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Published on: October 31, 2025
[Signs of severity of acute bronchiolitis of the infant]
Martine Le Roch1, Grégoire Benoist1
1Pédiatrie générale et urgences pédiatriques, CHU Ambroise Paré, AP-HP, Boulogne-Billancourt, France.
Insights
Identifying severe acute bronchiolitis in infants is crucial. Key indicators for hospitalization include comorbidities, significant respiratory distress, poor feeding, and socio-familial factors.
Area of Science:
- Pediatrics
- Respiratory Medicine
Background:
- Acute bronchiolitis is a common respiratory infection in infants.
- Hospitalization is required for approximately 3% of affected infants.
Purpose of the Study:
- To outline clinical criteria for determining the severity of acute bronchiolitis in infants.
- To identify infants at higher risk for hospitalization.
Main Methods:
- Clinical assessment of infants with acute bronchiolitis.
- Evaluation of factors including comorbidities, respiratory distress, feeding, oxygen needs, and socio-familial context.
Main Results:
- Hospitalization decisions are primarily based on clinical signs.
- Key indicators include prematurity, cardiopulmonary conditions, young age (<6 weeks), severe respiratory distress (polypnea), toxic appearance, inadequate oral intake, and oxygen requirement.
Conclusions:
- A comprehensive clinical evaluation is essential for managing acute bronchiolitis.
- Specific clinical and socio-familial criteria guide the decision for hospitalization in infants.
Abstract:
Signs of severity of acute bronchiolitis in the infant. About 3% of infants suffering from bronchiolitis will need hospitalization. Criteria to decide are mainly clinical: comorbidities (prematurity, cardiopulmonary pathology, age less than 6 weeks old), intensity of respiratory distress attested by polypnea, toxic aspect, inadequate oral food intake, need for O2 or and socio-familial criteria for confidence in looking for the child.
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