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Hospitals Vary Widely in Management of Infant Bronchiolitis Hospitals Vary Widely in Management of Infant Bronchiolitis
According to a new study, almost one third of infants hospitalized with bronchiolitis receive no evidence-based supportive therapies.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 28, 2017 Category: Consumer Health News Tags: Pulmonary Medicine News Source Type: news

Popcorn Lung (Bronchiolitis Obliterans Symptoms, Causes, Life Expectancy
Title: Popcorn Lung (Bronchiolitis Obliterans Symptoms, Causes, Life ExpectancyCategory: Diseases and ConditionsCreated: 11/28/2017 12:00:00 AMLast Editorial Review: 11/28/2017 12:00:00 AM (Source: MedicineNet Lungs General)
Source: MedicineNet Lungs General - November 28, 2017 Category: Respiratory Medicine Source Type: news

World Antibiotic Awareness Week
Professor Dame Sally Davies, England's Chief Medical Officer, recently warned that the world could face a  " post-antibiotic apocalypse.” She urged that, unless action is taken to halt the practices that have allowed antibiotic resistance to spread and ways are found to develop new types of antibiotics, we could return to the days when simple wounds, infections or routine operations, are life-threatening. To mark   World Antibiotic Awareness Week, 13th-19th November,  we are highlighting Cochrane  evidence which supports decision-making in the appropriate use of antibiotics. Pr...
Source: Cochrane News and Events - November 13, 2017 Category: Information Technology Authors: Muriah Umoquit Source Type: news

Is Nebulized Hypertonic Saline More Effective for Bronchiolitis? Is Nebulized Hypertonic Saline More Effective for Bronchiolitis?
A multisite pediatric emergency department study compared hypertonic and normal saline nebulizer treatments for bronchiolitis.Medscape Pediatrics (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - October 10, 2017 Category: Consumer Health News Tags: Pediatrics Viewpoint Source Type: news

Dipstick test children ’s urine before prescribing antibiotics
Test in infants and children 3 months or older but younger than 3 years with suspected UTI Related items fromOnMedica GPs need support to convince public to stop expecting antibiotics Feedback better than education for cutting inappropriate antibiotic prescribing Children with asthma prescribed ‘unnecessary antibiotics’ GPs welcome NICE advice on bronchiolitis in children (Source: OnMedica Latest News)
Source: OnMedica Latest News - September 28, 2017 Category: UK Health Source Type: news

Antibiotics not recommended for acute otitis, says NICE
RCGP supports decision advised in draft guidance Related items fromOnMedica No evidence to back mantra that patients need to complete antibiotic course Ear disorders Managing minor illness in primary care – external ear complaints Acute otitis media GPs welcome NICE advice on bronchiolitis in children (Source: OnMedica Latest News)
Source: OnMedica Latest News - September 22, 2017 Category: UK Health Source Type: news

Skip Pulse Oximetry in Bronchiolitis, Experts Say Skip Pulse Oximetry in Bronchiolitis, Experts Say
Pulse oximetry in young children with bronchiolitis may lead to overdiagnosis of hypoxemia, increased hospital admissions, and longer length of stay, experts say.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - August 17, 2017 Category: Consumer Health News Tags: Pediatrics News Source Type: news

What are Indications for Continuous Positive Airway Pressure (CPAP)?
DiscussionObstructive sleep apnea syndrome (OSAS) is defined as a “disorder of breathing during sleep characterized by prolonged partial upper airway obstruction and/or intermittent complete obstruction (obstructive apnea) that disrupts normal ventilation during sleep and normal sleep patterns.” It is different than primary snoring which is snoring without apnea, sleep arousals, or problems with gas exchange. OSAS symptoms include snoring (often with snorts, gasps or pauses), disturbed sleep (often frequent arousals) and daytime neurobehavioral problems. Sleepiness during the day can occur but is less common in...
Source: PediatricEducation.org - June 12, 2017 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Delayed presentation of button battery ingestion: a devastating complication - Chessman R, Verkerk M, Hewitt R, Eze N.
A 12-month-old child presented with a prolonged history of fever, cough and difficulty breathing, which was initially treated as bronchiolitis. She was discharged but presented again to Accident and Emergency department 4 days later with worsening symptom.... (Source: SafetyLit)
Source: SafetyLit - April 11, 2017 Category: Global & Universal Tags: Age: Infants and Children Source Type: news

