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Bronchoscopic evaluation of unexplained recurrent and persistent pneumonia in children

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dc.contributor.authorKARADAĞ, BÜLENT TANER
dc.contributor.authorsGokdemir, Yasemin; Cakir, Erkan; Kut, Arif; Erdem, Ela; Karadag, Bulent; Ersu, Refika; Karakoc, Fazilet
dc.date.accessioned2022-03-12T18:10:26Z
dc.date.available2022-03-12T18:10:26Z
dc.date.issued2013
dc.description.abstractd Background: Persistent or recurrent pneumonia in children can pose a significant challenge to paediatricians and respiratory physicians. Aim: The aim of this study is to determine the role of flexible bronchoscopy (FB) in evaluation of recurrent or persistent pneumonia that remain otherwise unexplained by non-invasive diagnostic tests in children. Methods: Retrospective evaluation of patients who underwent FB with an indication of recurrent or persistent pneumonia from 1997 to 2011. Results: Among 2600 FB procedures, 434 (17%) were performed with the indication of recurrent or persistent pneumonia. There were 237 (54%) boys. Median age at presentation was 84 months, and median duration of symptoms was 9 months. FB led to specific diagnosis in 33% of the cases. The most common diseases diagnosed by FB were malacia disorders (n: 32, 7%), aspirated foreign body (n: 30, 7%), endobronchial tuberculosis (n: 20, 5%), congenital airway anomalies (n: 14, 3%), mucus plugs (n: 14, 3%), pulmonary haemosiderosis (n: 12, 3%) and middle lobe syndrome (n: 11, 3%). During FB, only 6% of the patients had minor complications such as transient hypoxia, stridor and tachycardia. Conclusions: In our study, FB proved to be a safe and effective tool in evaluation of children with persistent or recurrent pneumonia. FB is indicated for children with recurrent or persistent pneumonia where the underlying diagnosis remains unclear even after non-invasive diagnostic tests.
dc.identifier.doi10.1111/jpc.12124
dc.identifier.issn1034-4810
dc.identifier.pubmed23438344
dc.identifier.urihttps://hdl.handle.net/11424/231381
dc.identifier.wosWOS:000316219700007
dc.language.isoeng
dc.publisherWILEY-BLACKWELL
dc.relation.ispartofJOURNAL OF PAEDIATRICS AND CHILD HEALTH
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectchild
dc.subjectpersistent pneumonia
dc.subjectpneumonia
dc.subjectrecurrent pneumonia
dc.subjectCHILDHOOD ENDOBRONCHIAL TUBERCULOSIS
dc.subjectFOREIGN-BODY ASPIRATION
dc.subjectFLEXIBLE BRONCHOSCOPY
dc.subjectUNDERLYING CAUSES
dc.subjectFIBEROPTIC BRONCHOSCOPY
dc.subjectCHEST INFECTIONS
dc.subjectDIAGNOSIS
dc.subjectBRONCHOMALACIA
dc.subjectTRACHEOMALACIA
dc.subjectATELECTASIS
dc.titleBronchoscopic evaluation of unexplained recurrent and persistent pneumonia in children
dc.typearticle
dspace.entity.typePublication
local.avesis.idead0a8df-8dd5-48b9-a5f5-442b4ce959b1
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages4
oaire.citation.endPageE207
oaire.citation.issue3
oaire.citation.startPageE204
oaire.citation.titleJOURNAL OF PAEDIATRICS AND CHILD HEALTH
oaire.citation.volume49
relation.isAuthorOfPublication218b489d-97ab-49dd-9db6-0c2a732f1999
relation.isAuthorOfPublication.latestForDiscovery218b489d-97ab-49dd-9db6-0c2a732f1999

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