Source: Annual Congress 2002 - Bronchiolitis
Disease area: Paediatric lung diseases

Abstract

Introduction: Acute bronchiolitis is the most common lower respiratory tract infection in the first year of life. Systematic review of the literature would suggest that pharmaceutical agents do not influence the course of the disease.
Methods: We surveyed all Swiss paediatricians regarding their current management of acute bronchiolitis in year 2001.
Results: From a total of 937 questionnaires 541 (58%) were returned. 422 (78%) responders treat children with acute bronchiolitis:

Outpatients (n=408)	always	sometimes	only high risk	never	not answered
Salbutamol	62%	37%	0%	0.5%	0.5%
Ipratropium bromide	2%	27%	1%	40%	30%
Steroids (inhaled/systemic)	36%	51%	3%	8%	2%
Antibiotics	2%	36%	18%	38%	6%
Nasal drops	46%	50%	0%	3%	1%
Inpatients (n=123)
Salbutamol	55%	40%	1%	2%	2%
Ipratropium bromide	5%	46%	2%	32%	15%
Adrenaline	2%	32%	4%	42%	20%
Steroids (inhaled/systemic)	31%	49%	5%	13%	2%
Theophylline	1%	13%	3%	71%	12%
Ribavirin	0%	2%	6%	82%	10%
Physiotherapy	36%	49%	4%	6%	5%

Conclusions: A wide variation in the treatment of bronchiolitis was noted. Most Swiss paediatricians use supplementary drugs. In particular, bronchodilators and steroids are used very often. National guidelines based on clinical evidence could be helpful for a standardised management of acute bronchiolitis.

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Citations should be made in the following way:
J. Barben, J. Hammer (St. Gallen, Basel, Switzerland). Current management of acute bronchiolitis in Switzerland. Eur Respir J 2002; 20: Suppl. 38, 235

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