The virus that causes bronchiolitis in children
Bronchiolitis is an inflammatory disease of the small and medium bronchi, which is common in children under 2 years of age. Respiratory Syncytial virus (RSV) is the predominant cause (about 45-90% of cases).
1. What is bronchiolitis?
Bronchiolitis is an inflammatory disease of the small and medium bronchi, which is common in children under 2 years of age. The disease is characterized by symptoms of upper respiratory tract infection that then progress to lower respiratory tract infection causing wheezing and crackles.
2. Causes of disease
Respiratory Syncytial virus (RSV) is the main cause of the disease, often causing illness in the rainy season in tropical countries. The rate of RSV infection is high at the age of 2-24 months. In addition, there are other strains of viruses that can cause disease such as Rhinovirus, parainfluenza virus, adenovirus, enterovirus, mycoplasma pneumoniae,...
3. Symptoms of bronchiolitis
Runny nose, sneezing Cough Mild fever or no fever The illness can then progress to wheezing, shortness of breath, respiratory failure
4. Risk factors for disease
Premature birth, under 12 years of age Congenital heart disease Respiratory birth defects Chronic lung disease Neuromuscular disease Immunodeficiency Exposure to tobacco smoke Children are not breastfed, so they cannot inherit substances Immunity in breast milk
5. How to treat bronchiolitis?
Most cases of bronchiolitis can be treated and cared for at home. The principle of treatment is to support, ensure the supply of electrolytes and nutrition to the child, detect and prevent possible complications:
Need to make sure the child drinks enough water Regularly drop the nose with saline handle and aspirate with an instrument to relieve nasal congestion. Watch for signs of shortness of breath The cause of bronchiolitis is a virus, so antibiotics are not needed (used to treat bacterial infections). Antibiotics are only used in cases where an infection is suspected. Avoid secondhand smoke, as it can make your child worse and more likely to have asthma later in life.
Need to take the child to the hospital right away if the child has one of the following signs:
Cyanosis The child sucks poorly, refuses to feed, does not eat or drink, the child is lethargic, difficult to wake up Difficult breathing (breathing faster, chest traction) The pediatric department at Vinmec International General Hospital is the address for receiving and examining diseases that infants and young children are susceptible to: viral fever, bacterial fever, ear infection middle, pneumonia in children, .... With modern equipment, sterile space, minimizing the impact as well as the risk of disease spread. Along with that is the dedication from the doctors with professional experience with pediatric patients, making the examination no longer a concern of the parents.
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