603 Recent Evidence In The Treatment Of Bronchiolitis

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Aims: Bronchiolitis is the most common low respiratory infection among children under the age of two, being therefore the main cause for hospitalisation in under-one-year- old children. The great variation in acute bronchiolitis evaluation and treatment among pairs and in different realities brought the need to an evidence based revision in order to create some clinical guiding rules.
Material and methods: revision research based in evidence, clinical guiding rules, meta analysis, systematic reviews, using the denomination MESH: Bronchiolitis. Research between January 1st 2000 and December 31st 2010, in Spanish, English and Portuguese, in Human beings aged between zero and eighteen. The Strength Recommendation Taxonomy (SORT) of the American Family Physician was used to evaluate the level of evidence.
Results: Most of the clinical interventions have no significant impact in the severity of the clinical evolution, recurrent wheezing episodes or subsequent asthma diagnosis. The existent co-morbidities and the low age are still the biggest predictors of severe bronchiolitis. Pulse oximetry plays an important role in evaluating the severity of the condition. Evidence based revisions suggest the limited role of radiological or diagnosis tests in typical bronchiolitis cases. Recent evidence suggests the low efficacy of f the routine use of bronchodilators or corticosteroids.
Conclusions: Most of the clinical interventions have no significant impact in the severity of the clinical evolution; therefore, the Family Doctor has a very important role in prescribing in the best possible relationship between risk/benefit and cost /benefit.
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Recent evidence in the treatment of bronchiolitis