Diagnosis of paediatric airway foreign body: is it easy?

• Authors: Beata Rybojad , Grażyna Niedzielska , Ewa Rudnicka-Drożak
• Languages of publication: EN

Abstracts

EN

Foreign-body aspiration in children results in diagnostic problems, mainly because of nonspecific signs. Therefore, in this study, we placed particular stress on false-positive and -negative predictors. Charts of 139 consecutive paediatric patients aged 6.0 months to 15.5 years who underwent bronchoscopy for a suspected foreign body aspiration were analysed retrospectively. A foreign body was found in 95 cases (68%). The anamnesis was positive in 91%. Cough was the most common clinical symptom (91%) with a sensitivity and specificity of 94% and 23%, respectively. There were no significant correlations between clinical symptoms and the locations of foreign bodies. The majority of focal hyperinflation (24%) and atelectasis (15%) were seen in chest radiographs, with a sensitivity and specificity of 33% and 89% (hyperinflation) and 15% and 82% (atelectasis), respectively. Chest X-rays were normal in 46 cases; however, an object was removed in 25. Persistent infiltrates were present in 14 X-rays, and a foreign body was extracted during bronchoscopy in 4. A highly significant correlation between the type of foreign body and radiological signs was noted (p = 0.00001). Anamnesis, clinical symptoms, and radiological findings are helpful in confirming aspiration, but can be misleading. Chronic or recurrent pneumonia should prompt further bronchoscopic diagnosis.

Keywords

EN

Aspiration; Bronchoscopy; Chest radiographs; Children; Clinical symptoms; Foreign body

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 9
• Issue: 5
• Pages: 648-652

Dates

published

1 - 10 - 2014

online

31 - 7 - 2014

Contributors

author

Beata Rybojad

author

Grażyna Niedzielska

• Chair and Department of Paediatric Otorhinolaryngology, Phoniatrics and Audiology, Medical University of Lublin, 20-093, Lublin, Poland

author

Ewa Rudnicka-Drożak

• Department of Expert Medical Assistance with Emergency Medicine Unit, Medical University of Lublin, 20-081, Lublin, Poland

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Identifiers

DOI

10.2478/s11536-013-0337-4