Al Shibli Amar, Nouredin Muhammad B, Al Amri Abdulla, Iram Durdana, Narchi Hassib
Department of Pediatrics, Tawam Hospital, Al-Ain, Abu Dhabi, United Arab Emirates.
Department of Pediatrics, Faculty of Medicine and Health Sciences, Abu Dhabi, United Arab Emirates.
Open Respir Med J. 2021 May 24;15:7-13. doi: 10.2174/1874306402115010007. eCollection 2021.
Bronchiolitis is the commonest lower respiratory tract infection, found worldwide in children < 2 years of age. Over sixty percent of cases are caused by Respiratory Syncytial Virus (RSV). The disease is known to have significant morbidity, mortality and health care costs. Its seasonal variability, manifestations and complications vary between countries. The aim of this study was to determine the epidemiological and clinical characteristics of infants hospitalized with bronchiolitis in Al Ain City, United Arab Emirates.
Retrospective observational chart review was made of an unselected cohort of infants ≤ 2 years admitted to the pediatric department of Tawam hospital over a 3-year period and discharged with the diagnosis of bronchiolitis. Epidemiological data and risk factors were analyzed.
RSV was the commonest pathogen (51%). Hospitalizations occurred year-round but increased significantly in December and January. The patients' median age was 5.8 months with a male predominance (male:female ratio of 1.5:1.0). The mean age at admission was 6.6 months and presentation occurred, on average, 2.9 days after the onset of the symptoms. The majority (94%) had respiratory distress on presentation. Chest x-ray was performed in 80% of the patients. Most children received bronchodilator therapy and oxygen therapy was administered to 42%. The mean duration of hospital stay was 3 days.
Bronchiolitis remains a common reason for hospital admission and carries significant morbidity. RSV is the primarily responsible virus for hospital admissions and morbidity.A better understanding of the burden of bronchiolitis in our setting would enable better planning and use of hospital resources to minimize its short and long-term sequelae.
细支气管炎是最常见的下呼吸道感染，在全球2岁以下儿童中均有发现。超过60%的病例由呼吸道合胞病毒（RSV）引起。已知该疾病具有较高的发病率、死亡率和医疗成本。其季节性变化、表现和并发症在不同国家有所不同。本研究的目的是确定阿拉伯联合酋长酋长酋长 和 阿联酋艾因市因细支气管炎住院的婴儿的流行病学和临床特征。
对塔瓦姆医院儿科在3年期间收治的≤2岁未选择队列的婴儿进行回顾性观察图表审查，这些婴儿出院诊断为细支气管炎。分析了流行病学数据和危险因素。
RSV是最常见的病原体（51%）。全年均有住院病例，但在12月和1月显著增加。患者的中位年龄为5.8个月，男性占优势（男女比例为1.5:1.0）。入院时的平均年龄为6.6个月，症状出现后平均2.9天就诊。大多数（94%）患者就诊时出现呼吸窘迫。80%的患者进行了胸部X光检查。大多数儿童接受了支气管扩张剂治疗，42%的患者接受了氧气治疗。平均住院时间为3天。
细支气管炎仍然是住院的常见原因，并具有较高的发病率。RSV是导致住院和发病的主要病毒。更好地了解我们地区细支气管炎的负担将有助于更好地规划和利用医院资源，以尽量减少其短期和长期后遗症。
