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AKUT BRONŞİYOLİT

Yıl 2021, Cilt: 54 Sayı: 3, 479 - 486, 01.01.2022
https://doi.org/10.20492/aeahtd.905763

Öz

Akut bronşiyolit (AB), bebekleri etkileyen alt solunum yolunun viral bir enfeksiyonudur. En sık etkenin Respiratory syncytial virus olduğu bilinmektedir. Tanı, tipik olarak üst solunum yolu enfeksiyonu ile başlayıp alt solunum yoluna ilerleyen klinik bulgular ve bunlara eşlik eden muayene bulguları ile konulur. Akut Bronşiyolit, benzer klinik tabloyu yapan diğer akut, kronik veya tekrarlayan bronşiyolit yapan durumlardan ayrılmalıdır. Hastalık ve maliyetleri nedeniyle tedaviyi standartize etmek için birçok rehber yayınlanmıştır. Hastanın oksijenasyon ve hidrasyonunu dengelemek tedavinin temelini oluşturur. Kanıtlar ve kılavuz önerileri, ilk bronşiyolit atağı olan bebeklerde, bronkodilatör veya kortikosteroid kullanımının fayda sağlamadığını göstermektedir. Hipertonik salin gibi, diğer tedavilere ilişkin kanıtlar artmaktadır. Hipertonik salinin yatan hastalarda taburculuğu hızlandırdığı gösterilmiştir. Şiddetli hastalığı olan bebeklerde yüksek akım oksijen tedavisi ve sürekli pozitif hava yolu basıncı kullanımının mekanik ventilatör ihtiyacını azaltmakta rol oynadığı düşünülmektedir.
Bu derlemenin amacı güncel literatür eşliğinde AB’in tanı, tedavi ve korunma yaklaşımlarının gözden geçirilmesi ve bu sayede hekimlere ortak yaklaşım sergileyebilmeleri için destek olmaktır.

