learn 6 actions to prevent bronchiolitis in children

Bronchiolitis is a respiratory disease that is exacerbated on cold days when there are more viruses. At the moment, it usually affects children in particular and requires care, especially in children under two years of age. At this stage, the immune system is still immature and can be more easily infected with the respiratory sensory virus (RSV), the leading cause of the disease.

Bronchiolitis (inflammation of the bronchioles, end of the bronchi) should be carefully diagnosed and treated to prevent it from getting worse and becoming pneumonia.

This is even more important in minors, whose airways are already small and narrow due to bronchial inflammation. In such cases, there may be exertion that is not ready to handle the child’s body.

Note a few signs: whistling, difficulty breathing, or poor asthma-like breathing indicate severity.

As the first signs are quite common, it is essential that the doctor evaluate the baby for a correct diagnosis.

symptoms of the disease

They are similar to the common cold and can last up to three to 15 days.

  • Initially, nasal obstruction, runny nose, and cough usually occur. There may or may not be a fever;
  • Between the third and fifth days, the production of secretion in the airways increases. This makes it difficult to get in and out of the air, and causes shortness of breath and fatigue;
  • At this stage the symptoms are distinguished. In more severe cases, hunger is reduced and the child may be prone to sleep, dehydration, drowsiness, and low blood oxygenation.

Preventive actions

Since there are no specific remedies for the disease and the improvement depends on the child’s immune response, it is worth investing in prevention.

The main forms of contamination are respiratory secretions and contact; that is, children who spend the day indoors with other people, such as day centers, are more likely to be infected.

  1. Get the flu vaccine, as it helps to reduce the most serious symptoms of the disease;
  2. Avoid crowds, especially if there are other children with respiratory illnesses (and do not take the baby to a nursery with a fever and a cold, school, or children’s parties);
  3. Keep environments ventilated;
  4. Wash your hands frequently and use a mask properly;
  5. Do not put your child in cigarettes, as inhaling smoke is a serious illness;
  6. Wash your nose with salt;
  7. Avoid long trips, shopping trips, or social events with children under 3 months of age.

treatment of bronchiolitis

There is no cure for bronchitis, which can be caused by other viruses such as adenoviruses and flu.

But it is possible to have symptoms and the vast majority of children do not need to go to the emergency room.

  • Inhale with salt solution to help secrete fluids and release bronchioles;
  • Continue with nasal cleansing with saline solution;
  • Hydrate the baby well by providing regular water or breastfeeding;
  • Insist on food.

When there is no shortness of breath (coughing or shortness of breath), it is possible to take care of the baby at home by controlling the fever and keeping him hydrated and nourished.

Hospitalizations are indicated for children in need of hospital care, that is, when there is little oxygen in the blood, when the child needs to be fed through the nasogastric tube (tube from the nose to the stomach) or the nasal tube (tube). from the nose to the tube) or hydration with intravenous salt.

Children in at-risk groups, such as those with early childhood, heart disease and lung disease (those with heart or lung disease), are likely to be hospitalized and develop a severe form of bronchiolitis – for this group, the use of p.alivizumaban immunoglobulin indicated to increase the protection against infections in infants RSV.

In more severe cases, the child may need non-invasive or invasive mechanical fans to relieve discomfort.

Sources: Werther Brunow de CarvalhoSanta Catarina Hospital pediatrician – Paulista; Milena de Paulis, pediatrician and Israelite Hospital Albert Einstein (SP); and Márcio Nehabspecialist in pediatric infectious diseases at the IFF (Fernandes Figueira National Institute of Health for Women, Children and Adolescents) Fiocruz.

Leave a Comment