Research Article
Volume 10 Issue 8 - 2021
Treatment of Acute Bronchiolitis in a Resource-Limited Setting in Port Sudan City. A Simple Effective Regimen
Suhair Abdelrahim Osman Hassan
Consultant Paediatrician and Neonatologist and Associate Professor of Paediatrics, Red Sea University, Sudan
*Corresponding Author: Suhair Abelrahim Osman Hassan, Consultant Paediatrician and Neonatologist and Associate Professor of Paediatrics, Red Sea University, Sudan.
Received: May 29, 2020; Published: July 30, 2021




Abstract

Background: Bronchiolitis is an acute lower respiratory viral infection, caused by the Respiratory Syncytial Virus (RSV in 60 - 85% of cases), and other respiratory viruses. it is the leading cause of hospitalization for infants and toddlers during the winter and early spring months. Till the moment, no consensus on treatment worldwide. The prevalence is increasing in port Sudan eastern Sudan, while we have no admission policy or a unified management protocol.

Aims and Objectives:

  1. To formulate admission policy, and a new simple management protocol,
  2. To determine the factor(s) that increased the prevalence in port Sudan as a secondary objective,
  3. To compare the outcome in the study group (119 infants) and the historical group (135 infants) concerning the hospitalisation length and death rate as a primary objectives.

Method: This is a hospital- based, controlled clinical trial (CCT) study, demographic data collected by a questionnaire, severity criteria for acute bronchiolitis defined. A management guideline is defined and applied to bronchiolitis cases (119 case) with intention to treat, from October to April each year (2013 - 2015). All infants between 1 - 23 month with only acute bronchiolitis were included, while cases with bronchiolitis and associated dysmorphic features, heart disease, tracheo-oesophageal fistula, other respiratory diseases, other morbidities, infants below one month or above two years, were excluded from this study. The outcome compared to a group of matched infants with bronchiolitis (135 cases) who received antibiotics, B2 agonist, and steroids, in the period October to April of the years 2011 - 2012.

Results: Many new life style factors increased the prevalence, the new guidelines decreased the admission rate, (9.6 vs 5.7/mo), the new guideline is simple, less expensive, and effective, and the duration of hospitalization reduced (p = 0.04).

Keywords: Acute Bronchiolitis; Resource-Limited Settings; Advanced Respiratory Intervention; Simple Effective Intervention; S-7Pro3NO Regimen

Citation: Suhair Abdelrahim Osman Hassan. “Treatment of Acute Bronchiolitis in a Resource-Limited Setting in Port Sudan City. A Simple Effective Regimen”. EC Paediatrics 10.8 (2021): 03-09.

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