Bronchiolitis In Children

Bronchiolitis
Etiology
Many disorders have a clinical bronchiolitis as a poster, the vast majority of viral etiology. A respiratory syncytial virus-(?) Acknowledge that the bronchiolitis most common reason. It is established that 40-75% of children acts to hospital with bronchiolitis diagnosis, because of this virus. Other activators may be rhinovirus, parainfluenza (type 3), adenovirus (Type 3, 7 and 21), a flu virus and, occasionally, a virus epidemic parotitis. Although children of older age Mycoplasma pneumoniae usually causes respiratory disease down, but at the age of the breast, she rarely cause bronchiolitis.

Epidemiology
Using widely used clinical term "child with a whistle" respiratory infection, Henderson and co-author. Noted that the highest incidence of the disease has been the children of the first year of life: 11.4 cases per 100 children in one year. In the second year in a frequency of life has increased to 6 out of 100 kids a year. Frequency Houston?? bronchiolitis, requiring hospitalization, in families with low social level is 5 out of 100 babies a year in his chest. Some authors 80% of children hospitalized six months have been the youngest came to the conclusion: the youngest child is the product of the disease stronger in this sense and is more often required hospitalization.
Infants with bronchiolitis have heavy forms a low level of antibodies passed from mother. Of children hospitalized with OSS-proven infection at 18-20% can occur with apnea of prematurity and help the younger age of the child. Another group at high risk of occurrence of the OSS-infection is by patients with VPS. In the general lethality 1-2% of this group to the OSS-infection, it reached 37%.
Outbreak of OSS-virus grows every year in winter while the frequency of parainfluenza virus infection diminishes a little. The disease caused by the OSS-virus is very contagious, so there is a group of patients, in general, all children of contact (98%) fall ill. Transfer of the OSS-virus family as significant. Reasonably be patient for a family member that 46% of others were infected.
The frequency of infection is high. During the OSS flash-infection 45% of uninfected children were temporarily hospitalized patients with this infection. The high risk of disease with increasing duration of hospitalization. Probably, its basic source in the hospital medical staff who distributed a virus capture by the secret assigned by infected patients. The infection occurred at about 42%.

Clinical
Normally, the baby catches from senior management of children and adults with respiratory tract infection.

Diagnosis: Bronchiolitis
Cough, colds, ptarmus are the first symptoms of the disease. In response to patients on a background of frustration, irritability breathing with fast breathing, participation in the breath of auxiliary muscles, hair baubles progress. There may be a fever insignificant. The wind causes significant short difficulties sucking certificate. Study shows physical signs of inflammatory disease of the airways loud panting, cyanosis, inflation of the nose and the settlement of seats line a chest wall. emphysematous lung, liver board may act on certain fingers in a rib. On auscultation of the lungs - diffuse dry and wet rattles, the elongation of an exhalation.
indispensable laboratory for the research of patients with bronchiolitis heavy include: chest radiography, clinical blood analysis, investigation of arterial blood gases; virological definition of OSS-virus and antibodies of the other crops of Blood on the microflora if it is impossible to exclude a bacterial pneumonia.
radiological control of children.