MANAGEMENT OF ACUTE VIRAL BRONCHIOLITIS IN EMERGENCY SETTINGS: AN INTEGRATIVE REVIEW OF CURRENT THERAPEUTIC STRATEGIES
Keywords:
Acute Viral Bronchiolitis, Respiratory Syncytial Virus, Supportive Therapy, Vaccination, Pediatric EmergencyAbstract
Acute viral bronchiolitis (AVB) remains one of the leading causes of hospitalization in infants, with the respiratory syncytial virus (RSV) as the most frequent etiological agent. This article presents an integrative review of current therapeutic strategies for managing AVB in emergency settings, covering aspects from diagnosis to preventive and supportive interventions. Recent evidence-based recommendations emphasize symptomatic treatment, judicious use of oxygen therapy, and adequate hydration, while discouraging the routine administration of bronchodilators, corticosteroids, and antibiotics. The review also highlights the relevance of vaccination and prophylaxis with monoclonal antibodies for high-risk groups, with particular attention to the recent approval of the Arexvy vaccine in Brazil. The analysis underscores the importance of continuously updating clinical practices and developing new approaches to reduce morbidity and mortality and improve AVB outcomes.
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Copyright (c) 2025 Imee Luzia Arcanjo Pinili, Rafaela Moreira Duarte, Clara Guimarães Figueiredo Cavalcante, Alvaro Henrique Oliveira Lima, Raphael dos Santos Bandeira, Ana Luiza Araújo Alves de Lima, Ruy Brandão Lemos Neto, Nathalie Marques Baumkarten, Vitória Sapienza, Gabriel Alves Pereira Isac, Angélica Tchitula Pedro Cecílio Caiano, Maria Auxiliadora Bezerra Fechine, Pabllo Adelino Estevam Barbosa, Rafaela Thaís Schalanski, Frederyco Miguel Sarafim dos Reis, Joel Mariano Gomes Pereira, Claudemir Borsato de Carvalho Neto, Adriana Telles Régis, Laura Maria Damásio Lopes, Elisabeth Dotti Consolo
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