High-Flow Oxygen May Ward Off Critical Care in Infants With Bronchiolitis High-Flow Oxygen May Ward Off Critical Care in Infants With Bronchiolitis
High-flow warm humidified oxygen (HFWHO) does not reduce the amount of time infants with bronchiolitis require oxygen support compared to standard therapy, according to an open-label trial.Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - February 14, 2017 Category: Intensive Care Tags: Pediatrics News Source Type: news

From strep throat to RSV: Winter health cheat sheet
According to this study published in Pediatrics, vapor rub can be effective in decreasing nighttime cough. Please note that some children may experience skin irritation. Vapor rub is not recommended for children under the age of 2. Keep the nasal passages as clear of excess mucous as you can. Elevate the head when sleeping to help support comfortable breathing. Keep a close eye on your child’s breathing. Notify your pediatric health care providers of any changes in your child’s condition. You should notify your pediatrician or call 911 immediately if your child displays signs of respiratory distress such as:&n...
Source: Thrive, Children's Hospital Boston - January 12, 2017 Category: Pediatrics Authors: Meaghan O'Keeffe Tags: Health & Wellness Parenting Croup RSV strep throat whooping cough Source Type: news

Overdiagnosis, Overtreatment Too Common in Pediatric Care Overdiagnosis, Overtreatment Too Common in Pediatric Care
Review suggests the need to reevaluate use of oxygen saturation levels and hypertonic saline for infants with bronchiolitis, antidepressants for adolescents, and head circumference screenings.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - January 3, 2017 Category: Consumer Health News Tags: Pediatrics News Source Type: news

Second opinion gives unborn baby second chance
Seven-month-old Charlotte Bent is hitting all of her developmental milestones — smiling, laughing, playing peek-a-boo, bearing weight on her legs. Her parents, Jennifer and Keith, are overjoyed. “It’s a complete 180-degree turn from where we thought we would be this time last year,” says Jennifer. After struggling to conceive their second child, the couple was thrilled when Jennifer became pregnant. The results of genetic testing were normal and confirmed they would be welcoming a daughter in April. Jennifer felt the baby’s first kicks on Nov. 23, 2015. The next day, she was scheduled for an a...
Source: Thrive, Children's Hospital Boston - November 29, 2016 Category: Pediatrics Authors: Lisa Fratt Tags: Our Patients’ Stories Advanced Fetal Care Center bilateral perisylvian polymicrogyria Dr. Benjamin Warf Dr. Christopher Elitt Second opinion ventriculomegaly Source Type: news

Promising decision aid could help cut needless antibiotic prescriptions
Designed to identify children with respiratory tract infections/cough at low risk of serious illness Related items fromOnMedica Point-of-care diagnostics needed to curb antimicrobial resistance GPs welcome NICE advice on bronchiolitis in children Evidence launched to improve antibiotic prescribing (Source: OnMedica Latest News)
Source: OnMedica Latest News - September 1, 2016 Category: UK Health Source Type: news

Asthma risk increases when child had bronchiolitis
Asthma risk increased 17 times when children who had bronchiolitis in the first two years of life also had a common variation of the Plasminogen activator inhibitor-1 gene, new research shows. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - August 24, 2016 Category: Science Source Type: news

Rhinovirus Bronchiolitis: A Sign of Asthma Yet to Come? Rhinovirus Bronchiolitis: A Sign of Asthma Yet to Come?
The characteristics of rhinovirus bronchiolitis differ from bronchiolitis caused by RSV or a combination of both infections.Medscape Pediatrics (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 8, 2016 Category: Consumer Health News Tags: Pediatrics Viewpoint Source Type: news

E-cigarettes: Good news, bad news
Follow me at @JohnRossMD Americans are confused about electronic cigarettes. A recent poll showed that the public was about evenly split between those who thought that electronic cigarettes, or e-cigarettes, were less harmful than conventional cigarettes, and those who believed that e-cigarettes were as bad as or worse than regular cigarettes. Unfortunately, there is no long-term safety data about e-cigarettes. What information we do have suggests that e-cigarettes have a complex mix of potential harms and benefits. E-cigarettes: Less deadly than regular cigarettes First, the good news: e-cigarettes are almost certainly le...
Source: New Harvard Health Information - July 25, 2016 Category: Consumer Health News Authors: John Ross, MD, FIDSA Tags: Behavioral Health Cancer Lung disease Prevention Smoking cessation Source Type: news

Most UK nurseries’ sickness policies out of step with public health guidance
Policies likely to be needlessly boosting primary care consultations and antibiotic prescriptionsRelated items from OnMedicaScabies in infants and childrenPoint-of-care diagnostics needed to curb antimicrobial resistanceGPs welcome NICE advice on bronchiolitis in childrenChildren order fast food from schools, report shows (Source: OnMedica Latest News)
Source: OnMedica Latest News - July 7, 2016 Category: UK Health Source Type: news

