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Absorption of Nasal and Bronchial Fluids: Precision Sampling of the Human Respiratory Mucosa and Laboratory Processing of Samples
Published on: January 21, 2018
Bronchiolitis
1Department of Paediatrics and Clinical Epidemiology Unit, School of Medicine, Javeriana University, Bogotá, DC, Colombia.
Insights
This systematic review examines interventions for bronchiolitis, a common infant respiratory infection. It evaluates prophylactic measures, hospital transmission prevention, and various treatments for affected children.
Area of Science:
- Pediatrics
- Infectious Diseases
- Respiratory Medicine
Background:
- Bronchiolitis is the most frequent lower respiratory tract infection in infants, exhibiting seasonal incidence.
- It is a primary cause for pediatric hospitalizations and emergency department visits.
Purpose of the Study:
- To systematically review the effectiveness and safety of prophylactic interventions for high-risk children with bronchiolitis.
- To assess measures for preventing bronchiolitis transmission within hospital settings.
- To evaluate the efficacy of various treatments for infants diagnosed with bronchiolitis.
Main Methods:
- A systematic review was conducted, searching major medical databases up to October 2006.
- Included studies comprised systematic reviews, randomized controlled trials (RCTs), and observational studies.
- Harms alerts from regulatory agencies were also incorporated.
Main Results:
- Forty systematic reviews, RCTs, or observational studies met the inclusion criteria.
- The review analyzed data on a wide range of interventions.
Conclusions:
- The systematic review provides information on the effectiveness and safety of numerous interventions.
- Interventions evaluated include bronchodilators, chest physiotherapy, corticosteroids, nursing interventions, and specific medications like palivizumab.
Introduction:
Bronchiolitis is the most common lower respiratory tract infection in infants, occurring in a seasonal pattern, with highest incidence in the winter in temperate climates, and in the rainy season in warmer countries. Bronchiolitis is a common reason for attendance at and admission to hospital.
Methods And Objectives:
We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of prophylactic interventions for bronchiolitis in high-risk children? What are the effects of measures to prevent transmission of bronchiolitis in hospital? What are the effects of treatments for children with bronchiolitis? We searched: Medline, Embase, The Cochrane Library and other important databases up to October 2006 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA).
Results:
We found 40 systematic reviews, RCTs, or observational studies that met our inclusion criteria.
Conclusions:
In this systematic review we present information relating to the effectiveness and safety of the following interventions: bronchodilators (oral, inhaled salbutamol, inhaled adrenaline [epinephrine]), chest physiotherapy, corticosteroids, montelukast, nursing interventions (cohort segregation, hand washing, gowns, masks, gloves, and goggles), respiratory syncytial virus immunoglobulins, pooled immunoglobulins, or palivizumab (monoclonal antibody), ribavirin, or surfactants.
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