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Research Article | Volume 13 Issue:3 (, 2023) | Pages 1035 - 1042
A Hospital Based Study on Clinico – Epidemiological Profile and Outcome in Infants with Bronchiolitis
Under a Creative Commons license
Open Access
Received
June 30, 2023
Revised
July 15, 2023
Accepted
July 28, 2023
Published
Aug. 10, 2023
Abstract

Background: One of the biggest clinical problems in paediatric treatment is still bronchiolitis. Young children (under 2 years old) are more susceptible to the lower respiratory ailment bronchiolitis, which is brought on by seasonal viruses such as RSV, Rhinovirus, Influenza, Adenovirus and others. It is the most common reason for young children to be admitted to the hospital and is associated with a high level of morbidity but a low fatality rate (1%). Each year, bronchiolitis affects 20% of newborns in the US and about 3% of those need to be hospitalised.

Objectives:

1. To study the clinico-epidemiological andmicrobiological profile of bronchiolitis in children.profile of bronchiolitis in children.

2. To assess the clinical outcome in hospitalised infants with bronchiolitis.

Material & Methods: Study Design: Hospital based prospective cross-sectional study. Study area: The study was conducted in the Department of Paediatrics.  Apollo Institute of Medical Sciences and Research, Hyderabad. Study Period:  JAN 2021 TO DEC 2022.  Study population: Children aged between two months and two years, presenting with first episode of acute bronchiolitis and respiratory distress attending department of paediatrics.  Sample size: Study consisted a total of 88 subjects. Sampling Technique:  Simple Random technique. Results: Among 88 cases, 23 cases (26.1 %) showed negative in viral panel, 33 cases (37.5%) showed Respiratory syncitial virus, Rhino virus was the 2nd most common virus seen in 18 cases (20.5 %), Adeno virus in 3 cases (3.4 %), Para influenza seen in 3 cases (3.4%), Boca virus in 2 cases (2.3%), Human metapneumo virus seen in 2 cases (2.3%), Influenza and Para influenza seen one in each. Conclusion: Infants with Bronchiolitis typically present with upper respiratory tract symptoms. Bronchiolitis is common in young infants, with male predominance and severity of bronchiolitis also has male predominance. Our study very interestingly found that none of the cases required invasive ventilation, majority were treated with only humidified high flow nasal canula. Severity of bronchiolitis is more among RSV positive cases.

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