Predictors of the Development of Protracted Bacterial Bronchitis following Presentation to Healthcare for an Acute Respiratory Illness with Cough: Analysis of Three Cohort Studies
We describe the prevalence and risk factors for protracted bacterial bronchitis (PBB) following healthcare presentation for an acute cough illness in children. Data from three studies of the development of chronic cough (CC) in children were combined. PBB was defined as a wet cough of at least 4-wee...
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| Veröffentlicht in: | Journal of clinical medicine 2021-12, Vol.10 (24), p.5735 |
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| creator | O'Grady, Kerry-Ann F Mahon, Juliana Arnold, Daniel Grimwood, Keith Hall, Kerry K Goyal, Vikas Marchant, Julie M Phillips, Natalie Acworth, Jason King, Alex Scott, Mark Chang, Anne B |
| description | We describe the prevalence and risk factors for protracted bacterial bronchitis (PBB) following healthcare presentation for an acute cough illness in children. Data from three studies of the development of chronic cough (CC) in children were combined. PBB was defined as a wet cough of at least 4-weeks duration with no identified specific cause of cough that resolved following 2-4 weeks of appropriate antibiotics. Anterior nasal swabs were tested for 17 viruses and bacteria by polymerase chain reaction. The study included 903 children. Childcare attendance (adjusted relative risk (aRR) = 2.32, 95% CI 1.48-3.63), prior history of chronic cough (aRR = 2.63, 95% CI 1.72-4.01) and age |
| doi_str_mv | 10.3390/jcm10245735 |
| format | Article |
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was the most common organism (52.4%) identified in all children (PBB = 72.1%; no PBB = 50.2%,
< 0.001). We provide the first data on risks for PBB in children following acute illness and a hypothesis for studies to further investigate the relationship with wheeze-related illnesses. Clinicians and parents/guardians should be aware of these risks and seek early review if a wet cough lasting more than 4-weeks develops the post-acute illness.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm10245735</identifier><identifier>PMID: 34945030</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Antibiotics ; Asthma ; Bronchitis ; Children & youth ; Clinical medicine ; Cohort analysis ; Data collection ; Hospitals ; Illnesses ; Laboratories ; Lung diseases ; Native peoples ; Pediatrics ; Respiratory diseases ; Streptococcus infections</subject><ispartof>Journal of clinical medicine, 2021-12, Vol.10 (24), p.5735</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-af6fc3faf602999644e6718b1d4e4a86193f07b5ad2af416f48e32eea16e2ee43</citedby><cites>FETCH-LOGICAL-c409t-af6fc3faf602999644e6718b1d4e4a86193f07b5ad2af416f48e32eea16e2ee43</cites><orcidid>0000-0002-8159-2620 ; 0000-0002-1331-3706</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8707704/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8707704/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34945030$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O'Grady, Kerry-Ann F</creatorcontrib><creatorcontrib>Mahon, Juliana</creatorcontrib><creatorcontrib>Arnold, Daniel</creatorcontrib><creatorcontrib>Grimwood, Keith</creatorcontrib><creatorcontrib>Hall, Kerry K</creatorcontrib><creatorcontrib>Goyal, Vikas</creatorcontrib><creatorcontrib>Marchant, Julie M</creatorcontrib><creatorcontrib>Phillips, Natalie</creatorcontrib><creatorcontrib>Acworth, Jason</creatorcontrib><creatorcontrib>King, Alex</creatorcontrib><creatorcontrib>Scott, Mark</creatorcontrib><creatorcontrib>Chang, Anne B</creatorcontrib><title>Predictors of the Development of Protracted Bacterial Bronchitis following Presentation to Healthcare for an Acute Respiratory Illness with Cough: Analysis of Three Cohort Studies</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>We describe the prevalence and risk factors for protracted bacterial bronchitis (PBB) following healthcare presentation for an acute cough illness in children. Data from three studies of the development of chronic cough (CC) in children were combined. PBB was defined as a wet cough of at least 4-weeks duration with no identified specific cause of cough that resolved following 2-4 weeks of appropriate antibiotics. Anterior nasal swabs were tested for 17 viruses and bacteria by polymerase chain reaction. The study included 903 children. Childcare attendance (adjusted relative risk (aRR) = 2.32, 95% CI 1.48-3.63), prior history of chronic cough (aRR = 2.63, 95% CI 1.72-4.01) and age <2-years (<12-months: aRR = 4.31, 95% CI 1.42-13.10; 12-<24 months: aRR = 2.00, 95% CI 1.35-2.96) increased risk of PBB. Baseline diagnoses of asthma/reactive airways disease (aRR = 0.30, 95% CI 0.26-0.35) or bronchiolitis (aRR = 0.15, 95% CI 0.06-0.38) decreased risk.
