Bronchiolitis in children ≤ 12 months during the pre-flu season of 2024: A case series

Marietjie Brits1, Hanneke Brits

  • 1Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein. 2012038747@ufs4life.ac.za.

Insights

Influenza A, not respiratory syncytial virus (RSV), caused severe bronchiolitis in young children. All patients recovered with standard symptomatic treatment, indicating current guidelines are effective for this unexpected pathogen.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Virology

Background:

  • A warning for a respiratory syncytial virus (RSV) outbreak was issued in March 2024.
  • Severe bronchiolitis cases in infants increased at National District Hospital, Bloemfontein, since April 2024.
  • Investigated the cause of severe bronchiolitis and treatment guideline efficacy.

Purpose of the Study:

  • Identify the causative agent(s) of severe bronchiolitis in children.
  • Assess the appropriateness of current treatment guidelines for bronchiolitis in the study setting.

Main Methods:

  • Retrospective file review of children admitted with bronchiolitis.
  • Study period: 4 weeks.
  • Case series design with ethical approval.

Main Results:

  • Ten infants (≤ 12 months) presented with moderate to severe bronchiolitis (Modified Tal Score 8-12).
  • Influenza A was detected in 60% of cases; RSV in 20%.
  • All children responded well to symptomatic treatment and recovered.

Conclusions:

  • Influenza A, not RSV, was the primary cause of the severe bronchiolitis outbreak.
  • Current symptomatic treatment guidelines were effective for Influenza A-induced bronchiolitis.
Abstract

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