Sandbox ammu

Bronchiolitis

Treatment

• Preferred regimen:

Note

• Clinicians should administer nasogastric or intravenous fluids for infants with a diagnosis of bronchiolitis who cannot maintain hydration orally
• Clinicians should not administer albuterol (or salbutamol) to infants and children with a diagnosis of bronchiolitis.
• Clinicians should not administer epinephrine to infants and children with a diagnosis of bronchiolitis.
• Clinicians should not administer systemic corticosteroids to infants with a diagnosis of bronchiolitis in any setting.
• Clinicians should not administer antibacterial medications to infants and children with a diagnosis of bronchiolitis unless there is a concomitant bacterial infection, or a strong suspicion of one.

Prophylaxis

• Preferred regimen:

Note

• Clinicians should not administer palivizumab to otherwise healthy infants with a gestational age of 29 weeks, 0 days or greater.
• All people should disinfect hands before and after direct contact with patients, after contact with inanimate objects in the direct vicinity of the patient, and after removing gloves.
• All people should use alcoholbased rubs for hand decontamination when caring for children with bronchiolitis. When alcoholbased rubs are not available, individuals should wash their hands with soap and water.
• Clinicians should counsel caregivers about exposing the infant or child to environmental tobacco smoke and smoking cessation when assessing a child for bronchiolitis.