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Clinical characteristics of protracted bacterial bronchitis in Chinese infants
Protracted bacterial bronchitis (PBB) is the common cause of chronic cough in children worldwide, but its etiology has not been fully recognized in China. We retrospectively investigated a total of 66 hospitalized infants under the age of three years with chronic wet cough enrolled in the Affiliated...
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| Published in: | Scientific reports 2015-09, Vol.5 (1), p.13731-13731, Article 13731 |
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| creator | Wang, Yuqing Hao, Chuangli Chi, FanFan Yu, Xingmei Sun, Huiquan Huang, Li Wang, Meijuan Ji, Wei Yan, Yongdong Zhu, Hong Shao, Xuejun |
| description | Protracted bacterial bronchitis (PBB) is the common cause of chronic cough in children worldwide, but its etiology has not been fully recognized in China. We retrospectively investigated a total of 66 hospitalized infants under the age of three years with chronic wet cough enrolled in the Affiliated Children’s Hospital of Soochow University from October 2010 to March 2014. All patients underwent bronchoscopy and broncho-alveolar lavage (BAL) samples were processed for microbiological and cytological analysis. Of 66 patients with wet cough, 50 (75.8%) were diagnosed with PBB. In the PBB group, wet cough was accompanied by wheezing (90%). Airway malacia were identified in 22 cases (44%). The clinical manifestations of PBB with airway malacia did not differ from those without malacia. Haemophilus influenzae (47.4%) and Streptococcus pneumoniae (36.8%) were the most commonly identified pathogens. Furthermore, CD3
+
and CD3
+
CD4
+
cells were significantly lower in the PBB group (p |
| doi_str_mv | 10.1038/srep13731 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4559899</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1709710879</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-a405162d56ca28ba9a79b8577f57babe1cddd902ca37525b4c5d01c99346e0053</originalsourceid><addsrcrecordid>eNplkV1LwzAYhYMobsxd-Aek4I0K1Xw0TXMjyPALRG_0OqRpumZ0SU06wX9vZueYmpu85DycnJcDwDGClwiS4ip43SHCCNoDYwwzmmKC8f7OPALTEBYwHop5hvghGOGckCLL8Rg8z1pjjZJtohrppeq1N6E3KiSuTjrv-u-3KikHKXKld1Y1pjchMTaZNcbqoONYS9uHI3BQyzbo6eaegLe729fZQ_r0cv84u3lKVUaKPpUZpCjHFc2VxEUpuWS8LChjNWWlLDVSVVVxiJUkjGJaZopWECnOSZbruAeZgOvBt1uVS10pbWPQVnTeLKX_FE4a8VuxphFz9yEySnkRfSbgbGPg3ftKh14sTVC6baXVbhUEYpAzBAu2Rk__oAu38jauJ1C0YoRChiN1PlDKuxA7qbdhEBTrosS2qMie7Kbfkj-1ROBiAEKU7Fz7nS__uX0B1rudhg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1899735072</pqid></control><display><type>article</type><title>Clinical characteristics of protracted bacterial bronchitis in Chinese infants</title><source>PubMed (Medline)</source><source>ProQuest - Publicly Available Content Database</source><source>Free Full-Text Journals in Chemistry</source><source>Springer Nature - nature.com Journals - Fully Open Access</source><creator>Wang, Yuqing ; Hao, Chuangli ; Chi, FanFan ; Yu, Xingmei ; Sun, Huiquan ; Huang, Li ; Wang, Meijuan ; Ji, Wei ; Yan, Yongdong ; Zhu, Hong ; Shao, Xuejun</creator><creatorcontrib>Wang, Yuqing ; Hao, Chuangli ; Chi, FanFan ; Yu, Xingmei ; Sun, Huiquan ; Huang, Li ; Wang, Meijuan ; Ji, Wei ; Yan, Yongdong ; Zhu, Hong ; Shao, Xuejun</creatorcontrib><description>Protracted bacterial bronchitis (PBB) is the common cause of chronic cough in children worldwide, but its etiology has not been fully recognized in China. We retrospectively investigated a total of 66 hospitalized infants under the age of three years with chronic wet cough enrolled in the Affiliated Children’s Hospital of Soochow University from October 2010 to March 2014. All patients underwent bronchoscopy and broncho-alveolar lavage (BAL) samples were processed for microbiological and cytological analysis. Of 66 patients with wet cough, 50 (75.8%) were diagnosed with PBB. In the PBB group, wet cough was accompanied by wheezing (90%). Airway malacia were identified in 22 cases (44%). The clinical manifestations of PBB with airway malacia did not differ from those without malacia. Haemophilus influenzae (47.4%) and Streptococcus pneumoniae (36.8%) were the most commonly identified pathogens. Furthermore, CD3
