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Colegio de Medicos y Cirujanos República de Costa Rica
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2014, Number 609

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Rev Med Cos Cen 2014; 71 (609)

Bronquiolitis aguda: Un enfoque dirigido hacia el médico general

Morales LA
Full text How to cite this article

Language: Spanish
References: 11
Page: 23-27
PDF size: 197.60 Kb.


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ABSTRACT

The acute BQL is one of the major cause of infections in the lower respiratory tract in children under two years, the highest incidence occurs between 3 and 6 months of age, during the winter months, the main causative agent is the VRS, this condition leads to high costs in the health system and if it’s not treated properly can be a high mortality rate, thus is essential to provide good management. Many studies are currently underway looking for the best way to tackle this disease, however, so far the only study well-established has been to provide support as base treatment, and still continues analyzing other recommendations such as the use of bronchodilators, exclusively in patients who manifest clinical improvement when used, and the risk-benefit of many other options such as corticosteroids, adrenaline, Ribavirin, etc. The truth is that the management of acute BQL remains a medical challenge in dealing with his patient, and even all the investigations carried out have not been able to establish optimal treatment and standardized evidencing improvement in all treated cases.


REFERENCES

  1. Adams M, Doull L.(2009). Management of bronchiolitis. Elsevier. 19:6.ISO 19005-1.

  2. American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis. Diagnosis and management of bronchiolitis. Pediatrics 2006;118(4):1774-93.

  3. Barquero R, Granadillo A. (05 mayo 2009). Guía práctica clínica: MORALES: BRONQUIOLITIS AGUDA 27 bronquiolitis. Salud Uninorte. Vol. 25. , (1): 135-149. ISSN 0120-5552.

  4. Gonzalez J,Ochoa C, Asociación Española de Pediatría. Conferencia de Consenso sobre bronquiolitis aguda (I): metodología y recomendaciones. Anales de Pediatría. 2010;72(3):221. e1–221.e33.

  5. Gonzalez J,Ochoa C. Asociación Española de Pediatría. Conferencia de Consenso sobre bronquiolitis aguda (II): epidemiología de la bronquiolitis aguda. Revisión de la evidencia científica.Anales de Pediatría. 2010;72(3):222.e1–222. e26.

  6. Gonzalez J,Ochoa C. Asociación Española de Pediatría. Conferencia de Consenso sobre bronquiolitis aguda (IV):tratamiento de la bronquiolitis aguda. Revisión de la evidencia científica. Anales de Pediatría. 2010;72(4):285.e1–285. e42

  7. Gonzalez J,Ochoa C. Asociación Española de Pediatría. Conferencia de Consenso sobre bronquiolitis aguda(VI): pronóstico en la bronquiolitis aguda.Revisión de la evidencia cientıífica. Anales de Pediatría. 2010;72(5):354.e1–354. e34.

  8. Labbé A. (2010). Tratamiento de las bronquiolitis agudas del lactante. EMC (ElsevierMasson SAS, Paris), Traité de Médecine Akos, 8-0640, 2010.

  9. Madero D, Rodríguez C.(2009). Bronquiolitis Viral Aguda en Pediatría.Precop CCAP. Volumen 10 Número 2.

  10. Miranda H, Alfaro A. Bronquiolitis. Revista Médica de Costa Rica. (441) 105-123.

  11. Zorc,J.,Breese C.(2010) Bronchiolitis: Recent Evidence on Diagnosis and Management. Pediatrics 2010;125;342; originally published online January 25, 2010.




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Rev Med Cos Cen. 2014;71