NHS 111 Wales Health A-Z : Bronchiolitis

The level of oxygen in your child’s blood will be measured with a pulse oximeter. Once in hospital, your child will be closely monitored and, depending on the severity of their condition, may have a number of different treatments. Passive smoking can affect the lining of your child’s airways, making them less resistant to infection. Inhaling smoke from cigarettes or other tobacco products may aggravate your child’s symptoms.

  • Investigations required
    Bronchiolitis is a clinical diagnosis; routine investigations should not be performed.
  • Nasal suction is not routinely used in children with bronchiolitis.
  • We may ask them to come to A&E rather than PAU if they sound unwell, as we have easier access to resuscitation facilities there, but they will still be seen by the paediatric team.
  • HRCT scans of ACIF show a combination of “ground-glass” opacities, traction bronchiectasis, and bronchial wall thickening.

If your child has RSV, they’ll need to be kept away from other children in the hospital who are not infected with the virus to stop it spreading. To avoid the infection spreading to other children, take your child out of nursery or day care and keep them at home until their symptoms have improved. But as some conditions cause similar symptoms to bronchiolitis, such as cystic fibrosis and asthma, tests may be needed. Your GP may ask if your child has had a runny nose, cough or high temperature and for how long.


The goal is a simple, concise and updated monograph issue discussing the different types of adult bronchiolitis, pathophysiology, diagnosis and current therapeutic options. Diffuse panbronchiolitis (DPB) is a distinct clinicopathologic syndrome that primarily affects Japanese, Korean, Chinese and Thai middle age men and rarely reported outside South-East Asia. It affects the lower and upper respiratory tract, leading to progressive evolution bronchiectasis, recurrent infections and generally sinusitis [9].

  • Your GP may recommend that your child is admitted to hospital if they are not feeding properly and are dehydrated, or they’re having problems breathing.
  • Children with asthma often have a family history of asthma, eczema or allergy.
  • Oral steroids do not decrease the length of hospital admission or reduce symptom severity in viral induced wheeze.
  • Bronchiolitis is an extremely common respiratory infection predominantly affecting children under one year of age, with a peak incidence at an age of 3- 6 months.

It’s usually if they aren’t getting enough oxygen into their bloodstream, or if they’re not eating or drinking enough. Older people are more at risk of developing side effects from theophylline. This is because their livers may not be able to remove it from their body. However, they can include sudden constriction of the airways (paradoxical bronchospasm).

Viral Induced Wheeze

These injections may help limit the severity of bronchiolitis if your child becomes infected. But they can be expensive and are not always available on the NHS. Don’t smoke around your child and don’t let other people smoke around them. The virus that causes bronchiolitis is very common and easily spread, so it’s impossible to completely prevent it.

Treating bronchiolitis

These side effects often improve and disappear completely after you’ve been using beta-2 agonists for a few days or weeks. Contact your GP if your side effects persist, as your dose may need to be adjusted. Elderly people may also need extra monitoring while taking theophylline.

A small number of children will still have some symptoms after 4 weeks. In most cases, bronchiolitis is mild and gets better within 2 to 3 weeks without needing treatment. Once you become infected, the virus enters the respiratory system through the windpipe (trachea). Medical advice is not needed if your child has mild cold-like symptoms and is recovering well.

Kingston Hospital NHS Foundation Trust

Most children with bronchiolitis have mild symptoms and recover within 2 to 3 weeks, but it’s important to look out for signs of more serious problems, such as breathing difficulties. Parents and carers of children with bronchiolitis should be informed that medication is not being used because the condition is usually self-limiting. Measure the oxygen saturation in every child presenting with a respiratory illness. All staff using the pulse oximeter should be appropriately trained.

Obliterants bronchiolitis

In advanced stages, there´s obstruction and constriction of lumen, proliferation of lymphoid follicles and secondary ectasia of terminal bronchioles. It´s found most often in young or middle-aged patients with identifiable risk factors such as gastroesophageal reflux disease (GERD), drug abuse and dysphagia [38]. Chest CT findings are micro-nodules and opacities “tree-in-bud”.

Excessive doses may occasionally cause heart attacks and a severely low level of potassium in the blood (hypokalemia). The side effects of bronchodilators can vary depending on the specific medication you’re taking. Make sure you read the leaflet that comes with your medication to see what the specific side effects are. Other medicines can also cause abnormal build-up of theophylline in the body.

The vast majority of cases are mild and can be managed at home. Moderate cases typically have signs of increased WOB, but are still feeding, and many may be suitable to go home, although some are admitted. Most children with bronchiolitis who are admitted to hospital will need to stay there for a few days. Some children with bronchiolitis need to be admitted to hospital.

What is the treatment for bronchiolitis?

Several things can increase a child’s likelihood of developing the infection. The infection causes the bronchioles to become inflamed (swollen) and increases the production of mucus. For example, your child can become infected after touching a toy that has the virus on it and then touching their eyes, mouth or nose. They’re usually similar to those of a common cold, such as a blocked or runny nose, a cough and a slightly high temperature (fever).


Mayıs 2024