was the most common organism (52.4%) identified in all children (PBB = 72.1%; no PBB = 50.2%,
< 0.001). We provide the first data on risks for PBB in children following acute illness and a hypothesis for studies to further investigate the relationship with wheeze-related illnesses. Clinicians and parents/guardians should be aware of these risks and seek early review if a wet cough lasting more than 4-weeks develops the post-acute illness.</description><subject>Antibiotics</subject><subject>Asthma</subject><subject>Bronchitis</subject><subject>Children & youth</subject><subject>Clinical medicine</subject><subject>Cohort analysis</subject><subject>Data collection</subject><subject>Hospitals</subject><subject>Illnesses</subject><subject>Laboratories</subject><subject>Lung diseases</subject><subject>Native peoples</subject><subject>Pediatrics</subject><subject>Respiratory diseases</subject><subject>Streptococcus infections</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkk1rGzEQhpfS0IQkp96LoJdCcaOvXa16KDjuRwKBhjY9C1k78spoV66kTfDv6h-snKTBqS6v0Dx6ZzSaqnpN8AfGJD5bm4FgymvB6hfVEcVCzDBr2cu9_WF1mtIal9W2nBLxqjpkXPIaM3xU_bmO0DmTQ0woWJR7QJ_hFnzYDDDm3dF1DDlqk6FD5zuJTnt0HsNoepddQjZ4H-7cuCokpHJJZxdGlAO6AO1zb3SEAkWkRzQ3Uwb0A9LGRV1ybtGl9yOkhO5c7tEiTKv-I5qP2m-Tuy_opo8AJdCHmNHPPHUO0kl1YLVPcPqox9Wvr19uFhezq-_fLhfzq5nhWOaZto01zBbBVErZcA6NIO2SdBy4bhsimcViWeuOastJY3kLjAJo0kARzo6rTw--m2k5QGfK26L2ahPdoONWBe3U88joerUKt6oVpfd4Z_Du0SCG3xOkrAaXDHivRwhTUrQhnDIhuSjo2__QdZhiacQ9RUUrsawL9f6BMjGkFME-FUOw2s2D2puHQr_Zr_-J_ff77C9_frUk</recordid><startdate>20211207</startdate><enddate>20211207</enddate><creator>O'Grady, Kerry-Ann F</creator><creator>Mahon, Juliana</creator><creator>Arnold, Daniel</creator><creator>Grimwood, Keith</creator><creator>Hall, Kerry K</creator><creator>Goyal, Vikas</creator><creator>Marchant, Julie M</creator><creator>Phillips, Natalie</creator><creator>Acworth, Jason</creator><creator>King, Alex</creator><creator>Scott, Mark</creator><creator>Chang, Anne B</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8159-2620</orcidid><orcidid>https://orcid.org/0000-0002-1331-3706</orcidid></search><sort><creationdate>20211207</creationdate><title>Predictors of the Development of Protracted Bacterial Bronchitis following Presentation to Healthcare for an Acute Respiratory Illness with Cough: Analysis of Three Cohort Studies</title><author>O'Grady, Kerry-Ann F ; 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Data from three studies of the development of chronic cough (CC) in children were combined. PBB was defined as a wet cough of at least 4-weeks duration with no identified specific cause of cough that resolved following 2-4 weeks of appropriate antibiotics. Anterior nasal swabs were tested for 17 viruses and bacteria by polymerase chain reaction. The study included 903 children. Childcare attendance (adjusted relative risk (aRR) = 2.32, 95% CI 1.48-3.63), prior history of chronic cough (aRR = 2.63, 95% CI 1.72-4.01) and age <2-years (<12-months: aRR = 4.31, 95% CI 1.42-13.10; 12-<24 months: aRR = 2.00, 95% CI 1.35-2.96) increased risk of PBB. Baseline diagnoses of asthma/reactive airways disease (aRR = 0.30, 95% CI 0.26-0.35) or bronchiolitis (aRR = 0.15, 95% CI 0.06-0.38) decreased risk.
was the most common organism (52.4%) identified in all children (PBB = 72.1%; no PBB = 50.2%,
< 0.001). We provide the first data on risks for PBB in children following acute illness and a hypothesis for studies to further investigate the relationship with wheeze-related illnesses. Clinicians and parents/guardians should be aware of these risks and seek early review if a wet cough lasting more than 4-weeks develops the post-acute illness.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>34945030</pmid><doi>10.3390/jcm10245735</doi><orcidid>https://orcid.org/0000-0002-8159-2620</orcidid><orcidid>https://orcid.org/0000-0002-1331-3706</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Antibiotics Asthma Bronchitis Children & youth Clinical medicine Cohort analysis Data collection Hospitals Illnesses Laboratories Lung diseases Native peoples Pediatrics Respiratory diseases Streptococcus infections |
| title | Predictors of the Development of Protracted Bacterial Bronchitis following Presentation to Healthcare for an Acute Respiratory Illness with Cough: Analysis of Three Cohort Studies |
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