The viral infections that cause bronchiolitis are quite contagious. Additional preventive measures include hand washing and reduction of tobacco-smoke exposure. Educating parents and staff on the importance of hand washing is an essential component to reducing the spread of the disease.2 Similarly, counseling parents on the importance of reduction of smoke exposure and the availability of cessation resources may help reduce morbidity. Evidence shows increased rates of lower respiratory tract illness, ear infections, cough, asthma, and hospitalizations in children exposed to second-hand smoke.20

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Evidence-based reviews suggest limited use of diagnostic testing and treatment modalities in the management of bronchiolitis. Although most studies have shown a lack of efficacy for the use of pharmacologic treatments, preliminary research shows promise with a combination of bronchodilators and corticosteroids. Clinicians must remain cognizant of current practice recommendations in the diagnosis and treatment of bronchiolitis.

Christina Robohm, MS, PA-C, is Clinical Professor and Director of Physician Assistant Studies at Carroll University in Waukesha, Wisc.


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