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Acute bronchiolitis

Bronchiolitis is inflammation of the bronchioles, the smallest air passages of the lungs. It usually occurs in children less than two years of age with the majority being aged between three and six months. It presents with coughing, wheezing and shortness of breath which can cause some children difficulty feeding. This inflammation is usually caused by respiratory syncytial virus (70% of cases) and is much more common in the winter months. Treatment is typically supportive and may involve the use of nebulized epinephrine or hypertonic saline. Bronchiolitis is common with up to one third of children being affected in their first year of life.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with acute bronchiolitis, 91% report having cough, 78% report having fever, and 76% report having nasal congestion. The symptoms that are highly suggestive of acute bronchiolitis are wheezing, although you may still have acute bronchiolitis without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with acute bronchiolitis often receive radiographic imaging procedure, plain x-ray, nebulizer therapy, influenzavirus antibody assay, blood culture, other respiratory therapy, other or therapeutic nervous system procedures and routine chest x-ray .

Common Medications

The most commonly prescribed drugs for patients with acute bronchiolitis include albuterol, prednisolone, levalbuterol (xopenex), budesonide, brompheniramine / dextromethorphan / pseudoephedrine, cefprozil, phenylephrine nasal, chlorpheniramine / dextromethorphan / pseudoephedrine, cefotaxime, gentamicins (gentamicin), guaifenesin / phenylephrine / phenylpropanolamine, neomycin topical product and dyphylline / guaifenesin .

Who is at risk?

Groups of people at highest risk for acute bronchiolitis include race/ethnicity = other, race/ethnicity = hispanic, age 1-4 years and age < 1 years. On the other hand, age 75+ years, age 60-74 years, and age 15-29 years almost never get acute bronchiolitis.

Age

< 1 years
19.2x
1-4 years
5.1x
5-14 years
0.3x
15-29 years
0.0x
30-44 years
0.1x
45-59 years
0.1x
60-74 years
0.0x
75+ years
0.0x

Sex

Male
1.4x
Female
0.7x

Race/Ethnicity

Black
1.3x
Hispanic
1.6x
White
0.7x
Other
1.5x
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