+
and CD3
+
CD4
+
cells were significantly lower in the PBB group (p < 0.01), while CD19
+
, CD16
+
CD56
+
and CD23
+
cells were elevated (p < 0.01) in the PBB group. Our study revealed PBB is an important cause of chronic wet cough in Chinese infants and that changes of lymphocyte subsets are observed in children with PBB. Airway malacia frequently co-existed with PBB, but did not exacerbate the disease.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/srep13731</identifier><identifier>PMID: 26338462</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/1807/1809 ; 692/308/3187 ; Age Distribution ; Alveoli ; Bacterial Infections - diagnosis ; Bacterial Infections - epidemiology ; Bacterial Infections - microbiology ; Bronchitis ; Bronchitis, Chronic - diagnosis ; Bronchitis, Chronic - epidemiology ; Bronchitis, Chronic - microbiology ; Bronchoscopy ; CD16 antigen ; CD19 antigen ; CD23 antigen ; CD3 antigen ; CD4 antigen ; CD56 antigen ; Child, Preschool ; Children ; China - epidemiology ; Comorbidity ; Cough ; Cough - diagnosis ; Cough - epidemiology ; Etiology ; Health risk assessment ; Humanities and Social Sciences ; Humans ; Infant ; Infant, Newborn ; Infants ; Lymphocytes ; Male ; multidisciplinary ; Prevalence ; Respiratory Sounds - diagnosis ; Respiratory tract ; Risk Factors ; Science ; Sex Distribution ; Streptococcus infections ; Symptom Assessment - statistics & numerical data ; Wheezing</subject><ispartof>Scientific reports, 2015-09, Vol.5 (1), p.13731-13731, Article 13731</ispartof><rights>The Author(s) 2015</rights><rights>Copyright Nature Publishing Group Sep 2015</rights><rights>Copyright © 2015, Macmillan Publishers Limited 2015 Macmillan Publishers Limited</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-a405162d56ca28ba9a79b8577f57babe1cddd902ca37525b4c5d01c99346e0053</citedby><cites>FETCH-LOGICAL-c438t-a405162d56ca28ba9a79b8577f57babe1cddd902ca37525b4c5d01c99346e0053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1899735072/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1899735072?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26338462$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Yuqing</creatorcontrib><creatorcontrib>Hao, Chuangli</creatorcontrib><creatorcontrib>Chi, FanFan</creatorcontrib><creatorcontrib>Yu, Xingmei</creatorcontrib><creatorcontrib>Sun, Huiquan</creatorcontrib><creatorcontrib>Huang, Li</creatorcontrib><creatorcontrib>Wang, Meijuan</creatorcontrib><creatorcontrib>Ji, Wei</creatorcontrib><creatorcontrib>Yan, Yongdong</creatorcontrib><creatorcontrib>Zhu, Hong</creatorcontrib><creatorcontrib>Shao, Xuejun</creatorcontrib><title>Clinical characteristics of protracted bacterial bronchitis in Chinese infants</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>Protracted bacterial bronchitis (PBB) is the common cause of chronic cough in children worldwide, but its etiology has not been fully recognized in China. We retrospectively investigated a total of 66 hospitalized infants under the age of three years with chronic wet cough enrolled in the Affiliated Children’s Hospital of Soochow University from October 2010 to March 2014. All patients underwent bronchoscopy and broncho-alveolar lavage (BAL) samples were processed for microbiological and cytological analysis. Of 66 patients with wet cough, 50 (75.8%) were diagnosed with PBB. In the PBB group, wet cough was accompanied by wheezing (90%). Airway malacia were identified in 22 cases (44%). The clinical manifestations of PBB with airway malacia did not differ from those without malacia. Haemophilus influenzae (47.4%) and Streptococcus pneumoniae (36.8%) were the most commonly identified pathogens. Furthermore, CD3
