Cross-sectional evaluation of the Bronchitis Severity Score in Egyptian children: A move to reduce antibiotics
| Autor: | Eman Mohamed Ibraheim Moawad, Enas A.A. Abdallah, H Hussein, M A E Haron, R M A Maher, N M Badawy, M E A El-Rheem |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Lymphocytosis medicine.drug_class Antibiotics lcsh:Medicine Disease Acute bronchitis Disease severity White blood cell Internal medicine Diagnosis medicine BSS Children lcsh:R5-920 medicine.diagnostic_test business.industry lcsh:R Bronchitis Severity Score General Medicine Auscultation medicine.disease Surgery medicine.anatomical_structure Erythrocyte sedimentation rate Bronchitis medicine.symptom business lcsh:Medicine (General) |
| Zdroj: | SAMJ: South African Medical Journal, Volume: 107, Issue: 4, Pages: 342-345, Published: APR 2017 South African Medical Journal; Vol 107, No 4 (2017); 342-345 South African Medical Journal, Vol 107, Iss 4, Pp 342-345 (2017) |
| ISSN: | 2078-5135 |
| Popis: | Background. Despite evidence of limited benefit of antibiotics in acute bronchitis, most paediatric patients are prescribed them. Objectives. To assess the validity of the Bronchitis Severity Score (BSS) in assessing the clinical response to treatment of acute bronchitis, and determine whether clinical data and basic laboratory measurements can be used to guide antibiotic prescription. Methods. We enrolled 200 patients (age range 6 months - 12 years) with clinically diagnosed acute bronchitis. They were divided into three groups according to age. All patients were evaluated three times during the bronchitis episode (days 0, 5 and 7). The primary outcome measurement was the change in the BSS from day 0 to day 7. Results. On the initial visit, the mean (standard deviation (SD)) BSS was 8.36 (2.6), indicating moderate severity of bronchitis. The mean BSS decreased to 4.03 (2.3) on day 5 and to 2.36 (1.45) on day 7. Initial blood tests showed anaemia (80%), leucocytosis (6%), bandaemia (3%) and lymphocytosis (52%). Only four patients were positive for C-reactive protein, while the erythrocyte sedimentation rate was elevated in 98% of cases. There were significant correlations between bandaemia, fever grade ( p |
| Databáze: | OpenAIRE |
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