Bronchiolitis quality standard
NICE has published a new quality standard on bronchiolitis. (Source: NHS Networks)
Source: NHS Networks - June 27, 2016 Category: UK Health Source Type: news

Infant bronchiolitis risk linked to gut flora composition
Infants with gut flora dominated by the genus Bacteroides have more than four times greater odds of developing bronchiolitis than those with microbiota dominated by Enterobacter and... (Source: Family Practice News)
Source: Family Practice News - June 27, 2016 Category: Primary Care Source Type: news

Distinct Fecal Microbiota Pattern Associated with Infant Bronchiolitis (FREE)
By Christine Judge Edited by Susan Sadoughi, MD, and André Sofair, MD, MPH A gut microbiota dominated by Bacteroides is associated with elevated risk for bronchiolitis in infants, suggests a case-control study in Pediatrics.Investigators matched 40 infants hospitalized with … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - June 26, 2016 Category: Primary Care Source Type: news

NICE hoping to reduce child admissions for bronchiolitis
The National Institute for Health and Care Excellence has issued advice on spotting and managing bronchiolitis in babies and young children, with the aim of reducing admissions and antibiotic prescribing. (Source: Nursing Times)
Source: Nursing Times - June 24, 2016 Category: Nursing Source Type: news

NICE releases new quality standard for bronchiolitis in children
The National Institute for Health and Care Excellence has issued a new quality standard to reduce child hospital admissions for bronchiolitis Hide related content:  Show related content read more (Source: Nursing in Practice)
Source: Nursing in Practice - June 23, 2016 Category: Nursing Authors: Kimberley Hackett Tags: Children ' s health Baby Care Respiratory care Editor s pick Latest News Source Type: news

NICE releases new quality standard for bronchiolitis in children
The National Institute for Health and Care Excellence has issued a new quality standard to reduce child hospital admissions for bronchiolitis Hide related content:  Show related content read more (Source: Management in Practice)
Source: Management in Practice - June 23, 2016 Category: Practice Management Authors: Kimberley Tags: *** Editor ' s Pick Patients Latest News Source Type: news

NICE urges GPs to restrict antibiotics for bronchiolitis and promote self care
GPs should arm parents with information so they can self care at home for babies with bronchiolitis, NICE has said in new guidance, which also calls for a crackdown on inappropriate antibiotic prescribing for the viral illness. (Source: GP Online News)
Source: GP Online News - June 23, 2016 Category: Primary Care Tags: 15.8 Respiratory Problems Source Type: news

GPs welcome NICE advice on bronchiolitis in children
Guidance should help cut antibiotic prescribingRelated items from OnMedicaGPs slash total antibiotic scrips by over 7% in a yearPoint-of-care diagnostics needed to curb antimicrobial resistanceA fifth of children with persistent cough have whooping cough (Source: OnMedica Latest News)
Source: OnMedica Latest News - June 22, 2016 Category: UK Health Source Type: news

Lung disease in smokers who don’t have COPD
This study affirms that these people can experience serious health consequences, even without COPD. This finding also brings into question how we should classify chronic respiratory disease. So far, we haven’t determined a way of classifying those who have symptoms but don’t quite meet the usual criteria for COPD, and we also don’t have much data or guidance on how best to treat them. In the meantime, quitting smoking remains the best way to lower your chances of getting COPD — and the best way to lessen any respiratory symptoms you’re having. Most smokers who stop will feel better, with less ...
Source: New Harvard Health Information - June 9, 2016 Category: Consumer Health News Authors: Wynne Armand, MD Tags: Health Lung disease Smoking cessation COPD Source Type: news

One in six children hospitalized for lung inflammation positive for marijuana exposure
A new study found that one in six infants and toddlers admitted to a Colorado hospital with coughing, wheezing and other symptoms of bronchiolitis tested positive for marijuana exposure. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - April 30, 2016 Category: Science Source Type: news

One in six children hospitalized for lung inflammation positive for marijuana exposure
(American Academy of Pediatrics) A new study to be presented at the Pediatric Academic Societies 2016 Meeting found that one in six infants and toddlers admitted to a Colorado hospital with coughing, wheezing and other symptoms of bronchiolitis tested positive for marijuana exposure. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - April 30, 2016 Category: Global & Universal Source Type: news

Acute viral bronchiolitis hospital stay not shortened by hypertonic saline
The results of two previously published meta-analyses supporting a shortening of hospital length of stay following the use of hypertonic saline in infants with acute viral bronchiolitis are... (Source: Pediatric News)
Source: Pediatric News - April 28, 2016 Category: Journals (General) Source Type: news

