10th ASCON Abstract no.

128

10th ASCON

Abstracts

Bronchiolitis and Nutritional Status

A.R.M.L. Kabir1, N. Haq1, R. Amin2, A. Hossain3, S. Khatoon4, S. Akhter1, T. Sharif1, S. Ahmed1, A. Rahman1, M. Hossain1, S. Ahamed3, and A. Khashru2
Objective: Evaluate the nutritional status and outcome of consecutively hospitalized young children with bronchiolitis. Methodology: Three hundred and forty-eight children, aged less than 2 years, with bronchiolitis were studied in different hospitals of Dhaka city. Diagnosis of bronchiolitis was made on the basis of the first attack of wheeze in previously healthy children aged less than 2 years. Immediate medical history was collected from their mothers through a structured questionnaire. The weight of each child was measured and the weight-for-age z-score calculated to find out the nutritional status. Chest X-ray was done in each case to find out the radiological changes. Blood samples of 80 patients were studied for RSV IgM and IgG antibody by ELISA. The children were followed up till discharge. Results: There were 66% male and 34% female children. The median age of the children was 3.0 months. Fifty-five percent of the cases came from rural areas and 45% from urban areas. Forty-seven (58.7%) children were positive for IgM antibody, and 14 (17.5%) were positive for IgG antibody giving rise to 76.2% RSV virus positivity. Most (72%) children had good nutritional status (WAZ -2.0 through the highest), and a minority had either moderate underweight (21%) (WAZ -2.01 to -3.0) or severe underweight (7.5%) (WAZ <-3.0 through the lowest). There was no difference in the mean respiration rate among three groups of children (66.8, 66.4, and 67.1 in well-nourished, moderate underweight, and severe underweight groups respectively). The hospital stay had the trend of increasing duration with the decrease of body weight (4.5, 5.3 and 6.0 days respectively, p< 0.009). Conclusion: Bronchiolitis is responsible for significant morbidity in young children. The duration of hospital stay increases with the decrease of nutritional status.

1 2

Institute of Child and Mother Health, Matuail, Dhaka 1362, Bangladesh Dhaka Shishu Hospital, Sher-e-Bangla Nagar, Dhaka 1207 3 Dhaka Medical College Hospital, Dhaka 1000 4Sir Salimullah Medical College and Mitford Hospital, Mitford, Dhaka 1100

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