Reduced inhaler use is safe for infants with bronchiolitis

(Children's Hospital of Philadelphia) Bronchiolitis, a lung infection that is one of the most common reasons for hospitalizations in young children, is most prevalent during the winter months and is usually treated with albuterol delivered via inhalers, despite evidence showing no benefit in most patients. A multidisciplinary team of researchers from Children's Hospital of Philadelphia (CHOP) redesigned the hospital's standard treatment for the infection and reduced albuterol use without compromising care.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news

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Bronchiolitis is the primary infection of the lower respiratory tract in children under 2 years of age. Although it is generally considered a single nosological entity, recent studies suggested remarkable clin...
Source: Italian Journal of Pediatrics - Category: Pediatrics Authors: Tags: Research Source Type: research
In Reply Dr Keim-Malpass and colleagues raise interesting points about our study of continuous pulse oximetry monitoring in bronchiolitis. First, they comment that the evidence underlying the American Academy of Pediatrics recommendation against continuous pulse oximetry is weak and that parents find physiologic monitoring reassuring; therefore, calls for deimplementation are unwarranted. This logic suggests that weak evidence of harm (without evidence of benefit) and parent preference justify implementation of a medical intervention. We disagree. Similar logic likely contributed to the overprescribing of antibiotics for m...
Source: JAMA - Category: General Medicine Source Type: research
To the Editors Dr Bonafide and colleagues found variability among hospitals in the use of pulse oximetry after discontinuation of oxygen therapy in children hospitalized for bronchiolitis. They suggested that oxygen monitoring should be deimplemented. We have 3 concerns.
Source: JAMA - Category: General Medicine Source Type: research
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Source: Archives de Pediatrie - Category: Pediatrics Authors: Tags: Arch Pediatr Source Type: research
Viral infections of the upper and lower respiratory tracts are among the most common illness in humans, mainly in children and infants in whom the infection can occur 5 to 6 times for year (Berry et al, 2015). For this reason, acute respiratory infections (ARIs) represent a persistent public health problem; although the majority of ARIs remain confined to the upper tract (rhinosinusitis, pharyngitis, laryngitis, tracheitis) they can cause severe manifestations when affecting the lower tract (bronchitis, bronchiolitis, and pneumonia) (Bicer et al., 2013; Tregoning and Schwarze, 2010; Zappa et al., 2008).
Source: International Journal of Infectious Diseases - Category: Infectious Diseases Authors: Source Type: research
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Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Editorials Source Type: research
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Source: The Journal of Heart and Lung Transplantation - Category: Transplant Surgery Authors: Source Type: research
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Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news
CONCLUSIONS: Children exposed to prenatal and postnatal maternal smoking have a higher risk of suffering bronchiolitis. Reducing the smoking habit in women that intend to become pregnant must be a priority in preventive medicine. PMID: 32988767 [PubMed - as supplied by publisher]
Source: Anales de Pediatria - Category: Pediatrics Authors: Tags: An Pediatr (Barc) Source Type: research
l CA, Kalergis AM Abstract The human respiratory syncytial virus (hRSV) is the most common infectious agent that affects children before two years of age. hRSV outbreaks cause a significant increase in hospitalizations during the winter season associated with bronchiolitis and pneumonia. Recently, neurologic alterations have been associated with hRSV infection in children, which include seizures, central apnea, and encephalopathy. Also, hRSV RNA has been detected in cerebrospinal fluids (CSF) from patients with neurological symptoms after hRSV infection. Additionally, previous studies have shown that hRSV can be d...
Source: Brain, Behavior, and Immunity - Category: Neurology Authors: Tags: Brain Behav Immun Source Type: research
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