Pharmacological management of acute bronchiolitis

Melvin Wright, Charles J Mullett, Giovanni PiedimonteDepartment of Pediatrics, West Virginia University School of Medicine, Morgantown, WV, USAAbstract: This article reviews the current knowledge base related to the pharmacological treatments for acute bronchiolitis. Bronchiolitis is a common lower...

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Main Authors: Melvin Wright, Charles J Mullett, Giovanni Piedimonte
Format: Article
Language:English
Published: Dove Medical Press 2008-11-01
Series:Therapeutics and Clinical Risk Management
Online Access:http://www.dovepress.com/pharmacological-management-of-acute-bronchiolitis-a2545
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author Melvin Wright
Charles J Mullett
Giovanni Piedimonte
author_facet Melvin Wright
Charles J Mullett
Giovanni Piedimonte
author_sort Melvin Wright
collection DOAJ
description Melvin Wright, Charles J Mullett, Giovanni PiedimonteDepartment of Pediatrics, West Virginia University School of Medicine, Morgantown, WV, USAAbstract: This article reviews the current knowledge base related to the pharmacological treatments for acute bronchiolitis. Bronchiolitis is a common lower respiratory illness affecting infants worldwide. The mainstays of therapy include airway support, supplemental oxygen, and support of fluids and nutrition. Frequently tried pharmacological interventions, such as ribavirin, nebulized bronchodilators, and systemic corticosteroids, have not been proven to benefit patients with bronchiolitis. Antibiotics do not improve the clinical course of patients with bronchiolitis, and should be used only in those patients with proven concurrent bacterial infection. Exogenous surfactant and heliox therapy also cannot be recommended for routine use, but surfactant replacement holds promise and should be further studied.Keywords: bronchiolitis, respiratory syncytial virus, pharmacological, therapy, interventions
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spelling doaj.art-410818a212694554be1bac03e97bbe3f2022-12-21T22:43:08ZengDove Medical PressTherapeutics and Clinical Risk Management1176-63361178-203X2008-11-012008Issue 5895903Pharmacological management of acute bronchiolitisMelvin WrightCharles J MullettGiovanni PiedimonteMelvin Wright, Charles J Mullett, Giovanni PiedimonteDepartment of Pediatrics, West Virginia University School of Medicine, Morgantown, WV, USAAbstract: This article reviews the current knowledge base related to the pharmacological treatments for acute bronchiolitis. Bronchiolitis is a common lower respiratory illness affecting infants worldwide. The mainstays of therapy include airway support, supplemental oxygen, and support of fluids and nutrition. Frequently tried pharmacological interventions, such as ribavirin, nebulized bronchodilators, and systemic corticosteroids, have not been proven to benefit patients with bronchiolitis. Antibiotics do not improve the clinical course of patients with bronchiolitis, and should be used only in those patients with proven concurrent bacterial infection. Exogenous surfactant and heliox therapy also cannot be recommended for routine use, but surfactant replacement holds promise and should be further studied.Keywords: bronchiolitis, respiratory syncytial virus, pharmacological, therapy, interventionshttp://www.dovepress.com/pharmacological-management-of-acute-bronchiolitis-a2545
spellingShingle Melvin Wright
Charles J Mullett
Giovanni Piedimonte
Pharmacological management of acute bronchiolitis
Therapeutics and Clinical Risk Management
title Pharmacological management of acute bronchiolitis
title_full Pharmacological management of acute bronchiolitis
title_fullStr Pharmacological management of acute bronchiolitis
title_full_unstemmed Pharmacological management of acute bronchiolitis
title_short Pharmacological management of acute bronchiolitis
title_sort pharmacological management of acute bronchiolitis
url http://www.dovepress.com/pharmacological-management-of-acute-bronchiolitis-a2545
work_keys_str_mv AT melvinwright pharmacologicalmanagementofacutebronchiolitis
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AT giovannipiedimonte pharmacologicalmanagementofacutebronchiolitis