Bronchiolitis
Respiratory syncytial virus is the culprit in up to 90% of cases of bronchiolitis. The reason RSV is so nasty is the immune response to the virus: it binds to epithelial cells, replicates, and the submucosa becomes edematous and hypersecretes mucus - Tim Horeczko MD

image by: Children's Hospital Foundation of Manitoba
HWN Suggests
It’s bronchiolitis time again: all about respiratory syncytial virus (RSV)
It’s time again for bronchiolitis, which usually comes in winter through spring. In some ways this problem is similar to asthma, but in other important ways it is very different. With winter upon us it’s time to reacquaint ourselves with this common entity. There is a reliable seasonal arrival of the virus we call RSV, the chief cause of bronchiolitis. The letters stand for respiratory syncytial virus, a description of what it looks like when it grows in the laboratory.
To scientists, RSV is a fascinating virus with several unique properties. One of these is its behavior in the population. When it’s present, RSV is everywhere. Then it suddenly vanishes. There are exceptions to everything…
Resources
Bronchiolitis In Babies: Symptoms And Treatment
The vast majority of cases are mild and there are things you can do to help your baby get through the first few horrid days. If their fever is very high, then liquid paracetamol is suitable for babies over the age of three months and it will help to take the edge off.
It’s time once again for bronchiolitis and respiratory syncytial virus (RSV)
Can we do anything to treat this illness, make the symptoms better, make it go away faster? Sadly, the answer is no. I’ve been taking care of children with RSV for 30 years, and I’ve seen a long list of things tried — breathing treatments, anti-viral medicines, steroids, medicines intended to open up the small airways. None of them work very well, if at all.
Why your wheezing baby may need TLC, not medication
When a baby is sick with fever, cough, and a wheeze, it’s natural to think that what they need is medication — like an antibiotic, or one of the medications used to treat wheezing in children with asthma (such as albuterol). But it turns out that if a condition called bronchiolitis is the culprit, the best treatment is no treatment.
Asthma Drugs Don't Help Against Bronchiolitis
A widely used medicine does little to help infants hospitalized with a common respiratory infection, according to a study in this week's New England Journal of Medicine.
Bronchiolitis
Bronchiolitis is one of the most common diagnoses we make in both general and pediatric EDs, and like many pediatric illnesses, there’s a wide spectrum of severity of illness as well as a huge variation in practice in treating these children.
Bronchiolitis: from empiricism to scientific evidence.
Bronchiolitis is the most common viral infection of the lower respiratory tract in infants in their first year of life, with an incidence peak between 3 and 9 months of age. The clinical profile of bronchiolitis results from the inflammatory obstruction of the small airways. The etiological agent involved is respiratory syncytial virus (RSV) in more than 50% of cases.
More Than A Cold Campaign
Bronchiolitis is a common lung infection, affecting babies and young children. The More Than a Cold campaign has been developed by AbbVie and aims to raise awareness of bronchiolitis and educate parents.
It’s bronchiolitis time again: all about respiratory syncytial virus (RSV)
It’s time again for bronchiolitis, which usually comes in winter through spring. In some ways this problem is similar to asthma, but in other important ways it is very different. With winter upon us it’s time to reacquaint ourselves with this common entity. There is a reliable seasonal arrival of the virus we call RSV, the chief cause of bronchiolitis. The letters stand for respiratory syncytial virus, a description of what it looks like when it grows in the laboratory.
Pediatric Emergency Playbook
Neonates less than one month of age are at highest risk for apnea — they should be admitted. Generally speaking — In the full term child, greater than three months of age, and otherwise healthy (no cardiac, pulmonary, neuromuscular, or metabolic disease), we can look to three simple criteria for home discharge. Nasal suction and hydration are your best allies. You may elect to give a bronchodilator as a trial once and reexamine, if you’re a bronchodilating believer.
The Pediatric Center
Using saline nose drops recommended by your child’s doctor to try to thin the mucus. Note: Never use nose drops that have any medication without consulting your child’s doctor first.
Harvard Health Blog
The treatment for bronchiolitis is what we call “supportive,” meaning that we treat the symptoms. There is no good medicine to treat the virus itself. Here’s what’s helpful...
MedlinePlus
Bronchiolitis usually affects children under the age of 2, with a peak age of 3 - 6 months. It is a common, and sometimes severe illness. Respiratory syncytial virus (RSV) is the most common cause. More than half of all infants are exposed to this virus by their first birthday.
VoxHealth
Bronchiolitis usually affects children under the age of 2, with a peak age of 3 to 6 months. It is a common, and sometimes severe illness. Respiratory syncytial virus (RSV) is the most common cause. More than half of all infants are exposed to this virus by their first birthday.

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