Bronchiolitis After the ED: Should We Worry About O2 Saturation? Bronchiolitis After the ED: Should We Worry About O2 Saturation?
What happens to oxygen saturations in infants with bronchiolitis in the first 72 hours after being discharged from the emergency department, and does this influence return visits? Medscape Pediatrics (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - April 25, 2016 Category: Consumer Health News Tags: Pediatrics Viewpoint Source Type: news

Bronchiolitis Reanalysis: Hypertonic Saline Does Not Reduce LOS Bronchiolitis Reanalysis: Hypertonic Saline Does Not Reduce LOS
The new analysis found that outliers were driving previous results that came to the opposite conclusion. Experts say rethinking the oxygen saturation threshold may be the way to reduce length of stay. Medscape Medical News (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - April 20, 2016 Category: Intensive Care Tags: Pediatrics News Source Type: news

Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old
This Cochrane review was first published in 2005 and updated in 2007, 2012 and now 2015. Acute bronchiolitis is the leading cause of medical emergencies during winter in children younger than two years of age. Chest physiotherapy is sometimes used to assist infants in the clearance of secretions in order to decrease ventilatory effort. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 17, 2016 Category: Consumer Health News Source Type: news

Oximetry Fails to Predict Future Bronchiolitis CareOximetry Fails to Predict Future Bronchiolitis Care
Pulse oximetry does not effectively predict which infants diagnosed with bronchiolitis will return for unscheduled medical care after an emergency department discharge. Medscape Medical News (Source: Medscape Allergy Headlines)
Source: Medscape Allergy Headlines - March 12, 2016 Category: Allergy & Immunology Tags: Pediatrics News Source Type: news

Pulse Oximetry: Is it Worthwhile in Infants With Bronchiolitis? (CME/CE)
(MedPage Today) -- Not an effective tool to predict subsequent return for care, researchers say (Source: MedPage Today Allergy)
Source: MedPage Today Allergy - March 1, 2016 Category: Allergy & Immunology Source Type: news

Why walking by a main road is as bad for you as smoking
William Phin, six, from Whitley Bay, north of Newcastle, has obliterative bronchiolitis - which may be triggered by pollution. A lung transplant is the only cure. (Source: the Mail online | Health)
Source: the Mail online | Health - February 23, 2016 Category: Consumer Health News Source Type: news

Prenatal Tobacco Smoke Exposure and Bronchiolitis in InfantsPrenatal Tobacco Smoke Exposure and Bronchiolitis in Infants
A new study examines the association between tobacco smoke exposure during pregnancy and the risk for severe bronchiolitis in infants during the first year of life. Respiratory Research (Source: Medscape Allergy Headlines)
Source: Medscape Allergy Headlines - February 19, 2016 Category: Allergy & Immunology Tags: Pulmonary Medicine Journal Article Source Type: news

Why your wheezing baby may need TLC, not medication
Follow me at @drClaire When a baby is sick with fever, cough, and a wheeze, it’s natural to think that what they need is medication — like an antibiotic, or one of the medications used to treat wheezing in children with asthma (such as albuterol). But it turns out that if a condition called bronchiolitis is the culprit, the best treatment is no treatment. Bronchiolitis is a bad cold (caused by various viruses) that settles into the lungs. When it does, it leads to fever, lots of congestion, cough, and noisy or wheezy breathing. It’s incredibly common. In fact, one in five babies under 12 months ends up at...
Source: New Harvard Health Information - January 12, 2016 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Cold and Flu Parenting wheezing Source Type: news

Your NEJM Group Today: Viral Bronchiolitis Clinical Pearls, Medical Marijuana & Painful Neuropathy, Detroit Internal Medicine Leadership Opportunity (FREE)
By the Editors NEJM Group offers so many valuable resources for practicing clinicians. Here's what we chose for you today:Now@NEJM Blog: Clinical Pearls: Is the course of viral bronchiolitis or … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 12, 2016 Category: Primary Care Source Type: news

Hypertonic Saline for BronchiolitisHypertonic Saline for Bronchiolitis
Recent studies agree that to do less is to do more for the recovery of the child with bronchiolitis. Archives of Disease in Childhood (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - January 7, 2016 Category: Intensive Care Tags: Pediatrics Journal Article Source Type: news

