Bronchiolitis: Recent Evidence on Diagnosis and Management

@article{Zorc2010BronchiolitisRE,
  title={Bronchiolitis: Recent Evidence on Diagnosis and Management},
  author={Joseph J. Zorc and Caroline Breese Hall},
  journal={Pediatrics},
  year={2010},
  volume={125},
  pages={342 - 349}
}
Viral bronchiolitis is a leading cause of acute illness and hospitalization of young children. Research into the variation in treatment and outcomes for bronchiolitis across different settings has led to evidence-based clinical practice guidelines. Ongoing investigation continues to expand this body of evidence. Authors of recent surveillance studies have defined the presence of coinfections with multiple viruses in some cases of bronchiolitis. Underlying comorbidities and young age remain the… 
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306 Citations
Highly Influential Citations
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78
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2
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306 Citations

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Recent evidence on the management of bronchiolitis
TLDR
Much of the emphasis of the last few decades of bronchiolitis clinical care and research has centered on the identification and testing of novel therapies, with increasing recognition of viruses other than respiratory syncytial virus and better awareness of the role of viral coinfections.
Bronchiolitis: the recent evidence.
  • G. Mustafa
  • Medicine
    Journal of Ayub Medical College, Abbottabad : JAMC
  • 2014
TLDR
The available data is yet largely against the routine use of bronchodilators or corticosteroids, though a combination of these two looks promising future trend and the role of nebulized hypertonic saline in bronchiolitis is getting a wider acceptance and is likely to get established a part of routine care.
Recent advances in management of bronchiolitis
TLDR
Evaluating the evidence supporting the use of currently available treatment and preventive strategies for infants with bronchiolitis and to provide practical guidelines to the practitioners managing children with bronChiolitis found supportive care, comprising of taking care of oxygenation and hydration, remains the corner-stone of therapy in bron chiolitis.
Treatment of bronchiolitis: state of the art.
Management of acute viral bronchiolitis in children: Evidence beyond guidelines.
  • S. Iqbal
  • Medicine
    Sudanese journal of paediatrics
  • 2012
TLDR
The key to reducing the morbidity and mortality in children with RSV bronchiolitis is through prevention of infection through immunoprophylaxis especially in high-risk children.
Viral bronchiolitis in children: A common condition with few therapeutic options☆
Bronchiolitis: Recommendations for diagnosis, monitoring and management of children one to 24 months of age.
TLDR
Groups at high risk for severe disease are described and guidelines for admission to hospital are presented, and evidence for the efficacy of various therapies is discussed and recommendations are made for management.
Acute bronchiolitis: assessment and management in the emergency department.
TLDR
While studies have demonstrated a lack of efficacy for bronchodilators and corticosteroids, more recent studies suggest a potential role for combination therapies and high-flow nasal cannula therapy.
Current Concepts in the Evaluation and Management of Bronchiolitis.
Treatment of Acute Viral Bronchiolitis
  • E. Eber
  • Medicine
    The open microbiology journal
  • 2011
TLDR
Most children with bronchiolitis have a self limiting mild disease and can be safely managed at home with careful attention to feeding and respiratory status, and there is confusion and lack of evidence over the best treatment for this condition.
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