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

Kaynakça

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  • 43. Oakley E, Borland M, Neutze J, Acworth J, Krieser D, Dalziel S, et al. Paediatric Research in Emergency Departments International Collaborative (PREDICT). Nasogastric hydration versus intravenous hydration for infants with bronchiolitis: a randomised trial. Lancet Respir Med. 2013 Apr;1(2):113-20.
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  • 43. Oakley E, Borland M, Neutze J, Acworth J, Krieser D, Dalziel S, et al. Paediatric Research in Emergency Departments International Collaborative (PREDICT). Nasogastric hydration versus intravenous hydration for infants with bronchiolitis: a randomised trial. Lancet Respir Med. 2013 Apr;1(2):113-20.
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  • 45. Moschino L, Mario F, Carraro S, Visentin F, Zanconato S, Baraldi E. Is nasal suctioning warranted before measuring O2 saturation in infants with bronchiolitis? Arch Dis Child. 2016 Jan;101(1):114-5.
  • 45. Moschino L, Mario F, Carraro S, Visentin F, Zanconato S, Baraldi E. Is nasal suctioning warranted before measuring O2 saturation in infants with bronchiolitis? Arch Dis Child. 2016 Jan;101(1):114-5.
  • 45. Moschino L, Mario F, Carraro S, Visentin F, Zanconato S, Baraldi E. Is nasal suctioning warranted before measuring O2 saturation in infants with bronchiolitis? Arch Dis Child. 2016 Jan;101(1):114-5.
  • 45. Moschino L, Mario F, Carraro S, Visentin F, Zanconato S, Baraldi E. Is nasal suctioning warranted before measuring O2 saturation in infants with bronchiolitis? Arch Dis Child. 2016 Jan;101(1):114-5.
  • 45. Moschino L, Mario F, Carraro S, Visentin F, Zanconato S, Baraldi E. Is nasal suctioning warranted before measuring O2 saturation in infants with bronchiolitis? Arch Dis Child. 2016 Jan;101(1):114-5.
  • 45. Moschino L, Mario F, Carraro S, Visentin F, Zanconato S, Baraldi E. Is nasal suctioning warranted before measuring O2 saturation in infants with bronchiolitis? Arch Dis Child. 2016 Jan;101(1):114-5.
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  • 46. Roqué i Figuls M, Giné-Garriga M, Granados Rugeles C, Perrotta C, Vilaró J. Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old. Cochrane Database Syst Rev. 2016 Feb 1;2(2):CD004873.
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  • 46. Roqué i Figuls M, Giné-Garriga M, Granados Rugeles C, Perrotta C, Vilaró J. Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old. Cochrane Database Syst Rev. 2016 Feb 1;2(2):CD004873.
  • 46. Roqué i Figuls M, Giné-Garriga M, Granados Rugeles C, Perrotta C, Vilaró J. Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old. Cochrane Database Syst Rev. 2016 Feb 1;2(2):CD004873.
  • 46. Roqué i Figuls M, Giné-Garriga M, Granados Rugeles C, Perrotta C, Vilaró J. Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old. Cochrane Database Syst Rev. 2016 Feb 1;2(2):CD004873.
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  • 47. Modaresi MR, Faghihinia J, Kelishadi R, Reisi M, Mirlohi S, Pajhang F, et al. Nebulized Magnesium Sulfate in Acute Bronchiolitis: A Randomized Controlled Trial. Indian J Pediatr. 2015 Sep;82(9):794-8.
  • 47. Modaresi MR, Faghihinia J, Kelishadi R, Reisi M, Mirlohi S, Pajhang F, et al. Nebulized Magnesium Sulfate in Acute Bronchiolitis: A Randomized Controlled Trial. Indian J Pediatr. 2015 Sep;82(9):794-8.
  • 47. Modaresi MR, Faghihinia J, Kelishadi R, Reisi M, Mirlohi S, Pajhang F, et al. Nebulized Magnesium Sulfate in Acute Bronchiolitis: A Randomized Controlled Trial. Indian J Pediatr. 2015 Sep;82(9):794-8.