+
and CD3
+
CD4
+
cells were significantly lower in the PBB group (p < 0.01), while CD19
+
, CD16
+
CD56
+
and CD23
+
cells were elevated (p < 0.01) in the PBB group. Our study revealed PBB is an important cause of chronic wet cough in Chinese infants and that changes of lymphocyte subsets are observed in children with PBB. Airway malacia frequently co-existed with PBB, but did not exacerbate the disease.</description><subject>692/1807/1809</subject><subject>692/308/3187</subject><subject>Age Distribution</subject><subject>Alveoli</subject><subject>Bacterial Infections - diagnosis</subject><subject>Bacterial Infections - epidemiology</subject><subject>Bacterial Infections - microbiology</subject><subject>Bronchitis</subject><subject>Bronchitis, Chronic - diagnosis</subject><subject>Bronchitis, Chronic - epidemiology</subject><subject>Bronchitis, Chronic - microbiology</subject><subject>Bronchoscopy</subject><subject>CD16 antigen</subject><subject>CD19 antigen</subject><subject>CD23 antigen</subject><subject>CD3 antigen</subject><subject>CD4 antigen</subject><subject>CD56 antigen</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>China - epidemiology</subject><subject>Comorbidity</subject><subject>Cough</subject><subject>Cough - diagnosis</subject><subject>Cough - epidemiology</subject><subject>Etiology</subject><subject>Health risk assessment</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Lymphocytes</subject><subject>Male</subject><subject>multidisciplinary</subject><subject>Prevalence</subject><subject>Respiratory Sounds - diagnosis</subject><subject>Respiratory tract</subject><subject>Risk Factors</subject><subject>Science</subject><subject>Sex Distribution</subject><subject>Streptococcus infections</subject><subject>Symptom Assessment - statistics & numerical data</subject><subject>Wheezing</subject><issn>2045-2322</issn><issn>2045-2322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNplkV1LwzAYhYMobsxd-Aek4I0K1Xw0TXMjyPALRG_0OqRpumZ0SU06wX9vZueYmpu85DycnJcDwDGClwiS4ip43SHCCNoDYwwzmmKC8f7OPALTEBYwHop5hvghGOGckCLL8Rg8z1pjjZJtohrppeq1N6E3KiSuTjrv-u-3KikHKXKld1Y1pjchMTaZNcbqoONYS9uHI3BQyzbo6eaegLe729fZQ_r0cv84u3lKVUaKPpUZpCjHFc2VxEUpuWS8LChjNWWlLDVSVVVxiJUkjGJaZopWECnOSZbruAeZgOvBt1uVS10pbWPQVnTeLKX_FE4a8VuxphFz9yEySnkRfSbgbGPg3ftKh14sTVC6baXVbhUEYpAzBAu2Rk__oAu38jauJ1C0YoRChiN1PlDKuxA7qbdhEBTrosS2qMie7Kbfkj-1ROBiAEKU7Fz7nS__uX0B1rudhg</recordid><startdate>20150904</startdate><enddate>20150904</enddate><creator>Wang, Yuqing</creator><creator>Hao, Chuangli</creator><creator>Chi, FanFan</creator><creator>Yu, Xingmei</creator><creator>Sun, Huiquan</creator><creator>Huang, Li</creator><creator>Wang, Meijuan</creator><creator>Ji, Wei</creator><creator>Yan, Yongdong</creator><creator>Zhu, Hong</creator><creator>Shao, Xuejun</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150904</creationdate><title>Clinical characteristics of protracted bacterial bronchitis in Chinese infants</title><author>Wang, Yuqing ; Hao, Chuangli ; Chi, FanFan ; Yu, Xingmei ; Sun, Huiquan ; Huang, Li ; Wang, Meijuan ; Ji, Wei ; Yan, Yongdong ; Zhu, Hong ; Shao, Xuejun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-a405162d56ca28ba9a79b8577f57babe1cddd902ca37525b4c5d01c99346e0053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>692/1807/1809</topic><topic>692/308/3187</topic><topic>Age Distribution</topic><topic>Alveoli</topic><topic>Bacterial Infections - 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diagnosis</topic><topic>Respiratory tract</topic><topic>Risk Factors</topic><topic>Science</topic><topic>Sex Distribution</topic><topic>Streptococcus infections</topic><topic>Symptom Assessment - statistics & numerical