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From MayoClinic.com

Diseases & Conditions A-Z

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Respiratory System


Most cases of bronchiolitis can be treated at home with self-care steps. Because a virus is usually the cause of bronchiolitis, antibiotics — which are used to treat infections caused by bacteria — aren't effective against it. If your child has an associated bacterial infection, such as pneumonia, your doctor may prescribe antibiotics for that.

If your child has complications from bronchiolitis, a stay at the hospital may be necessary. At the hospital, your child will likely receive humidified oxygen to maintain sufficient oxygen in the blood, and perhaps fluids through a vein (intravenously) to prevent dehydration.

If breathing is very difficult for your child, your doctors may prescribe a bronchodilator, a medication to open up the airways in the lungs, such as albuterol and albuterol inhalers (Proventil, Ventolin). Another medication that may be used in very severe cases is ribavirin (Virazole), an antiviral drug that's inhaled as an aerosol with a nebulizer or face mask.


Because bronchiolitis spreads from person to person, one of the best ways to prevent it is to wash your hands frequently, especially before touching your baby when you have a cold. If your child has bronchiolitis, keep him or her at home until the illness is past to avoid spreading it to others.

These other simple but effective ways can help curb spread of the infection:

  • Limit your child's contact with people who have a fever or cold.

  • Keep bathroom and kitchen countertops in your home clean, especially if another family member has a cold. To disinfect the area, you can use a solution of bleach and water made with a tablespoon of bleach per gallon of cool water. Don't mix in any other chemicals, as this can create a toxic chemical reaction.

  • Use a tissue only once and discard used tissues promptly.

  • Don't share drinking glasses with others.

  • Keep a waterless hand sanitizer (Purell Instant Hand Sanitizer) handy for use when your child is away from home.

There's no vaccine for bronchiolitis. But two medications can help decrease the likelihood of RSV infections in infants with high risk of severe disease. These drugs may decrease the need for hospitalization and limit severity of the illness. Preventive treatment usually is given monthly during the peak RSV season, beginning in the fall and continuing for about 5 months. The high cost of these medications generally limits their use to infants at particularly high risk of RSV infection. The medications are:

  • Respiratory Syncytial Virus Immune Globulin (RespiGam). RespiGam provides the necessary antibodies to protect against RSV. Your child receives RespiGam through injection into a vein (intravenously) over several hours. The process needs to be repeated every month until your child is no longer at high risk. The use of RespiGam may affect the timing of measles-mumps-rubella (MMR) and varicella immunizations.

  • Palivizumab (Synagis). Like RespiGam, this treatment provides temporary antibody protection against RSV, but it's easier to use than RespiGam. It's administered through a single injection into a large muscle, such as the thigh, once a month every month until no longer necessary.

Bronchiolitis > 1 > 2 > 3 > 4 >

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