collection
https://read.qxmd.com/read/26295564/finnish-guidelines-for-the-treatment-of-laryngitis-wheezing-bronchitis-and-bronchiolitis-in-children
#21
JOURNAL ARTICLE
Terhi Tapiainen, Janne Aittoniemi, Johanna Immonen, Heli Jylkkä, Tuula Meinander, Kirsi Nuolivirta, Ville Peltola, Eeva Salo, Raija Seuri, Satu-Maaria Walle, Matti Korppi
UNLABELLED: Evidence-based guidelines are needed to harmonise and improve the diagnostics and treatment of children's lower respiratory tract infections. Following a professional literature search, an interdisciplinary working group evaluated and graded the available evidence and constructed guidelines for treating laryngitis, bronchitis, wheezing bronchitis and bronchiolitis. CONCLUSION: Currently available drugs were not effective in relieving cough symptoms. Salbutamol inhalations could relieve the symptoms of wheezing bronchitis and should be administered via a holding chamber...
January 2016: Acta Paediatrica
https://read.qxmd.com/read/26110374/severity-of-rhinitis-and-wheezing-is-strongly-associated-in-preschoolers-a-population-based-study
#22
JOURNAL ARTICLE
Ana Margarida Pereira, Mário Morais-Almeida, Natacha Santos, Carlos Nunes, Jean Bousquet, João Almeida Fonseca
BACKGROUND: In preschool children, no study assessed the relation between wheezing and rhinitis severity. Our aims were to estimate the prevalence of current wheezing (CW) in preschoolers and to study the association between CW and current rhinitis (CR), considering its severity/persistency. METHODS: This is a cross-sectional, nationwide, population-based study including a representative sample of 5003 Portuguese children aged 3-5 years. Data were collected by a face-to-face interview with caregivers using an adapted ISAAC questionnaire...
November 2015: Pediatric Allergy and Immunology
https://read.qxmd.com/read/26071156/hypertonic-saline-for-bronchiolitis-in-infants
#23
JOURNAL ARTICLE
Simran Grewal, Ran D Goldman
QUESTION: Recently, a 1-year-old patient returned from admission in the hospital for bronchiolitis, and the report I received indicated that he was treated with inhaled hypertonic saline, among other treatments. Is this therapy recommended for children in the acute care setting? ANSWER: Bronchiolitis, caused mostly by respiratory syncytial virus, is very common in the winter. It is the most frequent cause of hospitalization in infancy. Several good studies have been conducted in the past decade on the use of nebulized hypertonic saline for bronchiolitis management; however, they offer conflicting results...
June 2015: Canadian Family Physician Médecin de Famille Canadien
https://read.qxmd.com/read/26014586/bronchodilators-should-be-considered-for-all-patients-with-acute-bronchiolitis-but-closely-monitored-for-objectively-measured-clinical-benefits
#24
JOURNAL ARTICLE
Carlos E Rodriguez-Martinez, Jose A Castro-Rodriguez
No abstract text is available yet for this article.
September 2015: Acta Paediatrica
https://read.qxmd.com/read/25993984/lung-ultrasound-a-useful-tool-in-diagnosis-and-management-of-bronchiolitis
#25
JOURNAL ARTICLE
Vincenzo Basile, Antonio Di Mauro, Egisto Scalini, Paolo Comes, Ignazio Lofù, Michael Mostert, Silvio Tafuri, Mariano M Manzionna
BACKGROUND: Clinical assessment is the gold standard for diagnosis of bronchiolitis. To date, only one study found LUS (Lung Ultrasound) to be a valuable tool in the diagnosis of bronchiolitis. Aim of this study is to evaluate the accuracy of lung ultrasonography in the diagnosis and management of bronchiolitis in infants. METHODS: This was an observational cohort study of infants admitted to our Pediatric Unit with suspected bronchiolitis. A physical examination and lung ultrasound scans were performed on each patient...
May 21, 2015: BMC Pediatrics
https://read.qxmd.com/read/25931270/childhood-interstitial-lung-disease-a-systematic-review
#26
REVIEW
Neil J Hime, Yvonne Zurynski, Dominic Fitzgerald, Hiran Selvadurai, Amy Phu, Marie Deverell, Elizabeth J Elliott, Adam Jaffe
OBJECTIVES: Childhood interstitial lung disease (chILD) is a group of rare chronic and complex disorders of variable pathology. There has been no systematic review of published chILD research. This study aimed to describe chILD classification systems, epidemiology, morbidity, treatments, outcomes, and the impact of chILD on families and the burden on health services. METHODS: A systematic literature search for original studies on chILD was undertaken in the major biomedical databases to the end of December 2013...
