Diagnostic and interventional paediatric bronchoscopy in low and middle-income countries

IF 4 3区医学 Q1 PEDIATRICS Paediatric Respiratory Reviews Pub Date : 2025-12-01 Epub Date: 2025-02-03 DOI:10.1016/j.prrv.2025.01.005

Pierre Goussard , Ernst Eber , Lisa Frigati , Leonore Greybe , Shyam Sunder B. Venkatakrishna , Jacques Janson , Zane Ismail , Andre Gie , Delano Rhode , Pawel Schubert , Marc Merven , Savvas Andronikou

{"title":"Diagnostic and interventional paediatric bronchoscopy in low and middle-income countries","authors":"Pierre Goussard , Ernst Eber , Lisa Frigati , Leonore Greybe , Shyam Sunder B. Venkatakrishna , Jacques Janson , Zane Ismail , Andre Gie , Delano Rhode , Pawel Schubert , Marc Merven , Savvas Andronikou","doi":"10.1016/j.prrv.2025.01.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the role of both diagnostic and interventional paediatric bronchoscopy in the management of respiratory diseases in children in low- and middle-income countries (LMICs).</div></div><div><h3>Design</h3><div>A review of published English literature from January 2014 to February 2024.</div></div><div><h3>Results</h3><div>Indications for bronchoscopy in LMICs will vary depending on the burden of infectious diseases like tuberculosis (TB) and HIV, and the expertise and equipment available. TB diagnosis<span><span> in children remains challenging due to the paucibacillary nature of the disease and its overlap with other infectious diseases like actinomycosis and </span>echinococcosis<span>. Acquired conditions, such as foreign body (FB) inhalation, present late with a high complication rate, making them challenging to manage. Paediatric bronchoscopy has an important role in the diagnoses, management and follow-up of many of these conditions. Interventional procedures like endobronchial ultrasound<span> (EBUS), radial EBUS and cryotherapy enhance diagnostic and management capabilities.</span></span></span></div></div><div><h3>Conclusion</h3><div>Children in LMICs are affected by both infectious and acquired conditions. Bronchoscopy remains expensive with limited training offered in LMICs but is increasingly recognised for its important diagnostic and therapeutic role.</div></div>","PeriodicalId":19658,"journal":{"name":"Paediatric Respiratory Reviews","volume":"56 ","pages":"Pages 37-54"},"PeriodicalIF":4.0000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Paediatric Respiratory Reviews","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1526054225000077","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/3 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

To investigate the role of both diagnostic and interventional paediatric bronchoscopy in the management of respiratory diseases in children in low- and middle-income countries (LMICs).

Design

A review of published English literature from January 2014 to February 2024.

Results

Indications for bronchoscopy in LMICs will vary depending on the burden of infectious diseases like tuberculosis (TB) and HIV, and the expertise and equipment available. TB diagnosis in children remains challenging due to the paucibacillary nature of the disease and its overlap with other infectious diseases like actinomycosis and echinococcosis. Acquired conditions, such as foreign body (FB) inhalation, present late with a high complication rate, making them challenging to manage. Paediatric bronchoscopy has an important role in the diagnoses, management and follow-up of many of these conditions. Interventional procedures like endobronchial ultrasound (EBUS), radial EBUS and cryotherapy enhance diagnostic and management capabilities.

Conclusion

Children in LMICs are affected by both infectious and acquired conditions. Bronchoscopy remains expensive with limited training offered in LMICs but is increasingly recognised for its important diagnostic and therapeutic role.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

低收入和中等收入国家的诊断性和介入性儿科支气管镜检查。

目的：探讨诊断性和介入性儿科支气管镜检查在中低收入国家（LMICs）儿童呼吸系统疾病治疗中的作用。设计：对2014年1月至2024年2月期间发表的英语文献进行综述。结果：中低收入国家的支气管镜检查指征将根据结核病和艾滋病毒等传染病的负担以及现有的专业知识和设备而有所不同。儿童结核病的诊断仍然具有挑战性，因为该病的细菌数量较少，并且与放线菌病和棘球蚴病等其他传染病重叠。获得性疾病，如异物（FB）吸入，出现较晚，并发症发生率高，使其难以管理。小儿支气管镜检查在许多这些疾病的诊断、管理和随访中起着重要作用。支气管内超声（EBUS）、径向超声和冷冻治疗等介入性手术提高了诊断和治疗能力。结论：中低收入国家儿童受到感染性疾病和获得性疾病的双重影响。在中低收入国家，支气管镜检查仍然很昂贵，培训也很有限，但其重要的诊断和治疗作用日益得到认可。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Paediatric Respiratory Reviews 医学-呼吸系统

CiteScore

12.50

自引率

0.00%

发文量

审稿时长

23 days

期刊介绍： Paediatric Respiratory Reviews offers authors the opportunity to submit their own editorials, educational reviews and short communications on topics relevant to paediatric respiratory medicine. These peer reviewed contributions will complement the commissioned reviews which will continue to form an integral part of the journal. Subjects covered include: • Epidemiology • Immunology and cell biology • Physiology • Occupational disorders • The role of allergens and pollutants A particular emphasis is given to the recommendation of "best practice" for primary care physicians and paediatricians. Paediatric Respiratory Reviews is aimed at general paediatricians but it should also be read by specialist paediatric physicians and nurses, respiratory physicians and general practitioners. It is a journal for those who are busy and do not have time to read systematically through literature, but who need to stay up to date in the field of paediatric respiratory and sleep medicine.