Pharmacological Management of Acute Bronchiolitis
Overview
Affiliations
This article reviews the current knowledge base related to the pharmacological treatments for acute bronchiolitis. Bronchiolitis is a common lower respiratory illness affecting infants worldwide. The mainstays of therapy include airway support, supplemental oxygen, and support of fluids and nutrition. Frequently tried pharmacological interventions, such as ribavirin, nebulized bronchodilators, and systemic corticosteroids, have not been proven to benefit patients with bronchiolitis. Antibiotics do not improve the clinical course of patients with bronchiolitis, and should be used only in those patients with proven concurrent bacterial infection. Exogenous surfactant and heliox therapy also cannot be recommended for routine use, but surfactant replacement holds promise and should be further studied.
Howe C, Momin M, Aladwani G, Strickler S, Hindle M, Longest W Int J Pharm. 2023; 643:123199.
PMID: 37406945 PMC: 10530264. DOI: 10.1016/j.ijpharm.2023.123199.
Howe C, Momin M, Aladwani G, Hindle M, Longest P Pharm Res. 2022; 39(12):3317-3330.
PMID: 36253630 PMC: 10561662. DOI: 10.1007/s11095-022-03409-5.
Mathew C, Tamir S, Tripp R, Ghildyal R Sci Rep. 2021; 11(1):19223.
PMID: 34584169 PMC: 8479129. DOI: 10.1038/s41598-021-98767-2.
Lenihan A, Ramos V, Nemec N, Lukowski J, Lee J, Kendall K Children (Basel). 2021; 8(5).
PMID: 34069996 PMC: 8157845. DOI: 10.3390/children8050410.
Alharbi A, Alzahrani M, Alodayani A, Alhindi M, Alharbi S, Alnemri A Saudi Med J. 2021; 42(4):355-362.
PMID: 33795490 PMC: 8128639. DOI: 10.15537/smj.2021.42.4.20200769.