  • 47. Modaresi MR, Faghihinia J, Kelishadi R, Reisi M, Mirlohi S, Pajhang F, et al. Nebulized Magnesium Sulfate in Acute Bronchiolitis: A Randomized Controlled Trial. Indian J Pediatr. 2015 Sep;82(9):794-8.
  • 47. Modaresi MR, Faghihinia J, Kelishadi R, Reisi M, Mirlohi S, Pajhang F, et al. Nebulized Magnesium Sulfate in Acute Bronchiolitis: A Randomized Controlled Trial. Indian J Pediatr. 2015 Sep;82(9):794-8.
  • 47. Modaresi MR, Faghihinia J, Kelishadi R, Reisi M, Mirlohi S, Pajhang F, et al. Nebulized Magnesium Sulfate in Acute Bronchiolitis: A Randomized Controlled Trial. Indian J Pediatr. 2015 Sep;82(9):794-8.
  • 47. Modaresi MR, Faghihinia J, Kelishadi R, Reisi M, Mirlohi S, Pajhang F, et al. Nebulized Magnesium Sulfate in Acute Bronchiolitis: A Randomized Controlled Trial. Indian J Pediatr. 2015 Sep;82(9):794-8.
  • 48. Alansari K, Sayyed R, Davidson BL, Al Jawala S, Ghadier M. IV Magnesium Sulfate for Bronchiolitis: A Randomized Trial. Chest. 2017 Jul;152(1):113-119.
  • 48. Alansari K, Sayyed R, Davidson BL, Al Jawala S, Ghadier M. IV Magnesium Sulfate for Bronchiolitis: A Randomized Trial. Chest. 2017 Jul;152(1):113-119.
  • 48. Alansari K, Sayyed R, Davidson BL, Al Jawala S, Ghadier M. IV Magnesium Sulfate for Bronchiolitis: A Randomized Trial. Chest. 2017 Jul;152(1):113-119.
  • 48. Alansari K, Sayyed R, Davidson BL, Al Jawala S, Ghadier M. IV Magnesium Sulfate for Bronchiolitis: A Randomized Trial. Chest. 2017 Jul;152(1):113-119.
  • 48. Alansari K, Sayyed R, Davidson BL, Al Jawala S, Ghadier M. IV Magnesium Sulfate for Bronchiolitis: A Randomized Trial. Chest. 2017 Jul;152(1):113-119.
  • 48. Alansari K, Sayyed R, Davidson BL, Al Jawala S, Ghadier M. IV Magnesium Sulfate for Bronchiolitis: A Randomized Trial. Chest. 2017 Jul;152(1):113-119.
  • 48. Alansari K, Sayyed R, Davidson BL, Al Jawala S, Ghadier M. IV Magnesium Sulfate for Bronchiolitis: A Randomized Trial. Chest. 2017 Jul;152(1):113-119.
  • 48. Alansari K, Sayyed R, Davidson BL, Al Jawala S, Ghadier M. IV Magnesium Sulfate for Bronchiolitis: A Randomized Trial. Chest. 2017 Jul;152(1):113-119.
  • 49. Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Cochrane Database Syst Rev 2015; 9:CD006915.
  • 49. Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Cochrane Database Syst Rev 2015; 9:CD006915.
  • 49. Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Cochrane Database Syst Rev 2015; 9:CD006915.
  • 49. Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Cochrane Database Syst Rev 2015; 9:CD006915.
  • 49. Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Cochrane Database Syst Rev 2015; 9:CD006915.
  • 49. Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Cochrane Database Syst Rev 2015; 9:CD006915.
  • 49. Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Cochrane Database Syst Rev 2015; 9:CD006915.
  • 49. Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Cochrane Database Syst Rev 2015; 9:CD006915.
  • 50. Enriquez A, Chu IW, Mellis C, Lin WY. Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months. Cochrane Database Syst Rev. 2012 Nov 14;11(11).
  • 50. Enriquez A, Chu IW, Mellis C, Lin WY. Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months. Cochrane Database Syst Rev. 2012 Nov 14;11(11).
  • 50. Enriquez A, Chu IW, Mellis C, Lin WY. Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months. Cochrane Database Syst Rev. 2012 Nov 14;11(11).
  • 50. Enriquez A, Chu IW, Mellis C, Lin WY. Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months. Cochrane Database Syst Rev. 2012 Nov 14;11(11).
