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The I.C.U. treatment of acute laryngotracheobronchitis in a developing country
Intensive Care Medicine
|January 1, 1978
Insights
Acute laryngotracheobronchitis (LTB) in developing nations presents unique challenges. While overall mortality was 16%, no deaths were directly attributed to LTB itself.
Area of Science:
- Pediatrics
- Critical Care Medicine
- Infectious Diseases
Background:
- Acute laryngotracheobronchitis (LTB) management varies significantly between developed and developing countries.
- Complicating factors like bronchopneumonia, malnutrition, and measles impact LTB presentation and outcomes in developing nations.
Purpose of the Study:
- To describe the management of pediatric acute laryngotracheobronchitis (LTB) in a developing country's general Intensive Care Unit (ICU).
- To propose therapeutic guidelines for LTB in resource-limited settings.
Main Methods:
- Retrospective analysis of 50 pediatric cases of acute laryngotracheobronchitis (LTB) managed in a general ICU.
- Evaluation of patient outcomes and complicating factors.
Main Results:
- Overall mortality in the study cohort was 16%.
- No deaths were directly attributed to acute laryngotracheobronchitis (LTB).
- Bronchopneumonia, malnutrition, and measles were significant complicating factors.
Conclusions:
- Acute laryngotracheobronchitis (LTB) in developing countries is a distinct clinical entity requiring tailored management strategies.
- Proposed therapeutic guidelines aim to improve LTB care in resource-limited settings.
Abstract:
The management of 50 children with acute laryngotracheobronchitis (LTB) in a general I.C.U. in a developing country is presented. The overall mortality was 16%, with no patient demising from LTB. It is stressed that LTB in developing countries is a very different disorder to that seen in Western societies, due to complicating factors such as bronchopneumonia, malnutrition and measles. Guidelines for therapy are proposed.