Article
The clinical course of bronchiolitis associated with acute otitis
media
Gila Shazberg, Shoshana Revel-Vilk, David Shoseyov, Anat Ben-Ami, Aharon Klar, Haggit Hurvitz
Department of
Pediatrics, Bikur Cholim Hospital, Hadassah Medical School, Hebrew
University, 5 Strauss St, Jerusalem 91004, Israel
Correspondence to: Dr Shazberg email: shazberg{at}md2.huji.ac.il
Accepted 22 May 2000
BACKGROUND
Acute otitis media (AOM)
is the most common bacterial co-infection of viral bronchiolitis.
AIMSTo evaluate the influence of
AOM on the clinical course of bronchiolitis.
SUBJECTS150 children younger than
24 months old, diagnosed with bronchiolitis, hospitalised between
December 1997 and May 1999.
METHODSBody temperature,
respiratory rate, oxygen saturation, and the need for oxygen
supplementation were recorded on admission and daily throughout
hospitalisation. Complete blood count, erythrocyte sedimentation rate,
and assay for respiratory syncytial virus were performed on admission.
All children were examined daily for the appearance of AOM. The
clinical course of children with bronchiolitis and AOM was compared
to those without AOM.
RESULTSAOM was diagnosed in 79/150
(53%) children with bronchiolitis. Most were diagnosed within the
first two days of hospitalisation. No significant difference was found
in the clinical and laboratory findings on admission and on daily
follow up between children with and without AOM.
CONCLUSIONSThis 2.5 year
prospective study showed no difference in the course of bronchiolitis,
whether an ear infection was present or not.
Keywords: acute otitis media; bronchiolitis; respiratory course
© 2000 by Archives of Disease in Childhood
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- HARVEY MARCOVITCH
Arch. Dis. Child. 2000 83: 0.[Extract] [Full Text] [PDF]
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