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Aspiration of foreign bodies in lower respiratory tract in children

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dc.contributor.author Colta, Ana
dc.contributor.author Rusu, Andriana
dc.date.accessioned 2020-07-15T11:55:45Z
dc.date.available 2020-07-15T11:55:45Z
dc.date.issued 2018
dc.identifier.citation COLTA, Ana, RUSU, Andriana. Aspiration of foreign bodies in lower respiratory tract in children. In: MedEspera: the 7th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2018, p. 140-141. en_US
dc.identifier.uri https://medespera.asr.md/wp-content/uploads/Abastract-Book-2018.pdf
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/11325
dc.description Department of Pediatrics, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova en_US
dc.description.abstract Introduction. Injury due to foreign body aspiration (FBA) is a common and serious pediatric emergency, requiring prompt recognition and early treatment to minimize the potentially serious and sometimes fatal consequences. FBA continues to be a cause of childhood morbidity and mortality, usually in pre-school children. Aim of the study. Case assesment of FBA in children based upon age, gender, locality and level of respiratory tract lesion. Materials and methods. The cohort study included 106 patients hospitalized between 2011 - 2016 in Pneumology Department, Mother and Child’s Institute of the Republic of Moldova, diagnosed with FBA, confirmed via bronchoscopy performed with general inhalative anesthesia. Foreign body extraction was carried out by means of rigid bronchoscopy after thorough aspiration and prevention of mucosal bleeding. Statistics were assessed using the EpiInfosoftware. Results. It was established that pediatric FBA in the respiratory tract is more frequent among girls 57.5%: 95CI, 47.6 – 67.1 cases (61 girls) and 42.5%: 95CI, 32.9 – 52.4 cases (45 boys). The average age (aa) was 1.9±0.17 years, varying between 0.6–14 years. The batch was divided into 3 groups according to childhood stages: 1) the most frequent FBA was estimated in toddlers – 88.9%: 95 CI, 81.1 – 94 cases, aa 1.57±0.06 years; 2) in children > 3y.o. – 8.5%: 95CI, 4 - 15.5 cases, aa 6.4±1.1 years; 3) and it was rarely found in infants – 2.8%: 95CI, 0.6 - 15.5 cases, aa 0.76±0.11 years (F statistic = 93.5; p<0,0001). There was a prevalence of accidental FBA in children from countryside – 67%: 95CI, 57.2 - 75.8 cases, less often this event occured in children from urban areas – 24.5%: 95CI, 16.7 - 33.8 cases and episodically – in children from municipalities (8.5%: 95CI, 4 – 15,5 cases). The majority of foreign bodies were found in the bronchial tree 89.6%: 95CI, 82.2 – 94.7 cases; without designation – in 6 – 5.7%: 95CI, 2.1 – 11.9 cases; in trachea and larynx 2 and 3 cases (1.9%: 95CI, 0.2 - 6.6 and 2.8%: 95CI, 0.6 -8). Conclusions. FBA prevails in girls – 57.5%: 95CI, 47.6 – 67.1 cases. The most vulnerable age is from 1 to 3 y.o. when children are more often exposed to habitual accidents (statistic factor = 93.5; p<0,0001). There is evidence of a critical situation in the rural areas, compared to the urban ones. By localization the most frequent lodgment of foreign bodies was in the bronchi. en_US
dc.language.iso en en_US
dc.publisher MedEspera en_US
dc.subject pediatrics en_US
dc.subject pneumology en_US
dc.subject foreign body en_US
dc.subject aspiration en_US
dc.subject bronchoscopy en_US
dc.title Aspiration of foreign bodies in lower respiratory tract in children en_US
dc.type Article en_US


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  • MedEspera 2018
    The 7th International Medical Congress for Students and Young Doctors, May 3-5, 2018

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