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Published on: May 8, 2017
Changing epidemiology of non-cystic fibrosis bronchiectasis
Semiha Bahçeci1, Sait Karaman1, Hikmet Tekin Nacaroğlu1
1Department of Pediatrics, Dr. Behçet Uz Pediatric Hospital, İzmir, Turkey.
Insights
Non-cystic fibrosis bronchiectasis etiology is shifting, with increases in primary ciliary dyskinesia and immune deficiencies. This condition can be managed long-term with medical treatment.
Area of Science:
- Pediatrics
- Pulmonology
- Medical Research
Background:
- Non-cystic fibrosis bronchiectasis presents a growing health concern, linked to antibiotic misuse and rising cases of protracted bacterial bronchitis.
- Understanding the evolving causes of bronchiectasis is crucial for effective management.
Purpose of the Study:
- To investigate the changes in the etiological landscape of bronchiectasis over a ten-year period.
- To identify trends in the causes of pediatric bronchiectasis.
Main Methods:
- Retrospective analysis of 110 pediatric patients admitted to Behçet Uz Children Hospital between 2005 and 2015.
- Etiological factors were identified for each case.
Main Results:
- Primary ciliary dyskinesia (26.4%) and protracted bacterial bronchitis (22.8%) were the leading causes.
- Over the study period, asthma and tuberculosis etiologies decreased, while primary ciliary dyskinesia and primary immune deficiency etiologies increased.
- In 15.4% of cases, the etiology remained unclear. 91% of patients received medical treatment.
Conclusions:
- The etiology of non-cystic fibrosis bronchiectasis shows a dynamic shift, with increasing prevalence of genetic and immune-related conditions.
- Non-cystic fibrosis bronchiectasis is manageable with long-term medical treatment strategies.
Abstract:
Non-cystic fibrosis bronchiectasis again becomes a major health problem due to inappropriate antibiotic use and increasing frequency of protracted bacterial bronchitis. The aim was to determine the changes in etiology of bronchiectasis. Patients who admitted to Behçet Uz Children Hospital between 2005 and 2015 (n=110) were retrospectively examined. The etiology of bronchiectasis was detected as; primary ciliary dyskinesia 26.4%, protracted bacterial bronchitis 22.8%, primary immune deficiency 11.8%, bronchiolitis obliterans 8.2%, lung disease secondary to gastro-esophageal reflux 3.7%, foreign body aspiration 2.7%, tuberculosis %2.7, congenital malformation 1.8% and asthma 1.8%, respectively. In 15.4% of cases, etiology was not identified clearly. 91% of the patients were medically treated. In ten years, the frequency of asthma and tuberculosis in etiology had decreased but primary ciliary dyskinesia and primary immune deficiency had increased. Non-cystic fibrosis bronchiectasis can be followed up for a long time with medical treatment.
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