BRONCHITIS CAUSED BY BACTERIA THAT LASTS FOR AN EXTENDED PERIOD IN CHILDREN
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Keywords
Persistent bacterial bronchitis, Cough, Diagnosis, Differential diagnosis, Antibiotic therapy, Respiratory tract diseases, Radiological assessment, Amoxicillin clavulanic acid, Treatment strategies
Abstract
Background: Persistent bacterial bronchitis (PBB) is characterized by a worsening cough over time, posing significant diagnostic challenges and potentially severe outcomes if not managed appropriately in children.
Methods: This study employed a bibliographic review methodology using documentary sources, primarily electronic databases such as Google Scholar and PubMed. Data collection utilized health sciences descriptors and MESH terminology for comprehensive literature review and analysis.
Results: Children presenting with a daily cough lasting more than three weeks are at risk of developing PBB, primarily manifesting as a persistent wet cough without other clinical findings. Differential diagnosis is crucial due to the diverse nature of respiratory diseases, requiring tailored treatment approaches. Diagnostic steps typically include physical examination, supplemented by radiological assessments such as X-rays or CT scans, spirometry, and other modalities.
Conclusion: Initial treatment with amoxicillin-clavulanic acid for at least two weeks is effective in resolving PBB symptoms; however, relapses may occur, necessitating extended antibiotic therapy or adjunctive medications like corticosteroids if initial treatments are ineffective, indicating potential alternative pathologies.
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Praveenkumar Periyasamy
Lecturer, Department of Anatomy, Levy Mwanawasa Medical University, Lusaka, Zambia
Quratulain Zehra Memon
Woman Medical Officer, Department of Pediatrics, Lyari General Hospital Karachi, Pakistan
Syeda Pakiza Batool
General Practitioner, MBBS DUHS, Ibn-E-Hasan Hospital Karachi
Maheen Shad
School of Health Sciences, University of Medical and Technology Lahore, 54770, Pakistan
Tariq Rafique
Assistant Professor, Dadabhoy Institute of Higher Education, Karachi, Pakistan,