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References
Wheezing in Children - Related Resources
Cochrane reviews
Antibiotics
appear not to be effective for
bronchiolitis
in children compared to
placebo
Antibiotics for Bronchiolitis in Children
.
There is insufficient evidence on the effectiveness of
steam inhalation
(mist therapy) or humidified
oxygen
for acute bronchiolitis in children up to three years of
age
Steam Inhalation or Humidified Oxygen for Acute Bronchiolitis in Children
.
Systemic or inhaled
glucocorticoids
appear not to have clinically relevant effects on
admissions
or length of
hospitalization
when used alone in
infants
and young children under two years of age with bronchiolitis defined
as
a first episode of
wheezing
Glucocorticoids for Acute Viral Bronchiolitis in Infants and Young Children
.
Epinephrine
appears to be more effective than placebo for bronchiolitis in
outpatients
. There is insufficient evidence to
support
its use in
inpatients
Epinephrine for Bronchiolitis
.
Oral
prednisone
and inhaled
corticosteroids
(ICS)
used for treating
asthma
have a growth-retarding effect in children.
There appears to be differences between the ICS molecules, and
low dose
s (
50
to 100
μ
g
HFA-
beclomethasone
equivalent) of inhaled corticosteroids are associated with slightly higher growth velocity compared with low to medium doses (200
μ
g HFA-beclomethasone equivalent)
Effect of Oral and Inhaled Corticosteroids on Growth in Children with Asthma
.
Administration
of bronchodilators with nebulized 3%
saline
as compared to 0.9% saline significantly reduces the
length of hospital stay
and improves the clinical severity score in infants with acute
non-severe
viral bronchiolitis
Nebulized Hypertonic Saline Solution for Acute Bronchiolitis in Infants
.
Acetylcysteine
and carbocysteine might possibly have limited
efficacy
and appear to be safe in the
treatment
of acute
respiratory tract infections
in children older than two years, but the evidence is insufficient
Acetylcysteine and Carbocysteine for Acute Respiratory Tract Infections in Children
.
Anticholinergic therapy
for wheezing children under the age of two years may not have a major impact on the severity of
symptoms
or clinical course of the
acute illness
although
parents
using it at home seem to identify benefits
Anticholinergic Drugs for Wheeze in Children Under the Age of Two Years
.
Literature
Rotta AT, Wiryawan B. Respiratory
emergencies
in children. Respir Care
2003
Mar;48(3):248-
58
; discussion 258-60.
[PubMed]
Bjornson CL, Johnson DW.
Croup
. Lancet 2008 Jan 26;371(9609):329-
39
.
[PubMed]
Primary/Secondary Keywords
Related resources