News Quiz: Top Pediatrics Stories From 2015News Quiz: Top Pediatrics Stories From 2015
Allergies, vaccines, strep throat, and bronchiolitis were among the most popular topics in pediatrics news in 2015. How well do you remember the news from stories most read by pediatricians? Find out with the short quiz below. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - December 22, 2015 Category: Consumer Health News Tags: Pediatrics News Source Type: news

Collaborative Approach Reduces Unneeded Bronchiolitis Care Collaborative Approach Reduces Unneeded Bronchiolitis Care
A new study expanded quality improvement work from children's hospitals into community hospitals. Medscape Medical News (Source: Medscape Allergy Headlines)
Source: Medscape Allergy Headlines - December 10, 2015 Category: Allergy & Immunology Tags: Pediatrics News Source Type: news

Flavouring found in e-cigarettes linked to 'popcorn lung'
ConclusionThis study shows three chemicals reportedly linked to serious lung damage are present in many flavoured e-cigarettes in the US, raising concerns about their safety. Although the study tested US brands, it's likely similar findings would be found here in the UK, where e-cigarettes are similarly unregulated.However, this issue is not black and white. The researchers' concerns have been rightly raised, and their conclusion that urgent research needs to follow this study seems logical given the apparent lack of knowledge in this area.  Still, much of the potential health risk and alarm factor of this study ...
Source: NHS News Feed - December 8, 2015 Category: Consumer Health News Tags: Heart/lungs Source Type: news

Early childhood bronchiolitis increases asthma risk in adulthood
People who have had bronchiolitis in early childhood have an increased risk of asthma at the age of 28-31 and a weaker health-related quality of life than their peers. In lung function tests, they also demonstrate changes indicative of irreversible airway obstruction, according to a new study. Bronchiolitis and pneumonia are common lower respiratory tract infections in early childhood. During their first year, around 30 per cent of children have bronchiolitis, leading to hospitalization in 1 to 3 per cent. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - November 23, 2015 Category: Science Source Type: news

Pulse Oximetry in Bronchiolitis: Continuous vs IntermittentPulse Oximetry in Bronchiolitis: Continuous vs Intermittent
A large trial attempts to determine whether intermittent oxygen saturation monitoring can reduce length of stay in young children hospitalized with bronchiolitis. Medscape Pediatrics (Source: Medscape Pediatrics Headlines)
Source: Medscape Pediatrics Headlines - October 15, 2015 Category: Pediatrics Tags: Pediatrics Viewpoint Source Type: news

Hypertonic Saline Effective for Infants With BronchiolitisHypertonic Saline Effective for Infants With Bronchiolitis
Nebulized hypertonic saline is a safe and effective treatment for infants with acute bronchiolitis, according to a new study. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 28, 2015 Category: Consumer Health News Tags: Pediatrics News Source Type: news

Oxygen saturation levels for infants with bronchiolitis assessed
Oxygen, as a treatment for infants with bronchiolitis, does not make any difference to symptoms if stopped at stable 90% oxygen saturation as opposed to the current 94% finds research published in the Lancet. The number of admissions to hospital due to bronchiolitis in infants has increased in the past 25 years. Two recent guidelines... (Source: NIHR Evaluation, Trials and Studies News)
Source: NIHR Evaluation, Trials and Studies News - September 15, 2015 Category: American Health Source Type: news

Pediatric Bronchiolitis: Intermittent Pulse Oximetry OKPediatric Bronchiolitis: Intermittent Pulse Oximetry OK
Clinicians can routinely consider intermittent pulse oximetry monitoring for children hospitalized with bronchiolitis who are improving clinically. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 1, 2015 Category: Consumer Health News Tags: Pediatrics News Source Type: news

Respiratory Syncytial Virus (RSV): Symptoms, Transmission & Prevention
Respiratory syncytial virus (RSV) is a form of respiratory virus that infects a person's lungs and their breathing passages. Healthy people commonly experience mild, cold-like symptoms and recover within a week or two. Yet RSV may be serious – especially for infants and seniors. In fact, RSV is the most common cause of, 'bronchiolitis,' or inflammation of the small airways in the lung and pneumonia in children who are younger than one year of age in America. RSV is also being recognized more often as a significant cause of respiratory illness in seniors. (Source: Disabled World)
Source: Disabled World - August 18, 2015 Category: Disability Tags: Respiratory Disorders Source Type: news

Healthcare Costs and Outcomes for Pediatric Inpatients with Bronchiolitis: Comparison of Urban Versus Rural Hospitals
Compares quality and costs between rural and urban settings for low severity pediatric bronchiolitis admissions. (Source: Rural publications via the Rural Assistance Center)
Source: Rural publications via the Rural Assistance Center - June 26, 2015 Category: Rural Health Source Type: news