AKUT BRONŞİYOLİT

Yıl 2021, Cilt: 54 Sayı: 3, 479 - 486, 01.01.2022

Halime Nayır Büyükşahin , Uğur Özçelik

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.

Anahtar Kelimeler

Akut Bronşiyolit, Respiratory syncytial virus, Tedavi

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

Kaynakça

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