PT  - JOURNAL ARTICLE
AU  - MEBROUK, Nadia
AU  - El Hafidi, Naima
AU  - Batali, Soukaina
AU  - Jaabouti, Ghizlane
AU  - Benbrahim, Fadoua
AU  - Benchekroun, Soumia
AU  - Mahraoui, Chafiq
TI  - The value of chest radiograph in the first episode of acute bronchiolitis
AID  - 10.1183/13993003.congress-2021.PA582
DP  - 2021 Sep 05
TA  - European Respiratory Journal
PG  - PA582
VI  - 58
IP  - suppl 65
4099  - http://erj.ersjournals.com/content/58/suppl_65/PA582.short
4100  - http://erj.ersjournals.com/content/58/suppl_65/PA582.full
SO  - Eur Respir J2021 Sep 05; 58
AB  - 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.FootnotesCite 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).