  • 50. Enriquez A, Chu IW, Mellis C, Lin WY. Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months. Cochrane Database Syst Rev. 2012 Nov 14;11(11).
  • 50. Enriquez A, Chu IW, Mellis C, Lin WY. Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months. Cochrane Database Syst Rev. 2012 Nov 14;11(11).
  • 50. Enriquez A, Chu IW, Mellis C, Lin WY. Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months. Cochrane Database Syst Rev. 2012 Nov 14;11(11).
  • 50. Enriquez A, Chu IW, Mellis C, Lin WY. Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months. Cochrane Database Syst Rev. 2012 Nov 14;11(11).
  • 51. Jat KR, Chawla D. Surfactant therapy for bronchiolitis in critically ill infants. Cochrane Database Syst Rev. 2015 Aug 24;2015(8):CD009194.
  • 51. Jat KR, Chawla D. Surfactant therapy for bronchiolitis in critically ill infants. Cochrane Database Syst Rev. 2015 Aug 24;2015(8):CD009194.
  • 51. Jat KR, Chawla D. Surfactant therapy for bronchiolitis in critically ill infants. Cochrane Database Syst Rev. 2015 Aug 24;2015(8):CD009194.
  • 51. Jat KR, Chawla D. Surfactant therapy for bronchiolitis in critically ill infants. Cochrane Database Syst Rev. 2015 Aug 24;2015(8):CD009194.
  • 51. Jat KR, Chawla D. Surfactant therapy for bronchiolitis in critically ill infants. Cochrane Database Syst Rev. 2015 Aug 24;2015(8):CD009194.
  • 51. Jat KR, Chawla D. Surfactant therapy for bronchiolitis in critically ill infants. Cochrane Database Syst Rev. 2015 Aug 24;2015(8):CD009194.
  • 51. Jat KR, Chawla D. Surfactant therapy for bronchiolitis in critically ill infants. Cochrane Database Syst Rev. 2015 Aug 24;2015(8):CD009194.
  • 51. Jat KR, Chawla D. Surfactant therapy for bronchiolitis in critically ill infants. Cochrane Database Syst Rev. 2015 Aug 24;2015(8):CD009194.
  • 52. Alansari K, Toaimah FH, Almatar DH, El Tatawy LA, Davidson BL, Qusad MIM. Monoclonal Antibody Treatment of RSV Bronchiolitis in Young Infants: A Randomized Trial. Pediatrics. 2019 Mar;143(3):e20182308.
  • 52. Alansari K, Toaimah FH, Almatar DH, El Tatawy LA, Davidson BL, Qusad MIM. Monoclonal Antibody Treatment of RSV Bronchiolitis in Young Infants: A Randomized Trial. Pediatrics. 2019 Mar;143(3):e20182308.
  • 52. Alansari K, Toaimah FH, Almatar DH, El Tatawy LA, Davidson BL, Qusad MIM. Monoclonal Antibody Treatment of RSV Bronchiolitis in Young Infants: A Randomized Trial. Pediatrics. 2019 Mar;143(3):e20182308.
  • 52. Alansari K, Toaimah FH, Almatar DH, El Tatawy LA, Davidson BL, Qusad MIM. Monoclonal Antibody Treatment of RSV Bronchiolitis in Young Infants: A Randomized Trial. Pediatrics. 2019 Mar;143(3):e20182308.
  • 52. Alansari K, Toaimah FH, Almatar DH, El Tatawy LA, Davidson BL, Qusad MIM. Monoclonal Antibody Treatment of RSV Bronchiolitis in Young Infants: A Randomized Trial. Pediatrics. 2019 Mar;143(3):e20182308.
  • 52. Alansari K, Toaimah FH, Almatar DH, El Tatawy LA, Davidson BL, Qusad MIM. Monoclonal Antibody Treatment of RSV Bronchiolitis in Young Infants: A Randomized Trial. Pediatrics. 2019 Mar;143(3):e20182308.
  • 52. Alansari K, Toaimah FH, Almatar DH, El Tatawy LA, Davidson BL, Qusad MIM. Monoclonal Antibody Treatment of RSV Bronchiolitis in Young Infants: A Randomized Trial. Pediatrics. 2019 Mar;143(3):e20182308.
  • 52. Alansari K, Toaimah FH, Almatar DH, El Tatawy LA, Davidson BL, Qusad MIM. Monoclonal Antibody Treatment of RSV Bronchiolitis in Young Infants: A Randomized Trial. Pediatrics. 2019 Mar;143(3):e20182308.
  • 53. Hasegawa K, Mansbach JM, Camargo CA Jr. Infectious pathogens and bronchiolitis outcomes. Expert Rev Anti Infect Ther. 2014 Jul;12(7):817-28.
