Do we really ponder about necessity of intravenous hydration in acute bronchiolitis?
Article Sidebar
Main Article Content
Objective:
The goal was to establish the role of intravenous hydration therapy on mild bronchiolitis.
Methods:
This was a retrospective case control study. Infants between 1 month and 2 years of age admitted to our general pediatrics ward between June 2012 and June 2013 with a diagnosis of uncomplicated acute bronchiolitis were enrolled to the study. Hospital medical files were reviewed to get information about children personal history, symptoms of the disease, disease severity scores and their management. Patients were classified into 4 groups according to the management; nebulized short-acting β2-agonist (salbutamol) +hydration; nebulized short-acting β2-agonist (salbutamol); hydration and neither bronchodilator nor hydration. We examined length of stay in the hospital as an outcome measure.
Results:
A total of 94 infants were studied. There was no significant difference between groups in terms of length of stay in hospital.
Conclusions:
IV hydration is not effective on length of stay in hospital in mild acute bronchiolitis patients.
- bronchiolitis
- hospitalization
- hydration
- supportive care
.Black-Payne V. , . Bronchiolitis. In: Hilman BC, ed. Pediatric Respiratory Disease: Diagnosis and Treatment, 5 th ed. Philadelphia: WB Saunders,. 1993;205–218
Borchers AT, Chang C, Gershwin ME, Gershwin LJ. , . Respiratory syncytial virus--a comprehensive review. Clin Rev Allergy Immunol. 2013;45(3):331–379 DOI: https://doi.org/10.1007/s12016-013-8368-9
Zorc JJ, Hall CB. , . Bronchiolitis: recent evidence on diagnosis and management. Pediatrics. 2010;125:342–349 DOI: https://doi.org/10.1542/peds.2009-2092
Willson DF, Horn SD, Hendley JO, Smout R, Gassaway J. , . Effect of practice variation on resource utilization in infants for viral lower respiratory illness. Pediatrics. 2001;108:851–855 DOI: https://doi.org/10.1542/peds.108.4.851
Wang EE, Law BJ, Boucher FD, Robinson JL, Dobson S, Langley JM, et al. , . Pediatric Investigators Collaborative Network on Infections in Canada (PICNIC) study of admission and management variation in patients hospitalized with respiratory syncytial viral lower respiratory tract infection. J Pediatr. 1996;129:390–395 DOI: https://doi.org/10.1016/S0022-3476(96)70071-9
Brand PLP, Vaessen-Verberne AAPH. , . Differences in management of bronchiolitis between hospitals in the Netherlands. Eur J Pediatr. 2000;159:343–347 DOI: https://doi.org/10.1007/s004310051284
American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis , . Diagnosis and management of bronchiolitis. Pediatrics. 2006;118(4):1774–1793 DOI: https://doi.org/10.1542/peds.2006-2223
Türk Toraks Dernegi , . Akut Bronsiyolit Tani ve Tedavi Uzlasi Raporu. Turkish Thoracic. 2009;10(2):1–7
Poddar U, Singhi S, Ganguli NK, Sialy R. , . Water electrolyte homeostasis in acute bronchiolitis. Indian pediatrics. 1995;32:59–65
Maughan RJ. , . Hydration, morbidity, and mortality in vulnerable populations. Nutr Rev. 2012;70 Suppl 2:S152–S155 DOI: https://doi.org/10.1111/j.1753-4887.2012.00531.x
Johnson DW, Adair C, Brant R, Holmwood J, Mitchell I. , . Differences in admission rates of children with bronchiolitis by pediatric and general emergency departments. Pediatrics. 2002;110(4):e49 DOI: https://doi.org/10.1542/peds.110.4.e49
Babl FE, Sheriff N, Neutze J, Borland M, Oakley E. , . Bronchiolitis Management in Pediatric Emergency Departments in Australia and New Zealand: A PREDICT Study. Pediatr Emerg Care. 2008;24(10):656–658 DOI: https://doi.org/10.1097/PEC.0b013e318188498c
Yiu WL, Smith AL, Catto-Smith AG. , . Nasogastric rehydration in acute gastroenteritis. J Paediatr Child Health. 2003;39(2):159–161 DOI: https://doi.org/10.1046/j.1440-1754.2003.t01-5-00121.x
Fonseca BK, Holdgate A, Craig JC. , . Enteral vs intravenous rehydration therapy for children with gastroenteritis: a meta-analysis of randomized controlled trials. Arch Pediatr Adolesc Med. 2004;158(5):483–490 DOI: https://doi.org/10.1001/archpedi.158.5.483
Smyth R, Openshaw P. , . Bronchiolitis. Lancet. 2006;368:312–322 DOI: https://doi.org/10.1016/S0140-6736(06)69077-6
Hanna S, Tibby SM, Durward A, Murdoch IA. , . Incidence of hyponatraemia and hyponatraemic seizures in severe respiratory syncytial virus bronchiolitis. Acta Paediatr. 2003;92(4):430–434 DOI: https://doi.org/10.1111/j.1651-2227.2003.tb00573.x
Hodge D, Chetcuti PA. , . RSV: Management of the acute episode. Paediatr Respir Rev. 2000;1(3):215–220 DOI: https://doi.org/10.1053/prrv.2000.0051
Cummings EA, Reid GJ, Finley GA, McGrath PJ, Ritchie JA. , . Prevalence and source of pain in pediatric inpatients. Pain. 1996;68:25–31 DOI: https://doi.org/10.1016/S0304-3959(96)03163-6
Johnson LW, Robles J, Hudgins A, Osburn S, Martin D, Thompson A. , . Management of bronchiolitis in the emergency department: impact of evidence-based guidelines? Pediatrics. 2013;131 Suppl 1:S103–S109 DOI: https://doi.org/10.1542/peds.2012-1427m
Downloads
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use