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Journal of Tropical Pediatrics Advance Access originally published online on December 10, 2008
Journal of Tropical Pediatrics 2009 55(3):198-201; doi:10.1093/tropej/fmn105
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© The Author [2008]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Brief Reports

Wheezing and Respiratory Infections in Brazilian Children: Does a Standard Management Work?

Antonio Jose Ledo Alves da Cunhaa, Márcia Garcia Alves Galvãob and Marilene Santos

aFederal University of Rio de Janeiro (Universidade Federal do Rio de Janeiro)
bRio de Janeiro Secretariat of Health (Secretaria Municipal de Saúde do Rio de Janeiro)

Correspondence: Marilene Santos, Avenida Ayrton Senna, 250/ 205. Barra da Tijuca, Condomínio Alfa Barra 1. Rio de Janeiro. RJ BRAZIL. 22793-000. Tel.:+55 21 2239 8157; Fax.: +55 21 2433 3294. E-mail: <marilenecs{at}terra.com.br>


  Abstract

Background: Wheezing associated with acute respiratory infections (ARI) is responsible for unnecessary use of antibiotics.

Objectives: To evaluate the response of children with ARI and wheezing managed according to the World Health Organization (WHO) protocol.

Methods: Cross-sectional study of children aged 2–59 months conducted in a Brazilian pediatric public hospital. Children showing fast breathing received inhalations of bronchodilator. Those who persisted with fast breathing had chest radiographs taken. When appropriate, oral antibiotics were prescribed for pneumonia. Audible wheezing was also registered.

Results: We included 217 children: mean age 25.7 months (SD = 17.5) with 54.4% (118/217) being males. Audible wheezing was detected in 18.6% (40/217). In 87.6% (190/217) of children normal respiratory rates were reached after inhalations. In cases of pneumonia, 26% (7/27) persisted with fast breathing.

Conclusion: A good response using WHO protocol suggests its usefulness in emergency rooms, although few cases will continue to receive antibiotics unnecessarily.

Key Words: Integrated Management of Childhood Illness • Acute Respiratory Infections • Wheezing • Child


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