| [Consensus conference on acute bronchiolitis (I): methodology and recommendations]. | |
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MedLine Citation:
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PMID: 20153708 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The recommendations of the Consensus Conference "Diagnostic and Therapeutic Management of Acute Bronchiolitis" are presented. Evidence on the frequency of bronchiolitis in the general population and risk groups, risk factors and markers of severe forms, severity scores and the clinical-etiological profile is summarized. The commonly used diagnostic tests are ineffective in the management of the disease; oxygen saturation measurement is considered necessary only in the initial assessment or to monitor changes in patients with respiratory distress. Other tests such as chest radiograph, rapid diagnostic tests for respiratory virus infection and screening tests for bacterial infection should be used only very selectively. There is sufficient evidence on the lack of effectiveness of most interventions tested in bronchiolitis. Apart from oxygen therapy, fluid therapy, aspiration of secretions and ventilation support, few treatment options will be beneficial. Only in moderate-severe bronchiolitis would it be justified to test a treatment with inhaled bronchodilators (salbutamol or epinephrine) with or without hypertonic saline solution. Heliox and non-invasive ventilation techniques could be used in cases with respiratory failure, methylxanthine in patients with apnea and surfactant in intubated critically ill patients. No treatment has proved effective in preventing persistence or recurrence of post-bronchiolitis symptoms. As for prevention of bronchiolitis, only palivizumab slightly reduces the risk of admissions for lower respiratory infections by respiratory syncytial virus, although its high cost justifies its use only in a small group of high-risk patients. |
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Authors:
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J González de Dios; C Ochoa Sangrador; |
Publication Detail:
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Type: Consensus Development Conference; English Abstract; Journal Article; Practice Guideline; Research Support, Non-U.S. Gov't Date: 2010-02-13 |
Journal Detail:
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Title: Anales de pediatría (Barcelona, Spain : 2003) Volume: 72 ISSN: 1695-9531 ISO Abbreviation: An Pediatr (Barc) Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-15 Completed Date: 2010-06-30 Revised Date: 2011-11-15 |
Medline Journal Info:
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Nlm Unique ID: 101162596 Medline TA: An Pediatr (Barc) Country: Spain |
Other Details:
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Languages: spa Pagination: 221.e1-221.e33 Citation Subset: IM |
Copyright Information:
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2009 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved. |
Affiliation:
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Departamento de Pediatría, Hospital de Torrevieja, Universidad Miguel Hernández, Alicante, España. jgonzalez@torrevieja-salud.com |
Vernacular Title:
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Conferencia de Consenso sobre bronquiolitis aguda (I): metodología y recomendaciones. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Bronchiolitis / diagnosis*, epidemiology, etiology, therapy* Child Humans Risk Factors Severity of Illness Index |
| Investigator | |
Investigator/Affiliation:
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Jesús M Andrés de Llano / ; María Aparicio Rodrigo / ; Ana Fe Bajo Delgado / ; Albert Balaguer / ; Antonio Bonillo Perales / ; José Cristóbal Buñuel Alvarez / ; Andrés Canut Blasco / ; José María Eiros Bouza / ; Jordi Fàbrega Sabaté / ; José Elviro Fernández Alonso / ; Mercedes Fernández Rodríguez / ; Santiago Lapeña López de Armentia / ; Javier López Avila / ; Cristina Molinos Norniella / ; Gloria Orejón de Luna / ; Svetlana Todorcevic / ; María García-Puente Sánchez / ; Beatriz Muñoz Martín / ; M Teresa Callén Blecua / ; Xavier Carbonell Estrany / ; Servando García de la Rubia / ; Luís García Marcos / ; Federico Gutiérrez Larraya / ; Javier Korta Murua / ; Carles Luaces Cubells / ; Federico Martinón Torres / ; Manuel Praena Crespo / ; Rosa Rodríguez Fernández / ; Jesús Sánchez-Etxaniz / |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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