Journals / Balkan Medical Journal / 2016 / Cilt: 33 Sayı: 2

Comparing the Efficacy of 7o/o , 3o/o and 09o/o Saline in Moderate to Severe Bronchiolitis in Infants

Pages
193–197
Publication Date
2016-03-01
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: 7% HS and 3% HS does not have any effect to decrease LOS for infants with bronchiolitis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background: There is no standard treatment option in acute bronchiolitis. 3-7% hypertonic saline (HS) seems to be the effective treatment choice for reducing the hospitalization day.
📊
Key Findings & Data:Aims: To compare the effect of nebulized 7% HS/salbutamol and 3% HS/salbutamol to 0.9% saline/salbutamol.
💡
Conclusion & Impact:Conclusion: 7% HS and 3% HS does not have any effect to decrease LOS for infants with bronchiolitis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Bronchiolitis · hypertonic saline · infant Comparing the Efficacy of 7%

Abstract

Background: There is no standard treatment option in acute bronchiolitis. 3-7% hypertonic saline (HS) seems to be the effective treatment choice for reducing the hospitalization day. Aims: To compare the effect of nebulized 7% HS/salbutamol and 3% HS/salbutamol to 0.9% saline/salbutamol. The primary outcome measure was the effect of study drugs on the length of hospital stay (LOS). Secondary outcome measures were safety and efficacy in reducing the clinical severity score (CSS) at the 24 hours of the study. Study Design: Prospective, double-blinded randomized clinical study. Methods: The study consists of 104 infants. Groups were constituted according to the treatment they received: These are, group A – 0.9% saline/salbutamol, group B -3% HS/salbutamol and group C-7% HS/salbutamol. Heart beat, Bronchiolitis CSS and oxygen saturation of the patients were determined before and after nebulization. The patients were monitored for adverse reactions. Results: Length of hospital stay in group A, B and C were as follows; 72.0 (20-288) hours in group A, 64.0 (12-168) hours in group B and 60.0 (12-264) hours in group C. No significant differences was observed among three groups (p>0.05). Conclusion: 7% HS and 3% HS does not have any effect to decrease LOS for infants with bronchiolitis.

🔖

Cite This Article

KÖSE, S., ŞEHRİYAROĞLU, A., ESEN, F., ÖZDEMİR, A., KARDAŞ, Z., ALTUĞ, U., KARAKUŞ, E., ÖZCAN, A., KISAARSLAN, A. F., TORUN, Y. A., ELMALI, F., KÖSE, M. (2016). Comparing the Efficacy of 7o/o , 3o/o and 09o/o Saline in Moderate to Severe Bronchiolitis in Infants. Balkan Medical Journal, Cilt: 33 Sayı: 2, 193–197. https://ajindex.com/articles/1016249

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Ralston SL, Lieberthal AS, Meissner HC, Alverson BK, Baley JE, Gadomski AM, et al
  2. American Academy of Pediatrics. Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis. Pediatrics 2014
  3. e1474-502. [CrossRef] 2. Zorc JJ, Hall CB. Bronchiolitis: recent evidence on diagnosis and management. Pediatrics 2010
  4. [CrossRef] 3. Gadomski AM, Brower M. Bronchodilators for bronchiolitis. Cochrane Database Syst Rev 2014
  5. CD001266. [CrossRef] 4. Simşek-Kiper PO, Kiper N, Hasçelik G, Dolgun A, Yalçin E, Doğru-Ersöz D, et al. Emergency room management of acute bronchiolitis: a randomized trial of nebulized epinephrine. Turk J Pediatr 2011
  6. Fernandes RM, Bialy LM, Vandermeer B, Tjosvold L, Plint AC, Patel H, et al. Glucocorticoids for acute viral bronchiolitis in infants and young children. Cochrane Database Syst Rev 2013
  7. CD004878. [CrossRef] 6. Kose M, Ozturk MA, Poyrazoğlu H, Elmas T, Ekinci D, Tubas F, et al. The efficacy of nebulized salbutamol, magnesium sulfate, and salbutamol/magnesium sulfate combination in moderate bronchiolitis. Eur J Pediatr 2014
  8. [CrossRef] 7. Johnson JE, Gonzales RA, Olson SJ, Wright PF, Graham BS. The histopathology of fatal untreated human respiratory syncytial virus infection. Mod Pathol 2007
  9. [CrossRef] 8. Ipek IO, Yalcin EU, Sezer RG, Bozaykut A. The efficacy of nebulized salbutamol, hypertonic saline and salbutamol/hypertonic saline combination in moderate bronchiolitis. Pulm Pharmacol Ther 2011
  10. [CrossRef] 9. Grewal S, Ali S, McConnell DW, Vandermeer B, Klassen TP. A randomized trial of nebulized 3% hypertonic saline with epinephrine in the treatment of acute bronchiolitis in the emergency department. Arch Pediatr Adolesc Med 2009
  11. [CrossRef] 10. Kuzik BA, Al-Qadhi SA, Kent S, Flavin MP, Hopman W, Hotte S, et al. Nebulized hypertonic saline in the treatment of viral bronchiolitis in infants. J Pediatr 2007
  12. [CrossRef] 11. Mandelberg A, Tal G, Witzling M, Someck E, Houri S, Balin A, et al. Nebulized 3% hypertonic saline solution treatment in hospitalized infants with viral bronchiolitis. Chest 2003
  13. [CrossRef] 12. Sarrell EM, Tal G, Witzling M, Someck E, Houri S, Cohen HA, et al. Nebulized 3% hypertonic saline solution treatment in ambulatory children with viral bronchiolitis decreases symptoms. Chest 2002
  14. [CrossRef] 13. Luo Z, Fu Z, Liu E, Xu X, Fu X, Peng D, et al. Nebulized hypertonic saline tr