Protracted bacterial bronchitis of children
10.3760/cma.j.issn.1673-4408.2017.05.011
- VernacularTitle:儿童迁延性细菌性支气管炎诊治进展
- Author:
Yin LI
- Keywords:
Bacterial bronchitis;
Chronic cough;
Children
- From:International Journal of Pediatrics
2017;44(5):336-338,343
- CountryChina
- Language:Chinese
-
Abstract:
Protracted bacterial bronchitis (PBB) is a common cause of children chronic cough,especially in those aged 1 ～ 6 years.It is defined by the presence of persistent wet cough for longer than 4 weeks,but lacks of symptoms or signs of other alternative diagnosis of chronic cough.It shows a normal or near-normal chest radiograph,a intense neutrophilia in bronchoalveolar lavage fluid(BALF),and a chronic purulent bronchitis under bronchochoscopy,and usually resolves after two-week course of appropriate oral antibiotic (usually amoxicillin-clavulanatc).So far,PBB hasn't been fully recognized by most pediatricians,and often been unrecognised or misdiagnosed as asthma.In this paper,pathogenesis,diagnosis and treatment are reviewed.
