograde rhinopharyngeal clearance with nasopharyngeal aspiration in children admitted with acute viral bronchiolitis. METHODS: This was a randomized controlled clinical trial with children admitted for acute viral bronchiolitis up to 12 months old. Subjects were divided into a nasopharyngeal aspiration group and a clearance group, submitted to retrograde rhinopharyngeal clearance with physiological solution (0...
December 2016: Respiratory Care
https://www.readbyqxmd.com/read/27553073/rsv-n-nanorings-fused-to-palivizumab-targeted-neutralizing-epitope-as-a-nanoparticle-rsv-vaccine
#19
Pierre-Louis Hervé, Charlotte Deloizy, Delphyne Descamps, Marie-Anne Rameix-Welti, Jenna Fix, Jason S McLellan, Jean-François Eléouët, Sabine Riffault
Respiratory syncytial virus (RSV) is the leading cause of acute respiratory infections in children, yet no vaccine is available. The sole licensed preventive treatment against RSV is composed of a monoclonal neutralizing antibody (palivizumab), which targets a conformational epitope located on the fusion protein (F). Palivizumab reduces the burden of bronchiolitis but does not prevent infection. Thus, the development of RSV vaccines remains a priority. We previously evaluated nanorings formed by RSV nucleoprotein (N) as an RSV vaccine, as well as an immunostimulatory carrier for heterologous antigens...
August 20, 2016: Nanomedicine: Nanotechnology, Biology, and Medicine
https://www.readbyqxmd.com/read/27504285/detection-of-respiratory-syncytial-virus-using-direct-fluorescent-antibody-assay-in-paediatric-patients-with-acute-respiratory-tract-infection
#20
Roopa Bhandary, Rekha Boloor
INTRODUCTION: Severe Respiratory Syncytial Virus (RSV) pulmonary disease manifesting as bronchiolitis and pneumonia continues to play a major role in the childhood mortality and morbidity. Hence the present study was undertaken to evaluate the prevalence of RSV among hospitalized children presenting with Acute Respiratory Tract Infection (ARTI) and its correlation with risk factors. AIM: To determine the occurrence of RSV related respiratory tract infection in paediatric patients and to access the risk factors and clinical features associated...
June 2016: Journal of Clinical and Diagnostic Research: JCDR
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