  • 53. Hasegawa K, Mansbach JM, Camargo CA Jr. Infectious pathogens and bronchiolitis outcomes. Expert Rev Anti Infect Ther. 2014 Jul;12(7):817-28.
  • 53. Hasegawa K, Mansbach JM, Camargo CA Jr. Infectious pathogens and bronchiolitis outcomes. Expert Rev Anti Infect Ther. 2014 Jul;12(7):817-28.
  • 53. Hasegawa K, Mansbach JM, Camargo CA Jr. Infectious pathogens and bronchiolitis outcomes. Expert Rev Anti Infect Ther. 2014 Jul;12(7):817-28.
  • 53. Hasegawa K, Mansbach JM, Camargo CA Jr. Infectious pathogens and bronchiolitis outcomes. Expert Rev Anti Infect Ther. 2014 Jul;12(7):817-28.
  • 53. Hasegawa K, Mansbach JM, Camargo CA Jr. Infectious pathogens and bronchiolitis outcomes. Expert Rev Anti Infect Ther. 2014 Jul;12(7):817-28.
  • 53. Hasegawa K, Mansbach JM, Camargo CA Jr. Infectious pathogens and bronchiolitis outcomes. Expert Rev Anti Infect Ther. 2014 Jul;12(7):817-28.
  • 53. Hasegawa K, Mansbach JM, Camargo CA Jr. Infectious pathogens and bronchiolitis outcomes. Expert Rev Anti Infect Ther. 2014 Jul;12(7):817-28.
  • 54. Ecevit A, Acunaş B, Aygün C, Aliefendioğlu D, Taşkın E, Özek E, ve ark. Türk Neonatoloji Derneği Palivizumab Proflaksisi Önerileri, https://www.neonatology.org.tr/storage/2020/04/TND-PalivizumabileRSVProflaksisiOnerileri-2018.pdf. (Erişim: 11 Temmuz 2018)
  • 54. Ecevit A, Acunaş B, Aygün C, Aliefendioğlu D, Taşkın E, Özek E, ve ark. Türk Neonatoloji Derneği Palivizumab Proflaksisi Önerileri, https://www.neonatology.org.tr/storage/2020/04/TND-PalivizumabileRSVProflaksisiOnerileri-2018.pdf. (Erişim: 11 Temmuz 2018)
  • 54. Ecevit A, Acunaş B, Aygün C, Aliefendioğlu D, Taşkın E, Özek E, ve ark. Türk Neonatoloji Derneği Palivizumab Proflaksisi Önerileri, https://www.neonatology.org.tr/storage/2020/04/TND-PalivizumabileRSVProflaksisiOnerileri-2018.pdf. (Erişim: 11 Temmuz 2018)
  • 54. Ecevit A, Acunaş B, Aygün C, Aliefendioğlu D, Taşkın E, Özek E, ve ark. Türk Neonatoloji Derneği Palivizumab Proflaksisi Önerileri, https://www.neonatology.org.tr/storage/2020/04/TND-PalivizumabileRSVProflaksisiOnerileri-2018.pdf. (Erişim: 11 Temmuz 2018)
  • 54. Ecevit A, Acunaş B, Aygün C, Aliefendioğlu D, Taşkın E, Özek E, ve ark. Türk Neonatoloji Derneği Palivizumab Proflaksisi Önerileri, https://www.neonatology.org.tr/storage/2020/04/TND-PalivizumabileRSVProflaksisiOnerileri-2018.pdf. (Erişim: 11 Temmuz 2018)
  • 54. Ecevit A, Acunaş B, Aygün C, Aliefendioğlu D, Taşkın E, Özek E, ve ark. Türk Neonatoloji Derneği Palivizumab Proflaksisi Önerileri, https://www.neonatology.org.tr/storage/2020/04/TND-PalivizumabileRSVProflaksisiOnerileri-2018.pdf. (Erişim: 11 Temmuz 2018)
  • 54. Ecevit A, Acunaş B, Aygün C, Aliefendioğlu D, Taşkın E, Özek E, ve ark. Türk Neonatoloji Derneği Palivizumab Proflaksisi Önerileri, https://www.neonatology.org.tr/storage/2020/04/TND-PalivizumabileRSVProflaksisiOnerileri-2018.pdf. (Erişim: 11 Temmuz 2018)
  • 54. Ecevit A, Acunaş B, Aygün C, Aliefendioğlu D, Taşkın E, Özek E, ve ark. Türk Neonatoloji Derneği Palivizumab Proflaksisi Önerileri, https://www.neonatology.org.tr/storage/2020/04/TND-PalivizumabileRSVProflaksisiOnerileri-2018.pdf. (Erişim: 11 Temmuz 2018)
Toplam 432 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Derleme
Yazarlar

Halime Nayır Büyükşahin 0000-0002-6909-7993

Uğur Özçelik 0000-0003-1587-5216

Proje Numarası Yok
Yayımlanma Tarihi 1 Ocak 2022
Gönderilme Tarihi 31 Mart 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 54 Sayı: 3

Kaynak Göster

AMA Nayır Büyükşahin H, Özçelik U. AKUT BRONŞİYOLİT. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. Ocak 2022;54(3):479-486. doi:10.20492/aeahtd.905763