Treatment of bronchiolitis: state of the art

Dalt, Liviana Da; Bressan, Silvia; Martinolli, Francesco; Perilongo, Giorgio; Baraldi, Eugenio

doi:10.1016/s0378-3782(13)70011-2

Cited by 33 publications

(29 citation statements)

References 61 publications

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“…Lower birth weight, younger gestational age, 3 age<12 weeks, 12 lower post-natal weight, caesarean section delivery, 2 underlying cardiopulmonary disease, immunodeficiency, 3,12 cystic fibrosis, 13 and multiple congenital anomalies. 14 The main risk factor for hospitalization is chronologic age, with 58-64% occurring in first 5 months after birth.…”

Section: Risk Factors For Severe Diseasementioning

confidence: 99%

“…13 Moderate cases who cannot tolerate oral feeding and RR>50/minute should receive NG feeding. 2,18 Intravenous fluids are needed in breathless infants and those with risk of pulmonary aspiration.…”

Section: Hydrationmentioning

confidence: 99%

“…9 The use antibiotics should be restricted to those with specific indications for bacterial infection given that overuse increases overall antibiotic resistance. 13,20 Azithromycin was tried because of its anti-inflammatory, immune-modulatory and antibacterial action but it didn't alter clinical outcome, so it is not recommended.…”

Section: Antibioticsmentioning

confidence: 99%

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Nursing Care of Infants and Children with Bronchiolitis

Assem¹,

Arslan²

2015

Pediatr Neonatal Nurs Open J

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Citation ABSTRACTBronchiolitis is the most common cause of lower respiratory infection in the first year of life. It is a leading cause of acute illness and hospitalization for infants and young children worldwide. Previous studies have demonstrated that at least 1% of children younger than 24 months of age are hospitalized for bronchiolitis. These hospitalizations have been found to consume a significant amount of health care resources. The primary treatment of bronchiolitis remains largely supportive with administration of fluids and supplementary oxygen, observation and mechanical ventilation if needed. Other types of treatment remain controversial. Successful treatment of this diagnosis requires coordination of care of a multidisciplinary team. Pediatric nurses and advanced practice pediatric nurses in both primary and acute care clinical settings can play a major role in educating other health care professionals on the use of Evidence-based practice and why it is important to decrease costs and improve patients' outcome by changing the traditional and habitual use of diagnostic and therapeutic options that are no longer recommended by the most recent guidelines. The purpose of this review was to identify the best evidence available for the updated management of infants and children with bronchiolitis. This updated simplified management of infants with bronchiolitis would result in not only decreasing the cost of care but also result in a better outcome as mentioned in guidelines according to the recent literature. EPIDEMIOLOGYRespiratory Syncytial Virus (RSV) accounts for 60-85% of cases. Rhinovirus, human metapneumovirus, 1 adenovirus, parainfluenza, influenza, paramyxovirus (hMPV), Bocovirus or co-infection occur in 10-30% of cases.2 Associated bacterial infection was observed in 10% of cases.2-4 The incubation period is approximately 4 days, but the virus can be shed from nasal secretions for up to 3 weeks.Bronchiolitis is highly contagious. The virus spread from person to person through direct contact with nasal or oral secretions, airborne droplets and fomites. RSV found in acute infection can survive on hard surface for approximately 6 hours and on soft surfaces for upto 30 minutes.5

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Section: Risk Factors For Severe Diseasementioning

confidence: 99%

Section: Hydrationmentioning

confidence: 99%

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Nursing Care of Infants and Children with Bronchiolitis

Assem¹,

Arslan²

2015

Pediatr Neonatal Nurs Open J

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“…Disadvantages include a lack of airway pressure control and the potential risk of inadvertent high pressure if the nostrils are occluded, a concern primarily for smaller babies. A recently published state-of-the-art review regards HFNC as a valuable treatment tool in bronchiolitis [119]. In a prospective observational study, KRIVEC et al [120] enrolled 39 children f24 months of age with acute viral bronchiolitis and showed that HFNC effectively improved physiological respiration and gas exchange variables.…”

Section: Paediatric Intensive Carementioning

confidence: 99%

Paediatrics in Barcelona

et al. 2014

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“…Más aún, para la bronquiolitis, la infección de la vía aérea baja más frecuente, no se dispone de tratamiento con evidencia de utilidad. 6 La prevención de las enfermedades infecciosas puede abordarse a través de medidas específicas (inmunizaciones activas o pasivas frente a un agente etiológico particular) o inespecíficas (medidas de promoción de la salud, como el lavado de manos o la exclusión de sujetos enfermos). Organizaciones relacionadas con la educación inicial, entidades gubernamentales y sociedades de pediatría de diferentes países han establecido pautas de prevención inespecífica con el propósito de disminuir la diseminación de infecciones.…”

Section: Introductionunclassified

Prevención de infecciones respiratorias en jardines maternales: recomendaciones y revisión sistemática de la evidencia

Serra

2014

Arch Argent Pediat

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Treatment of bronchiolitis: state of the art

Cited by 33 publications

References 61 publications

Nursing Care of Infants and Children with Bronchiolitis

Nursing Care of Infants and Children with Bronchiolitis

Paediatrics in Barcelona

Prevención de infecciones respiratorias en jardines maternales: recomendaciones y revisión sistemática de la evidencia

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