data</topic><topic>Wheezing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Yuqing</creatorcontrib><creatorcontrib>Hao, Chuangli</creatorcontrib><creatorcontrib>Chi, FanFan</creatorcontrib><creatorcontrib>Yu, Xingmei</creatorcontrib><creatorcontrib>Sun, Huiquan</creatorcontrib><creatorcontrib>Huang, Li</creatorcontrib><creatorcontrib>Wang, Meijuan</creatorcontrib><creatorcontrib>Ji, Wei</creatorcontrib><creatorcontrib>Yan, Yongdong</creatorcontrib><creatorcontrib>Zhu, Hong</creatorcontrib><creatorcontrib>Shao, Xuejun</creatorcontrib><collection>SpringerOpen</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest Biological Science Journals</collection><collection>ProQuest - Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Yuqing</au><au>Hao, Chuangli</au><au>Chi, FanFan</au><au>Yu, Xingmei</au><au>Sun, Huiquan</au><au>Huang, Li</au><au>Wang, Meijuan</au><au>Ji, Wei</au><au>Yan, Yongdong</au><au>Zhu, Hong</au><au>Shao, Xuejun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical characteristics of protracted bacterial bronchitis in Chinese infants</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2015-09-04</date><risdate>2015</risdate><volume>5</volume><issue>1</issue><spage>13731</spage><epage>13731</epage><pages>13731-13731</pages><artnum>13731</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Protracted bacterial bronchitis (PBB) is the common cause of chronic cough in children worldwide, but its etiology has not been fully recognized in China. We retrospectively investigated a total of 66 hospitalized infants under the age of three years with chronic wet cough enrolled in the Affiliated Children’s Hospital of Soochow University from October 2010 to March 2014. All patients underwent bronchoscopy and broncho-alveolar lavage (BAL) samples were processed for microbiological and cytological analysis. Of 66 patients with wet cough, 50 (75.8%) were diagnosed with PBB. In the PBB group, wet cough was accompanied by wheezing (90%). Airway malacia were identified in 22 cases (44%). The clinical manifestations of PBB with airway malacia did not differ from those without malacia. Haemophilus influenzae (47.4%) and Streptococcus pneumoniae (36.8%) were the most commonly identified pathogens. Furthermore, CD3
+
and CD3
+
CD4
+
cells were significantly lower in the PBB group (p < 0.01), while CD19
+
, CD16
+
CD56
+
and CD23
+
cells were elevated (p < 0.01) in the PBB group. Our study revealed PBB is an important cause of chronic wet cough in Chinese infants and that changes of lymphocyte subsets are observed in children with PBB. Airway malacia frequently co-existed with PBB, but did not exacerbate the disease.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>26338462</pmid><doi>10.1038/srep13731</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | PubMed (Medline); ProQuest - Publicly Available Content Database; Free Full-Text Journals in Chemistry; Springer Nature - nature.com Journals - Fully Open Access |
| subjects | 692/1807/1809 692/308/3187 Age Distribution Alveoli Bacterial Infections - diagnosis Bacterial Infections - epidemiology Bacterial Infections - microbiology Bronchitis Bronchitis, Chronic - diagnosis Bronchitis, Chronic - epidemiology Bronchitis, Chronic - microbiology Bronchoscopy CD16 antigen CD19 antigen CD23 antigen CD3 antigen CD4 antigen CD56 antigen Child, Preschool Children China - epidemiology Comorbidity Cough Cough - diagnosis Cough - epidemiology Etiology Health risk assessment Humanities and Social Sciences Humans Infant Infant, Newborn Infants Lymphocytes Male multidisciplinary Prevalence Respiratory Sounds - diagnosis Respiratory tract Risk Factors Science Sex Distribution Streptococcus infections Symptom Assessment - statistics & numerical data Wheezing |
| title | Clinical characteristics of protracted bacterial bronchitis in Chinese infants |
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