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TITLE:

BRONCHIOLITIS OUTCOME WITH AND WITHOUT ANTIBIOTIC

AUTHORS:

Dr Arika Waqar, Dr Iqra Hafeez, Dr Shamsila Waqar

ABSTRACT:

Objective: The aim of this study is to evaluate the bronchiolitis consequence with the use or without use of antibiotic to validate the prevention of antibiotic. Methodology: This research work was conducted in Services Hospital Lahore and the duration of this research work was from July 2018 to December 2018. Children having less than 2 year of age who got admission in the hospital because of bronchiolitis were the part of this study. The division of the patients carried out into three groups; one group with no antibiotic, second group with oral antibiotic & 3rd group with parenteral antibiotic. The follow up of the available symptoms carried out 3 times in a day to find out the disease progress. The improvement level was describing the outcome of treatment. Results: Total 75 children suffering from bronchiolitis were the part of this study. Majority of the patients (80.0%) were of less than 6 month of age. Bronchiolitis has an association with the same disorder in the siblings (46.70%), defiance to feeding from breasts (38.30%) & past history of the asthma in family (36.70%). The signs as difficulty in sleeping & impatience developed little earlier in the group of no antibiotic. The signs as chest in drawing & hepatomegaly recovered fast in the group of parental antibiotic but the disparity was not significant. We found the patchy opacities 45.0% patients diagnosed with the help of X-ray of chest. No study patient met death but special intervention was the requirement in 3 patients. The stay at the hospital was very less in the group of no antibiotic (6.20 ± 1.40) as compared to the group of oral antibiotic (6.70 ± 1.10). Conclusion: The most effective treatment against bronchiolitis is general supportive treatment & antibiotic has no impact on the complications of this disease. KEY WORDS: Bronchiolitis Antibiotic, Treatment, Symptoms, Respiration, Bronchospasm, Infection.

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