Abstract Ref Number = APCP1202
MANAGEMENT AND OUTCOME OF PATIENTS WITH INITIAL ASSESSMENT OF BRONCHIOLITIS IN DR KARIADI HOSPITAL
Sholikhin Trilistya,MS Anam,Dwi Wastoro Dadiyanto,Magdalena Sidhartani
Department of Pediatrics Faculty of Medicine Diponegoro University Dr Kariadi Hospital
Background : Bronchiolitis is a common acute viral lower respiratory tract illness in children occurring during the first 2 years of life. Usually defined by its clinical manifestations. There is no standard management of bronchiolitis. We presented a report on management and outcomes of children with initial assessment of bronchiolitis admitted to Dr. Kariadi Hospital from January 2014 - December 2017.
Case Presentation Summary : A total of 28 children were admitted to Dr. Kariadi Hospital from 2014 - 2017 due to bronchiolitis based on clinical symptoms and signs. Male to female ratio was 1 : 1.5. The mean age was 5 months (1-21 months). Modified RDAI score labeled respiratory distress as mild in 64.2% patients, moderate in 32.2% patients, and severe in 3.6% patients. Laboratory investigation revealed elevated WBC count in 10/28 patients (35.7%), had infection manifestations, and received antibiotics. Oxygen was given to 50% patients due to SpO2 <90%. Eleven patients (39.2%) were given nebulized ?-adrenergic agonist combined with corticosteroid injection or oral, 6/28 patients (21.4%) were given nebulized ?-adrenergic agonist, 4/28 patients (14.4%) were given corticosteroid injection or oral, and 7/28 patients (25%) got symptomatic treatment. Nebulization was given regularly for 2 days. The mean length of hospital stay was 5 days (3-11 days). Twelve patients were well-nourished, 16 patients were malnourished and nutritional intervention were given. Patients given nebulized ?-adrenergic agonist combined with corticosteroid had better clinical improvement, less length of stay (4.5 vs 6 days ; p=0.403). Two patients, 1 of which had severe RDAI score, were hospitalized for 11 days due to acyanotic congenital heart disease.
Learning Points/Discussion : There is no standard treatment protocols and guidelines of bronchiolitis, thus various management were given to hospitalized children. All of them had good outcome.
Keywords: bronchiolitis management outcome