ATELECTASIS AS A COMPLICATION OF ACUTE BRONCHIOLITIS IN THE NEONATE

Background. Acute bronchiolitis is one of the main reasons for the hospitalisation of children under two years of age. Atelectasis, ventilation-perfusion mismatch, and bacterial superinfection can lead to non-invasive or invasive ventilation support. We aimed to identify the risk factors for the dev...

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Autores principales:	Anja Korošec, Jana Lozar Krivec, Mojca Grošelj Grenc
Formato:	article
Lenguaje:	SL
Publicado:	The Society for Children with Metabolic Disorders 2021
Materias:	acute bronchiolitis atelectasis newborn risk factor Medicine R Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/b181b9ed81364031ab9e0536f3031158
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spelling	oai:doaj.org-article:b181b9ed81364031ab9e0536f30311582021-11-08T17:58:04ZATELECTASIS AS A COMPLICATION OF ACUTE BRONCHIOLITIS IN THE NEONATE1318-44232712-396010.38031/slovpediatr-2021-3-06enhttps://doaj.org/article/b181b9ed81364031ab9e0536f30311582021-10-01T00:00:00Z http://www.slovenskapediatrija.si/Portals/0/Clanki/2021/Slovpediatr-2021-3-06en.pdf https://doaj.org/toc/1318-4423https://doaj.org/toc/2712-3960Background. Acute bronchiolitis is one of the main reasons for the hospitalisation of children under two years of age. Atelectasis, ventilation-perfusion mismatch, and bacterial superinfection can lead to non-invasive or invasive ventilation support. We aimed to identify the risk factors for the development of atelectasis in newborns with acute bronchiolitis. Patients and methods. The retrospective cohort analysis included neonates with acute bronchiolitis who were hospitalized at the Department of Neonatology, Division of Paediatrics, University Medical Centre Ljubljana in the period from October 2017 to March 2018. The patients were divided into two groups: neonates with associated atelectasis and without. We reviewed their medical history, clinical, and laboratory indicators. Results. We treated 29 neonates with acute bronchiolitis, 8 had associated atelectasis. The group of neonates with atelectasis required supplementary oxygen for a longer period (p = 0.01) and more frequently non-invasive and/or invasive ventilation support (p = 0.017). They were more often treated with antibiotics (p = 0.004) and radiological signs of pneumonia were more frequently seen (p = 0.008). Prematurity, birth weight, male gender, and respiratory syncytial virus (RSV) infection were not identiﬁed as risk factors for atelectasis. Conclusions. Neonates with acute bronchiolitis and atelectasis were more likely to have bacterial superinfection and pneumonia.Anja KorošecJana Lozar KrivecMojca Grošelj GrencThe Society for Children with Metabolic Disordersarticleacute bronchiolitisatelectasisnewbornrisk factorMedicineRPediatricsRJ1-570SLSlovenska pediatrija, Vol 28, Iss 3, Pp 159-164 (2021)
institution	DOAJ
collection	DOAJ
language	SL
topic	acute bronchiolitis atelectasis newborn risk factor Medicine R Pediatrics RJ1-570
spellingShingle	acute bronchiolitis atelectasis newborn risk factor Medicine R Pediatrics RJ1-570 Anja Korošec Jana Lozar Krivec Mojca Grošelj Grenc ATELECTASIS AS A COMPLICATION OF ACUTE BRONCHIOLITIS IN THE NEONATE
description	Background. Acute bronchiolitis is one of the main reasons for the hospitalisation of children under two years of age. Atelectasis, ventilation-perfusion mismatch, and bacterial superinfection can lead to non-invasive or invasive ventilation support. We aimed to identify the risk factors for the development of atelectasis in newborns with acute bronchiolitis. Patients and methods. The retrospective cohort analysis included neonates with acute bronchiolitis who were hospitalized at the Department of Neonatology, Division of Paediatrics, University Medical Centre Ljubljana in the period from October 2017 to March 2018. The patients were divided into two groups: neonates with associated atelectasis and without. We reviewed their medical history, clinical, and laboratory indicators. Results. We treated 29 neonates with acute bronchiolitis, 8 had associated atelectasis. The group of neonates with atelectasis required supplementary oxygen for a longer period (p = 0.01) and more frequently non-invasive and/or invasive ventilation support (p = 0.017). They were more often treated with antibiotics (p = 0.004) and radiological signs of pneumonia were more frequently seen (p = 0.008). Prematurity, birth weight, male gender, and respiratory syncytial virus (RSV) infection were not identiﬁed as risk factors for atelectasis. Conclusions. Neonates with acute bronchiolitis and atelectasis were more likely to have bacterial superinfection and pneumonia.
format	article
author	Anja Korošec Jana Lozar Krivec Mojca Grošelj Grenc
author_facet	Anja Korošec Jana Lozar Krivec Mojca Grošelj Grenc
author_sort	Anja Korošec
title	ATELECTASIS AS A COMPLICATION OF ACUTE BRONCHIOLITIS IN THE NEONATE
title_short	ATELECTASIS AS A COMPLICATION OF ACUTE BRONCHIOLITIS IN THE NEONATE
title_full	ATELECTASIS AS A COMPLICATION OF ACUTE BRONCHIOLITIS IN THE NEONATE
title_fullStr	ATELECTASIS AS A COMPLICATION OF ACUTE BRONCHIOLITIS IN THE NEONATE
title_full_unstemmed	ATELECTASIS AS A COMPLICATION OF ACUTE BRONCHIOLITIS IN THE NEONATE
title_sort	atelectasis as a complication of acute bronchiolitis in the neonate
publisher	The Society for Children with Metabolic Disorders
publishDate	2021
url	https://doaj.org/article/b181b9ed81364031ab9e0536f3031158
work_keys_str_mv	AT anjakorosec atelectasisasacomplicationofacutebronchiolitisintheneonate AT janalozarkrivec atelectasisasacomplicationofacutebronchiolitisintheneonate AT mojcagroseljgrenc atelectasisasacomplicationofacutebronchiolitisintheneonate
_version_	1718441505536868352

ATELECTASIS AS A COMPLICATION OF ACUTE BRONCHIOLITIS IN THE NEONATE

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