Bronchiolitis
- Viral infection of children < 2 years of age (usually < 12 months of age).
- Nasopharyngeal (NP) washing/swab for viral detection recommended only in hospitalized patients.
- DDx includes:
- Chlamydia trachomatis (in ≤ 16 weeks old) (consider NP swab for Chlamydia)
- Pertussis (consider NP washing for pertussis culture or PCR)
- Secondary bacterial pneumonia unusual unless tachypnea and/or consolidation on chest x-ray.
Viruses:
RSV
Human metapneumovirus
Human bocavirus
Parainfluenza
Influenza
Adenovirus
No antibiotic therapy recommended
- Bronchodilators and corticosteroids not routinely recommended.
- Ribavirin is NOT recommended.