DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20163037

An out-patient survey of wheezing pediatric patients

S.K. Nazeer Ahmed

Abstract


Background:Literature reports that approximately one in three children have at least one episode of wheezing prior to third birthday, and the cumulative prevalence of wheeze is almost 50% at the age of 6 years. Hence, an out-patient survey was planned and commenced to evaluate the common causes of wheezing in paediatric patients.

Methods: An out-patient survey of wheezing was conducted among 140 patients who reported with conditions giving rise to wheezing. These cases were investigated relevantly and followed upto 3 months. Obtained data was arranged according to characteristics and was expressed as a number and percentage of respondents and were analyzed using the SPSS Version 17 software.

Results:Bronchial asthma was diagnosed in 80 patients, worm infestation in 20, acute bronchiolitis in 12, tropical eosinophilia in 10, post measles bronchopneumonia in 8, acute bronchitis in 7 and primary complex in 3 patients. Maximum patients of bronchial asthma (69%), worm infestation (75%) and tropical eosinophilia (70%) were in 5-9 years age group. Maximum patients in case of bronchiolitis were in 7-12 months age group.

Conclusions:An out-patient survey revealed wheezing or noisy breath as one of the common symptoms with which children are brought to out-patient.       The present study found apart from bronchial asthma, acute respiratory infections, worm infestations, and tropical eosinophilia constituted large percentage of cases.  


Keywords


Asthma, Pediatric patients, Wheezing

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References


Brand PLP, Baraldi E, Bisgaard H, Boner AL, Castro RJA. Definition, assessment and treatment of wheezing disorders in preschool children: an evidence based approach. Eur Respir J. 2008;32:1096-1110.

Kasliwal BM, Sethis JP, Sogani IC. The clinical study of bronchial asthma. Ind J chest Dis. 1959;1:95.

Viswanathanm R. A study of clinical profile of bronchial asthma. Ind Chest Dis. 1964;6:109.

Tabachnik E, Levison H. Infantile bronchial asthma. J Aller Clin Imm. 1981;67:339.

Understanding Cough, Wheezing and Noisy Breathing in Children. Available at http: // lungfoundation.com.au /wp-content /uploads /2015 /01/ Understanding –Cough -Wheezing-and-Noisy-Breathing-in-Children_FS-Jun16.pdf. Accessed on 13 March 2016.

Sly RM, Allergic disorders. In Nelson text book of paediatrics book I, edn 15th, eds behrman RE, Kleigman RM, Arvin AM, Banglore, Prism books pvt. Ltd., 1996, 628-641.

Parter R, Birch J. Identification of asthma, Edinburgh, Churchill Living Stone, 1978;5-8.

Sanerkin NJ. Terminology and classification of bronchial asthma, chronic bronchitis and reappraisal. Ann allergy. 1971;29:187.

Speight ANP, Lee DA, Hey EN. Under diagnosis and under treatment of asthma in childhood. Br Med J. 1983;286:1253-6.

American Thoracic society: Chronic bronchitis, asthma and pulmonary emphysema. A statement by committee on diagnostic standards for non-tuberculosis respiratory disease. Am Rev Respi Dis. 1962;85:762-9.

Skoner D, Caliguire S. The wheezing infant PCNA. 1992;35(5):10-1.

Abhulimen TJ, Ibrahim IA, Ugwueke NT. Impact of obesity on male fertility in an Urban Nigerian town. International J Contemporary Med Res. 2016;3(8):2279-82.

Blair H. Natural history of child hood asthma, 20 years follow up. Arch Dis Child. 1977;524-613.

Vanker A. Approach to the child with recurrent wheeze. Paediatric Pulmonology, Red Cross War Memorial Children’s Hospital, University of Cape Town. Available at: www.scah.uct.ac.za. Accessed on 10 February 2016.