Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Bronchite batterica protratta
dai casi clinici alla messa a fuoco di una entità poco conosciuta e “maltrattata”

Protracted bacterial bronchitis

Chiara Bibalo1,2, Cristina Bibalo1,2, Martina Tubaro1,2, Alessandro Ventura1,2, Giorgio Longo2

1IRCCS Materno-Infantile “Burlo Garofolo”, Trieste; 2Università di Trieste

Novembre 2015 - pagg. 565 -572

Abstract
Protracted bacterial bronchitis (PBB) is a wet, “smoker-like” cough that persists more than 4 weeks (chronic, not remitting cough) and promptly responds to an appropriate antimicrobial treatment. Although it is the most common cause of chronic cough, it did not feature in paediatric textbooks until very recently and has remained largely unrecognised and often misdiagnosed as asthma. The paper highlights the main clinical features of PBB and the diagnostic difficulties physicians can face through some patients’ stories.
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Bibliografia
1. Chang AB, Redding GJ, Everard ML. Chronic wet cough: Protracted bronchitis, chronic suppurative lung disease and bronchiectasis. Pediatr Pulmonol 2008;43(6):519-31. 2. Craven V, Everard ML. Protracted bacterial bronchitis: reinventing an old disease. Arch Dis Child 2013;98:72-6. 3. Donnelly D, Critchlow A, Everard ML. Outcomes in children treated for persistent bacterial bronchitis. Thorax 2007;62:80-4. 4. Marchant JM, Masters B, Taylore SM, et al. Evaluation and outcome of young children with chronic cough. Chest 2006;129(5):1132-41. 5. Marchant JM, Masters IB, Taylor SM, Chang AB. Utility of signs and symptoms of chronic cough in predicting specific cause in children. Thorax 2006;61(8):694-8. 6. Longo G, Barbi E. La tosse (o le tossi). Medico e Bambino 2000;19(10):631-5. 7. Ueda D, Yoto Y. The ten-day mark as a practical diagnostic approach for acute paranasal sinusitis in children. Pediatr Infect Dis J 1996; 15(7):576-9. 8. Shields MD, Bush A, Everard ML, McKenzie S, Primhak R; British Thoracic Society Cough Guideline Group. BTS guidelines: Recommendations for the assessment and management of cough in children. Thorax 2008;63 Suppl 3:iii1-iii15. 9. Cole P. The damaging role of bacteria in chronic lung infection. J Antimicrob Chemother 1997;40 Suppl A:5-10. 10. Zgherea D, Pagala S, Mendiratta M, et al. Bronchoscopic findings in children with chronic wet cough. Pediatrics 2012;129:e364-e369. 11. Marchant J, Masters IB, Champion A, Petsky H, Chang AB. Randomised controlled trial of amoxycillin clavulanate in children with chronic wet cough. Thorax 2012;67:689-93. 12. Kompare M, Weinberger M. Protracted bacterial bronchitis in young children: association with airway malacia. J Pediatr 2012;160:88-92. 13. Boogaard R, Huijsmans SH. Tracheomalacia and bronchomalacia in children. Incidence and patient characteristics. Chest 2005;128:3391-7. 14. Pritchard MG, Lenney W, Gilchrist FJ. Outcomes in children with protracted bacterial bronchitis confirmed by bronchoscopy. Arch Dis Child 2015;100(1):112. 15. Dosanjn A. Chronic pediatric pulmonary disease and primary humoral antibody based immune disease. Resp Med 2011;105:511-4. 16. Field CE. Bronchiectasis in childhood (II). Aetiology and pathogenesis, including as survey of 272 cases of doubtful irreversible bronchiectasis. Pediatrics 1949;4:231-48. 17. Eastham KM, Fall AJ, Mitchell, et al. The need to redefine non-cystic fibrosis bronchiectasis in childhood. Thorax 2004;59:324-7. 18. Nikolaizik WH, Warner JO. Aetiology of chronic suppurative lung disease. Arch Dis Child 1994;70(2):141-2. 19. Kliegman RM, et al. Nelson Textbook of Pediatrics, 19th edition. Elsevier, 2011. 20. Gulliford M, Latinovic R, Charlton J, Little P, van Staa T, Ashworth M. Selective decrease in consultations and antibiotic prescribing for acute respiratory tract infections in UK primary care up to 2006. J Public Health (Oxf) 2009;31(4): 512-20. 21. Arnold SR, Bush AJ. Decline in inappropriate antibiotic use over a decade by pediatricians in a Tennessee community. Ambul Pediatr 2006;6(4):225-9. 22. Little P. Delayed prescribing of antibiotics for upper respiratory tract infection. BMJ 2005;331(7512):301-2.

Corrispondenza: giorgio.longo@burlo.trieste.it