Diagnosis and treatment of protracted bacterial bronchitis of children
10.3760/cma.j.issn.1673-4912.2017.12.007
- VernacularTitle:儿童迁延性细菌性支气管炎的诊治
- Author:
Yuqing WANG
1
;
Chuangli HAO
Author Information
1. 215003,苏州大学附属儿童医院呼吸科
- Keywords:
Protracted bacterial bronchitis;
Chronic cough;
Bronchoalveolar lavage fluid;
Children
- From:
Chinese Pediatric Emergency Medicine
2017;24(12):902-905
- CountryChina
- Language:Chinese
-
Abstract:
Protracted bacterial bronchitis ( PBB) is a common cause of children with chronic wet cough. It is defined by the presence of persistent wet cough for longer than 4 weeks,often accompanied by wheezing,but lacks of specific symptoms or signs suggestive of other alternative diagnosis of chronic cough. Airway malacia frequently coexists with PBB,and haemophilus influenzae and streptococcus pneumoniae are the most commonly identified pathogens. Neutrophilic inflammation is present in bronchoalveolar lavage fluid,and usually resolves with appropriate antibiotic treatment for two weeks(amoxicillin/clavulanate). By far,PBB hasn′t been fully recognized by most pediatricians in China. In this commentary, diagnosis and treatment were reviewed.
