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Bronchiolitis

Bronchiolitis is an acute viral infection of the small airways (bronchioles) in children, most often occurring under two years of age. It is characterized by an initial phase of upper respiratory symptoms, followed by lower airway obstruction with cough, wheeze, and increased work of breathing.

The illness is most commonly caused by respiratory syncytial virus (RSV), but other viruses such as rhinovirus,

Bronchiolitis typically presents with coughing and respiratory distress over several days. Infants may have fever, nasal

Diagnosis is usually clinical based on history and exam; pulse oximetry is commonly used to assess oxygenation.

Management is mainly supportive. Most cases are treated at home with adequate fluids and nasal suctioning.

Prevention focuses on hygiene and general infection-control measures; annual influenza vaccination for eligible children and caregivers

Most children recover within one to two weeks, though some may experience recurrent wheeze later in childhood.

adenovirus,
influenza,
and
parainfluenza
can
also
be
responsible.
Risk
factors
include
prematurity,
congenital
heart
disease,
chronic
lung
disease,
immunodeficiency,
and
exposure
to
tobacco
smoke.
congestion,
poor
feeding,
and
irritability.
Signs
of
severity
include
tachypnea,
chest
retractions,
grunting,
and
low
oxygen
saturation.
Routine
laboratory
tests
or
chest
radiographs
are
not
required
in
uncomplicated
cases.
Testing
for
specific
viruses
may
be
considered
if
it
would
influence
management
or
contributes
to
infection
control
decisions.
Oxygen
therapy
is
used
if
oxygen
saturation
is
persistently
low.
Inhaled
bronchodilators
or
systemic
corticosteroids
are
not
routinely
recommended,
and
antibiotics
are
avoided
unless
a
concurrent
bacterial
infection
is
suspected.
Infants
with
poor
feeding,
dehydration,
or
significant
respiratory
distress
may
require
hospitalization
for
monitoring
and
hydration.
is
recommended.
Palivizumab
prophylaxis
can
be
considered
during
RSV
season
for
certain
high-risk
infants
to
reduce
hospitalization
risk.