Uganda guidelines for the treatment of Bronchiolitis
Uganda Clinical Guidelines 2023 · all from source →
General Pediatric
Diagnosis
Clinical Features
Common in <2 years. Viral (RSV). Rhinopharyngitis, then tachypnoea, wheezing (poor response to bronchodilators), profuse frothy cough. Moderate/no fever.
Criteria for Severity
Child < 3 months, worsening general condition, cyanosis, respiratory distress, RR >60/min, difficulty feeding, SpO2 < 92%.
Treatment
Mild-Moderate
Treat symptoms as out-patient. Nasal irrigation with saline. Small frequent feeds. Paracetamol for fever.
Severe
Admit. Humidified nasal oxygen (1-2 L/min). Salbutamol 100 mcg/puff (2 puffs with spacer every 30 mins) OR nebulisation 2.5mg. If improves, continue every 6 hours. If non-responsive, stop salbutamol.
Severe (Salbutamol non-responsive)
Nebulise Adrenaline 1:1000, 1 ml diluted in 2-4 ml normal saline every 2-4 hours. Give oral fluids/NGT/IV (150 ml/kg in 24 hours). Note: Antibiotics and steroids are NOT recommended.
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