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- Premature birth
- Exposure to environmental pollution including second hand smoke
- Weak immune systems
- Child care attendance or older siblings that attend childcare or schools
- Congenital abnormalities of the heart or lungs
- Severe neuromuscular disease
- Wheezing noises when exhaling
- Abnormal breathing patters like using abdominal muscles to help move air, widening nostrils, or grunting while breathing
- Lack of interest or difficulty in eating or drinking which may lead to dehydration (tear-less cries, less urinating or fewer wet diapers, dry mouth)
- Bluish tint around lips or fingertips
- Encouraging liquids to prevent dehydration.
- Avoiding environmental pollutants such as cigarette smoke. Irritants can make symptoms worse.
- Acetaminophen may be recommended if a fever is present. Note: Aspirin is not recommended for children or teens with a current or recent viral infection. This is because of the risk of Reye's syndrome.
- Oxygen therapy
- Inhaled therapy to widen the airway and help loosen mucus
- IV tubes or tubes passed through the nose and into the stomach to provide nutrition and fluids
- This preventative medication is usually given to high-risk babies
- It is given monthly during high risk RSV season.
- If your child is considered high risk, talk to your doctor about prevention.
- Avoid close contact with people who have respiratory infections. Do not share utensils or cups with people who have colds.
- Wash your hands often, encourage children to wash their hands. Caretakers should especially their hands while caring for sick children.
- Prevent or limit exposure to second-hand smoke.
- Consider exclusive breastfeeding for the first six month of life. Exclusive breastfeeding may reduce the risk of pulmonary infections in children.
Family Doctor—American Academy of Family Physicians http://www.familydoctor.org
Kids Health—Nemours Foundation http://kidshealth.org
The Canadian Lung Association http://www.lung.ca
Caring for Kids—The Canadian Paediatric Society http://www.caringforkids.cps.ca
Bronchilitis. HealthyChildren.org American Academy of Pediatrics website. Available at: http://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/Bronchiolitis.aspx. Updated July 31, 2014. Accessed January 15, 2015.
Bronchiolitis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated September 8, 2014. Accessed September 15, 2014.
Ralston S, et al. Clinical Practice Guideline: Diagnosis, Management and Prevention of Bronchiolitis. Pediatrics Vol. 134 No. 5 November 1, 2014 pp. e1474 -e1502. Available at: http://pediatrics.aappublications.org/content/134/5/e1474.full. Accessed January 15, 2015.
Treating Bronchilitis in infants. HealthyChildren.org American Academy of Pediatrics website. Available at: http://www.healthychildren.org/English/health-issues/conditions/chest-lungs/pages/Treating-Bronchiolitis-in-Infants.aspx. Updated July 28, 2014. Accessed January 15, 2015.
Working Group of the Clinical Practice Guideline on Acute Bronchiolitis, Fundació Sant Joan de Déu. Clinical practice guideline on acute bronchiolitis. Barcelona (Spain): Catalan Agency for Health Technology Assessment and Research (CAHTA); 2010.
2/5/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Panickar J, Lakhanpaul M, Lambert PC, et al. Oral prednisolone for preschool children with acute virus-induced wheezing. N Engl J Med. 2009;360:329-338.
- Reviewer: Michael Woods, MD
- Review Date: 01/2015 -
- Update Date: 01/15/2015 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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