• M Verstraete, P Cros, M Gouin, H Oillic, T Bihouée, H Denoual, A Barzic, A-L Duigou, B Vrignaud, K Levieux, N Vabres, E Fleurence, E Darviot, J Cardona, M-A Guitteny, Y Marot, G Picherot, and C Gras-Le Guen.
• Service de pédiatrie générale, hôpital Femme Enfant Adolescent, CHU de Nantes, 38, boulevard Jean-Monnet, 44093 Nantes cedex 1, France. Electronic address: marie.verstraete@chu-nantes.fr.
• Arch Pediatr. 2014 Jan 1; 21 (1): 53-62.

Background And ObjectivesWhile our European and North American colleagues have recently updated their recommendations, the 2000 Consensus Conference remains the main guideline on management of acute viral bronchiolitis in France. We aimed to establish an updated inter-regional protocol on management of acute viral bronchiolitis in infants.MethodPediatricians, pediatric pulmonologists, and emergency physicians of the Grand Ouest University Hospitals (France) gathered to analyze the recent data from the literature.ResultsCriteria to distinguish childhood asthma from acute viral bronchiolitis were established, then prescriptions of diagnostic tests, antibiotics, and chest physiotherapy were defined and reserved for very limited situations. Similarly, the modalities of oxygen therapy prescription and nutritional support were proposed. Finally, other therapeutics such as nebulized hypertonic saline seem promising, but their place in the treatment of acute bronchiolitis in infants remains unclear.ConclusionThis work has provided new proposals for management of acute viral bronchiolitis and helped standardize practices within the Grand Ouest University Hospitals. This local organization could lay the keystone for working toward guidelines initiated by learned societies at the national level.Copyright © 2013 Elsevier Masson SAS. All rights reserved.

26 keywords...

hide…