Bronchiolitis.

Citation metadata

Date: Feb. 14, 2022
Publisher: CMA Impact Inc.
Document Type: Article
Length: 762 words
Lexile Measure: 2240L

Document controls

Main content

Article Preview :

1 Bronchiolitis has resurged since COVID-19-related physical distancing measures have been relaxed

Bronchiolitis is a viral lower respiratory tract infection, leading to small airway inflammation and edema, and is usually caused by respiratory syncytial virus. (1) Before the COVID-19 pandemic, in Ontario, 2.6/100 children younger than 1 year had a visit to an emergency department for bronchiolitis. (2) Incidence decreased during 2020 owing to masking, school closures and physical distancing measures. However, when those were relaxed, many countries experienced off-seasonal resurgence and more presentations of children older than 1 year. (3)

2 Infants typically present with symptoms of viral respiratory infection; neonates may present with apneas or cyanosis only

Most children present with low-grade fever, tachypnea, chest wall retractions and reduced oral intake, with crackles and wheeze bilaterally. (1,4) Risk factors for severe bronchiolitis include cardiorespiratory, neuromuscular or immunodeficiency comorbidities; age 3 months or younger; and prematurity. (1,4) Bacterial pneumonia should be considered if fever is 39[degrees]C or higher or there are unilateral chest signs on auscultation. (4)

3 Investigations are not recommended routinely

Nasopharyngeal swabs do not alter management but may be used to cohort children in hospital. (1) Chest radiographs and...

Source Citation

Source Citation   

Gale Document Number: GALE|A692733783