1290 Wheezing at Children Age Up to Two Years of Age

Abstract

Introduction: Episode wheezing and cough is very common even in children who do not have asthma and particularly in those under age two. At this age causes are many, most commonly bronchiolitis and asthma. Objective: To show frequency of wheezing at children age 2 years or less with and without atopy, diagnosed by private pediatric practice. Methods: Viral etiology and atopy were probed by retrospective analyzes at 170 children age 2 years or less which reported at private primary health care institution for treatment of wheezing. Results: 170 children were diagnosed with wheezing. Whith fever were 89 (52,3%), no fever 81 (47,6%). Laboratory analyzes (CRP, Le) are done in 39 (22,9%) and were normal. All children had sO2 over 94%. Out of total number of patients 101 (59,4%) were atopic. We had 38 (22,3%) children with atopy and fever, atopy without fever was observed in 57 (33,5%) children. Fever without atopy were 36 (21,1%) of which during the period november-april 27 (75%) and april-november 9 (25%). Conclusion: Children less then 2 years of age reporting to primary pediatric health care for treatment of wheezing are mostly without fever and with atopy. At children without atopy, wheezing is usually accompanied with fever during the viral infections season.