The indications and role of paediatric bronchoscopy in a developing country, with high prevalence of pulmonary tuberculosis and HIV

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dc.contributor.authorWebster, Irwinen_ZA
dc.contributor.authorGoussard, Pierreen_ZA
dc.contributor.authorGie, Roberten_ZA
dc.contributor.authorJanson, Jacquesen_ZA
dc.contributor.authorRossouw, Gawieen_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Department of Paediatrics and Child Healthen_ZA
dc.date.accessioned2016-12-22T14:45:01Z
dc.date.available2016-12-22T14:45:01Z
dc.date.issued2016-12
dc.descriptionCITATION: Webster, I., Goussard, P., Gie, R., Janson, J. & Rossouw, G. 2017. The indications and role of paediatric bronchoscopy in a developing country, with high prevalence of pulmonary tuberculosis and HIV. Expert Review of Respiratory Medicine, 11(2):159-165, doi:10.1080/17476348.2017.1280397.en_ZA
dc.descriptionThe original publication is available at https://www.tandfonline.com/toc/ierx20/currenten_ZA
dc.description.abstractBackground: Bronchoscopy is an important investigation in the diagnosis and management of childhood respiratory diseases widely used in high income countries. There is limited information on value of paediatric bronchoscopy in low and middle income countries (LMIC). Aims and Objectives: Aim of this study was to describe the indications, findings and complications of paediatric bronchoscopy in a middle income country with a high prevalence of tuberculosis (TB) and HIV. Methodology: A retrospective analysis of a database which included all bronchoscopies on neonates and children over a 3.5 year period (January 2010 to June 2013) in a tertiary care children’s hospital in South Africa. Results and Discussion: A total of 509 bronchoscopies, of which 502 (98%) were fibre-optic bronchoscopies, were performed on neonates (2.3%) and children (median age = 18 months; range 1 day- 14.6 years)( (male=58%) of which 5.1% were HIV-infected. The main indications were: large airway compression 40% (n = 204) complicated pneumonia (25 %) and persistent stridor (15 %). Pathology was observed in 64% (n = 319) of bronchoscopes . The most common pathology seen was lymph node compression of the airways (21%), and upper airway pathology (12%). Interventional procedures were performed in 112 cases (22%), the commonest being removing foreign bodies removal (30%), endobronchial lymph node enucleation (30%) and transbronchial needle aspiration (20%). No major complications occurred during or following bronchoscopy. Conclusion The diagnostic yield of paediatric bronchoscopy did not significantly differ from those reported from high income countries emphasising the importance of paediatric bronchoscopy in the management of childhood lung disease in LMICs.en_ZA
dc.description.versionpost printen_ZA
dc.description.versionMastersen_ZA
dc.embargo.terms2017-06-30
dc.identifier.citationWebster, I., Goussard, P., Gie, R., Janson, J. & Rossouw, G. 2017. The indications and role of paediatric bronchoscopy in a developing country, with high prevalence of pulmonary tuberculosis and HIV. Expert Review of Respiratory Medicine, 11(2):159-165, doi:10.1080/17476348.2017.1280397.en_ZA
dc.identifier.issn1747-6356 (online)
dc.identifier.urihttp://hdl.handle.net/10019.1/100455
dc.language.isoen_ZAen_ZA
dc.publisherTaylor & Francisen_ZA
dc.rights.holderInforma UK Limiteden_ZA
dc.subjectPaediatric bronchoscopyen_ZA
dc.subjectRespiratory diseases in children -- Diagnosis -- South Africaen_ZA
dc.subjectPediatric respiratory diseases -- Diagnosis -- South Africaen_ZA
dc.subjectPulmonary tuberculosis -- Diagnosis -- South Africaen_ZA
dc.subjectTuberculosis and HIV -- South Africaen_ZA
dc.titleThe indications and role of paediatric bronchoscopy in a developing country, with high prevalence of pulmonary tuberculosis and HIVen_ZA
dc.typeArticleen_ZA
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