December 2015: Pediatric Pulmonology
https://read.qxmd.com/read/25867149/a-randomized-controlled-trial-of-nebulized-5-hypertonic-saline-and-mixed-5-hypertonic-saline-with-epinephrine-in-bronchiolitis
#27
RANDOMIZED CONTROLLED TRIAL
Faten Tinsa, Sana Abdelkafi, Imen Bel Haj, Samia Hamouda, Ines Brini, Bechir Zouari, Khadija Boussetta
BACKGROUND: Bronchiolitis is a public health problem in the word and in Tunisia. Nebulized hypertonic saline seems to have some benefits in bronchiolitis. The aim of this study is to evaluate the efficacy of nebulized 5% hypertonic saline alone or mixed with epinephrine in bronchiolitis as measured by improvement in clinical score, oxygen saturation or reduction in duration of hospitalization. METHODS: This prospective, double blind, placebo controlled, randomized clinical trial was performed at Children's Hospital of Tunis from February 2012 to Mars 2012...
November 2014: La Tunisie Médicale
https://read.qxmd.com/read/25731897/nebulized-magnesium-sulfate-in-acute-bronchiolitis-a-randomized-controlled-trial
#28
RANDOMIZED CONTROLLED TRIAL
Mohammad Reza Modaresi, Jamal Faghihinia, Roya Kelishadi, Mohsen Reisi, Shahrokh Mirlohi, Farhad Pajhang, Majid Sadeghian
OBJECTIVE: To assess the efficacy of nebulized magnesium sulfate as a bronchodilator in infants hospitalized with acute bronchiolitis. METHODS: This three-center double masked randomized clinical trial comprised 120 children with moderate to severe bronchiolitis. They were randomly assigned into two groups: the first group was treated with nebulized magnesium sulfate (40 mg/kg) and nebulized epinephrine (0.1 ml/kg) and the second group (control) was treated with nebulized epinephrine (0...
September 2015: Indian Journal of Pediatrics
https://read.qxmd.com/read/25300167/antibiotics-for-bronchiolitis-in-children-under-two-years-of-age
#29
REVIEW
Rebecca Farley, Geoffrey K P Spurling, Lars Eriksson, Chris B Del Mar
BACKGROUND: Bronchiolitis is a serious, potentially life-threatening respiratory illness commonly affecting babies. It is often caused by respiratory syncytial virus (RSV). Antibiotics are not recommended for bronchiolitis unless there is concern about complications such as secondary bacterial pneumonia or respiratory failure. Nevertheless, they are often used. OBJECTIVES: To evaluate the effectiveness of antibiotics for bronchiolitis in children under two years of age compared to placebo or other interventions...
October 9, 2014: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/24694087/acute-bronchiolitis-in-infants-a-review
#30
REVIEW
Knut Øymar, Håvard Ove Skjerven, Ingvild Bruun Mikalsen
Acute viral bronchiolitis is one of the most common medical emergency situations in infancy, and physicians caring for acutely ill children will regularly be faced with this condition. In this article we present a summary of the epidemiology, pathophysiology and diagnosis, and focus on guidelines for the treatment of bronchiolitis in infants. The cornerstones of the management of viral bronchiolitis are the administration of oxygen and appropriate fluid therapy, and overall a "minimal handling approach" is recommended...
April 3, 2014: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/24687251/the-efficacy-of-nebulized-salbutamol-magnesium-sulfate-and-salbutamol-magnesium-sulfate-combination-in-moderate-bronchiolitis
#31
RANDOMIZED CONTROLLED TRIAL
Mehmet Kose, Mehmet Adnan Ozturk, Hakan Poyrazoğlu, Tuba Elmas, Duygu Ekinci, Filiz Tubas, Tuba Kurt, Mehmet Akif Goktas
UNLABELLED: The aim of this paper is to compare the effect of nebulized magnesium sulfate to nebulized salbutamol and salbutamol/magnesium sulfate on successful discharge from the emergency department. A total of 56 infants were included in this double-blinded, prospective study. Infants were grouped according to the nebulized treatment they received: group 1-salbutamol/normal saline, group 2-magnesium sulfate and normal saline, and group 3-salbutamol plus magnesium sulfate. Heart beat, bronchiolitis, clinical severity scores (CSS), and oxygen saturation of the patients were determined before and after nebulization (0, 1, 4 h)...
September 2014: European Journal of Pediatrics
https://read.qxmd.com/read/19439742/epinephrine-and-dexamethasone-in-children-with-bronchiolitis
#32
RANDOMIZED CONTROLLED TRIAL
Amy C Plint, David W Johnson, Hema Patel, Natasha Wiebe, Rhonda Correll, Rollin Brant, Craig Mitton, Serge Gouin, Maala Bhatt, Gary Joubert, Karen J L Black, Troy Turner, Sandra Whitehouse, Terry P Klassen
BACKGROUND: Although numerous studies have explored the benefit of using nebulized epinephrine or corticosteroids alone to treat infants with bronchiolitis, the effectiveness of combining these medications is not well established. METHODS: We conducted a multicenter, double-blind, placebo-controlled trial in which 800 infants (6 weeks to 12 months of age) with bronchiolitis who were seen in the pediatric emergency department were randomly assigned to one of four study groups...
May 14, 2009: New England Journal of Medicine
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