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Journal of Tropical Pediatrics 2000 46(4):234-236; doi:10.1093/tropej/46.4.234
© 2000 by Oxford University Press
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Brief report. Severe bronchiolitis in Malaysian children

PWK ChanZ, AYT Goh and LCS Lum

Department of Paediatrics, University Malaya Medical Centre, University Hospital, 50603 Kuala Lumpur, Malaysia Z Corresponding author Tel: 603 750 2065

Twenty-two (42 per cent) out of 52 patients admitted with severe bronchiolitis to our Paediatric Intensive Care Unit required ventilation. Risk factors associated with ventilation included a younger mean age, female sex, low birthweight, failure to thrive and the presence of an underlying illness. Ventilated patients were also more likely to have a higher respiratory distress assessment index (RDAI) score, pneumonic infiltration on chest X-ray, lower serum sodium and a positive respiratory syncytial virus isolation in the tracheal secretion.


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