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Clinical analysis of 114 cases of bronchiolitis in infants

Cheng Shi1, Meng-Hua Wu2, An Zuo1

  • 1Department of Pediatrics, Tongling Maternal and Child Health Hospital, Tongling 244000, Anhui Province, China.

World Journal of Clinical Cases
|December 22, 2023
PubMed

Insights

Bronchiolitis in infants primarily affects males and generally has a good prognosis. However, unnecessary antibiotic use can prolong hospital stays and burden the healthcare system.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Respiratory Medicine

Background:

  • Bronchiolitis is a frequent lower respiratory tract infection in infants and young children.
  • Severe cases can lead to significant breathing difficulties and decreased oxygen saturation.

Purpose of the Study:

  • To review the clinical characteristics, diagnostic standards, and treatment protocols for bronchiolitis.
  • To analyze the impact of treatment on patient outcomes and hospital resource utilization.

Main Methods:

  • Retrospective analysis of 114 pediatric patients diagnosed with bronchiolitis.
  • Data collected included clinical and imaging features, treatment strategies, and hospitalization duration.
  • Statistical analysis of patient data to identify trends and treatment efficacy.

Main Results:

  • Bronchiolitis onset predominantly occurred between 1 to 6 months of age.
  • Lung imaging frequently showed increased and fuzzy lung texture (93.8%).
  • Atomization therapy with Budesonide and either terbutaline or salbutamol were common treatments. Unnecessary antibiotic use in non-bacterial infections prolonged hospital stays (7.8 vs 5.7 days) and did not improve cure rates.

Conclusions:

  • Infants diagnosed with bronchiolitis, particularly males, generally experience favorable outcomes.
  • The study highlights that inappropriate antibiotic administration can significantly extend hospitalization, increasing patient and system costs.
  • Optimizing treatment strategies, including judicious antibiotic use, is crucial for efficient pediatric respiratory care.
Abstract

Keywords:
AntibioticsBronchiolitisDiagnosisInfantsRetrospective analysisTreatment

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