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Department of Child Health, University
Hospital, Nottingham
Correspondence to: Professor A D Milner, Department of Paediatrics, St Thomas's Hospital,United Medical and Dental School, London SE1 7EH.
Accepted 30
September 1996
In order to evaluate further the relationship between acute
bronchiolitis in infancy and subsequent respiratory problems, children
prospectively followed up from the time of their admission to hospital
were reviewed along with a group of matched controls recruited at the
previous five and a half year assessment. Sixty one index children and
47 controls took part. The groups were well matched for age, height,
parental smoking, and social class. Although the prevalence of
respiratory symptoms had fallen when related to the previous review,
there remained an excess of coughing (48 and 17% in index and control
children respectively; odds ratio 4.02) and wheezing (34 and 13% in
index and control children respectively; odds ratio 3.59).
Bronchodilator therapy was used by 33% of index children compared with
3% of controls. Lung function tests revealed no significant
differences in the measurements of lung growth
for example, forced
vital capacity, functional residual capacity, and total lung
capacitybut the index children had significant reductions in
measurements of airways obstructionfor example, forced expiratory
volume in one second, maximum expiratory flow at 75, 50 and 25% of
vital capacity, and airways resistance. Family history and personal
skin tests showed no excess of atopy in the index group. This study
supports the claim that the excess respiratory symptoms after acute
bronchiolitis are not due to familial or personal susceptibility to atopy.
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