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The value of chest radiograph in the first episode of acute bronchiolitis

Nadia MEBROUK, Naima El Hafidi, Soukaina Batali, Ghizlane Jaabouti, Fadoua Benbrahim, Soumia Benchekroun, Chafiq Mahraoui
European Respiratory Journal 2021 58: PA582; DOI: 10.1183/13993003.congress-2021.PA582
Nadia MEBROUK
1Pneumo-Allergology and Infectiology Service (P1), Children's Hospital, Rabat, Morocco
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  • For correspondence: nadia.mebrouk@hotmail.com
Naima El Hafidi
1Pneumo-Allergology and Infectiology Service (P1), Children's Hospital, Rabat, Morocco
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Soukaina Batali
1Pneumo-Allergology and Infectiology Service (P1), Children's Hospital, Rabat, Morocco
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Ghizlane Jaabouti
1Pneumo-Allergology and Infectiology Service (P1), Children's Hospital, Rabat, Morocco
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Fadoua Benbrahim
1Pneumo-Allergology and Infectiology Service (P1), Children's Hospital, Rabat, Morocco
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Soumia Benchekroun
1Pneumo-Allergology and Infectiology Service (P1), Children's Hospital, Rabat, Morocco
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Chafiq Mahraoui
1Pneumo-Allergology and Infectiology Service (P1), Children's Hospital, Rabat, Morocco
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Abstract

Introduction: We present the results of a prospective study about the benefit of the routine chest x-ray of infants hospitalized for a first episode of acute bronchiolitis and establish the clinical predictors of radiographic abnormalities.

Study design: All infants hospitalized in the pediatric unit (P1) with a first episode of acute bronchiolitis from September 2015 to February 2016, and who have benefited from a chest x-ray, were included in the study.

Results: One hundred and twenty eight (128) infants were included in our study (median age of 11 months, with 66.7% boys).  The chest radiograph revealed thoracic distension (72%), bronchial syndrome (79%), condensation syndrome (6.3%) and ventilation disturbances (31%).  This chest x-ray resulted in changes to patient treatments (antibiotics) in 6.3% of the cases, but has not allowed any differential diagnosis. However, oxygen saturation lower than 94% and digestive disorders were good predictors of radiographic abnormalities.

Conclusion: Chest x-rays yield non-specific information, and do not help differentiate between viral and bacterial infections. Oxygen saturation (SpO2) lower than 94% is the only severity factor that predicts radiographic abnormalities. Chest x-ray has practically no value in the case of children wheezing for first time. The radiographic anomalies may result a non-indicated prescription of antibiotics.

  • Treatments
  • Infants
  • Bronchiolitis

Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA582.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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The value of chest radiograph in the first episode of acute bronchiolitis
Nadia MEBROUK, Naima El Hafidi, Soukaina Batali, Ghizlane Jaabouti, Fadoua Benbrahim, Soumia Benchekroun, Chafiq Mahraoui
European Respiratory Journal Sep 2021, 58 (suppl 65) PA582; DOI: 10.1183/13993003.congress-2021.PA582

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The value of chest radiograph in the first episode of acute bronchiolitis
Nadia MEBROUK, Naima El Hafidi, Soukaina Batali, Ghizlane Jaabouti, Fadoua Benbrahim, Soumia Benchekroun, Chafiq Mahraoui
European Respiratory Journal Sep 2021, 58 (suppl 65) PA582; DOI: 10.1183/13993003.congress-2021.PA582
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