The Incidence, Common Presentation, Management and Outcome of Children with Bronchiolitis Admitted in Dubai Hospital Between 2016 ‐ 2017
Juhi Hussain*
Pediatric Resident, Dubai Health Authority, UAE
*Corresponding Author: Dr. Juhi Hussian, Pediatric Resident, Dubai Health Authority, UAE.
Received: August 24, 2022 Published: September 21, 2022
Abstract
In a retrospective study done over a period of 1 year in Dubai Hospital, the course of children admitted with Bronchiolitis under 2 years of age was studied (2016-2017). A total of 119 children were included in the study. Their common presenting signs and symptoms such as cough, respiratory distress, fever and appetite, along with their management with either bronchodilator alone or a combination of: bronchodilators with hypertonic saline antibiotics, steroids was analyzed. Their length of stay, organism isolated either RSV or others, age & season at admission along with their gender and nationality was also recorded. Using this data, it was evaluated what was the overall number of admissions of children with bronchiolitis that year, most common presenting features and most common organism isolated along with seasonal variation & most commonly used medications for management. Further analysis was done on various treatments used in association with signs and symptoms, different seasons and with length of hospitalization. It also looked into age & gender association with presenting signs/symptoms, length of hospital stay & treatment. Our results showed that incidence of bronchiolitis over 1 year, amongst children under 2 years of age was as high as 91%. In concordance with other studies, (13) majority of children presented at nearly 4 – 5 months of age & the most common presenting feature was cough with respiratory distress & fever. RSV was the most common causative organism and more prevalent in winter months. Predominant treatment plan used was a combination of bronchodilators with either hypertonic saline and/or antibiotics, with an average length of hospitalization of 2 days. There was no statistically significant difference in age of admission or length of hospitalization in boys or girls. Older children tended to have a shorter hospital stay and there was a statistically significant correlation between use of bronchodilators with or without other medications to length of hospitalization.
Keywords: Bronchiolitis, Children, Dubai Hospital
Citation: Hussain J. “The Incidence, Common Presentation, Management and Outcome of Children with Bronchiolitis Admitted in Dubai Hospital Between 2016 ‐ 2017”. SVOA Paediatrics 2022, 1:5, 116-125.