학술논문

The Importance of Flexible Bronchoscopy in Difficult-to-treat Asthma from a Pediatric Pulmonology Perspective.
Document Type
Article
Source
Turkish Archives of Pediatrics. May2022, Vol. 57 Issue 3, p310-315. 6p.
Subject
*ASTHMA diagnosis
*ASTHMA treatment
*DRUG therapy for tuberculosis
*LUNG abnormalities
*MYCOBACTERIUM
*CHEST X rays
*BRONCHOALVEOLAR lavage
*CROSS-sectional method
*TRACHEOMALACIA
*PHYSICAL therapy
*DIFFERENTIAL diagnosis
*RETROSPECTIVE studies
*RESPIRATORY organ sounds
*BRONCHITIS
*PROTON pump inhibitors
*PULMONOLOGY
*DESCRIPTIVE statistics
*COUGH
*ANTITUBERCULAR agents
*IPRATROPIUM (Drug)
*COMPUTED tomography
*BACTERIAL diseases
*BRONCHOMALACIA
*BRONCHOSCOPY
*MICROBIAL sensitivity tests
*CHILDREN
Language
ISSN
2757-6256
Abstract
Objective: Asthma is the most common chronic lung disease in childhood. Difficult-to-treat asthma is defined as the continuation of symptoms or attacks of patients despite step 4 or 5 of Global Initiative for Asthma therapy. In the differential diagnosis of these patients, flexible fiberoptic bronchoscopy is recommended to exclude other lung diseases. In this study, we aimed to examine the clinical and radiologic features and flexible fiberoptic bronchoscopy findings of patients referred to our pediatric pulmonology department due to difficult-to-treat asthma and determine the effects of flexible fiberoptic bronchoscopy on the differential diagnosis and treatment. Materials and Methods: The demographic characteristics and flexible fiberoptic bronchoscopy results of 62 patients who were diagnosed as having difficult-to-treat asthma in our pediatric pulmonology department between January 2015 and June 2020 were evaluated retrospectively. The symptoms, history, medications, physical examination findings, pulmonary function tests, and radiologic findings of patients who underwent flexible fiberoptic bronchoscopy were evaluated. [ABSTRACT FROM AUTHOR]