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[Clinical Analysis of 86 Cases of Children with Plastic Bronchitis]

Ling-Li Shu1, Lin Zhong1, Li Qiu1

  • 1Department of Pediatric Pulmonology and Immunology, West China Second University Hospital, Sichuan University, Chengdu 610041, China.

Sichuan Da Xue Xue Bao. Yi Xue Ban = Journal of Sichuan University. Medical Science Edition
|October 8, 2021
PubMed

Insights

Pediatric plastic bronchitis (PB) often presents with severe symptoms and complications. Young children and those with complications require respiratory support, highlighting key risk factors for early identification.

Area of Science:

  • Pediatric Pulmonology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Plastic bronchitis (PB) is a rare but serious condition in children.
  • Identifying risk factors for respiratory support is crucial for timely intervention.
  • Understanding clinical features aids in early diagnosis of pediatric PB.

Purpose of the Study:

  • To characterize the clinical presentation of pediatric plastic bronchitis.
  • To identify independent risk factors associated with the need for respiratory support in children with PB.
  • To enhance the clinical recognition of PB in pediatric patients.

Main Methods:

  • Retrospective analysis of 86 pediatric patients diagnosed with PB.
  • Data collected on clinical manifestations, complications, and treatment (respiratory support).
  • Logistic regression used to determine risk factors for respiratory support.

Main Results:

  • Most patients (72.1%) were over 3 years old, with 66.3% experiencing complications.
  • Severe symptoms like high fever (≥39.5°C), extensive lung consolidation/atelectasis (95.3%), and pleural effusion (73.3%) were common.
  • Mycoplasma pneumoniae was the most frequent pathogen (68.6%). Patients younger than 3 years (OR=4.99) and those with complications (OR=7.22) had significantly higher odds of requiring respiratory support.

Conclusions:

  • Severe symptoms, systemic complications, significant lung abnormalities, and Mycoplasma pneumoniae infection warrant suspicion for PB.
  • Younger age (<3 years) and the presence of complications are independent predictors of respiratory support need in pediatric PB.
  • These findings can improve early identification and management of plastic bronchitis in children.
Abstract

Keywords:
BronchoscopyChildrenPlastic bronchitisRespiratory support

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