1887
2 - International Conference in Emergency Medicine and Public Health-Qatar Proceedings
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Despite the great success in controlling infectious disease in children, house accidents have increased, especially in developing countries, in the last years. WHO has reported that more than 20% of hospital cases involve children under 5 years of age and are caused by house accidents. Foreign body aspiration (FBA) is a preventable accident with a high risk of mortality. The objective of this study is to identify the epidemiology of FBA in children admitted to Al Bashir Hospital in 2011.

A retrospective cross-sectional study was conducted in 135 children who were admitted to the hospital and bronchoscopy was conducted for diagnosis and treatment. Data was collected from the files of those patients by using a questionnaire, which included variables (age, sex, type of foreign body, location of foreign body, main presenting symptoms, referred status). SPSS 17 used for analysis.

A majority of the patients (63%) were between 1 and 3 years, mean age 3.2 years, (59% male, 41%female) with a M:F ratio 1.4:1. Bronchoscopy findings 113 out of 135 (84%) showed positive foreign bodies, Rt main bronchus is the common site 56% of the cases. Most of the foreign bodies were organic, seeds and peanuts (72%). The majority of the cases presented with cough (97%), choking (64%), and shortness of breathing (39%). Thirty percent of the cases were referred from peripheral hospitals. Mean hospital stay was 2.1 days. One patient developed cardiac arrest and convulsion occurred in one case. Chest infection was seen in 10 cases. No other complication was seen.

Detailed history from the parents about foreign body aspiration is important for diagnosis of FBA, when suspected prompt bronchoscopy should done to prevent further complication, the doctors should not depend exclusively on radiological examination for the diagnosis of FBA as most foreign bodies are radiopaque.

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/content/journals/10.5339/jemtac.2016.icepq.145
2016-10-09
2024-03-19
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  • Article Type: Research Article
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