Do not prescribe any drug (nebulized and/or by systemic route) for treatment of Bronchiolitis.

Type of practice


Topic Area


Bronchiolitis is the most common infection of the lower respiratory tract in children less than 1 year of age. It is caused by a virus, the most common is respiratory syncytial virus (RSV). Most of children affected by bronchiolitis usually heal spontaneously. Despite their common use, there is no evidence that bronchodilators and/or corticosteroids (nebulized or by oral route) are useful to slow the course of the disease or to avoid hospitalization, neither there are other effective medications to treat bronchiolitis.


1. AAP, CLINICAL PRACTICE GUIDELINE. Diagnosis, Management, and Prevention of Bronchiolitis. Pediatrics 2014
2. NICE Bronchiolitis in children: diagnosis and management 2015
3. Kavita Parikh, Matthew Hall, and Stephen J. Teach. Bronchiolitis Management Before and After the AAP Guidelines. Pediatrics 2014; 133:1 e1-e7; published ahead of print December 2, 2013, doi:10.1542/peds.2013-2005
4. Ayobami T. Akenroye, Marc N. Baskin, Mihail Samnaliev, and Anne M. Stack. Impact of a Bronchiolitis Guideline on ED Resource Use and Cost: A Segmented Time-Series Analysis. Pediatrics 2014; 133:1 e227-e234; published ahead of print December 9, 2013, doi:10.1542/peds.2013-1991
5. Callegaro S, Andreola B, Mastroiacovo P, et al. Quale aderenza alle raccomandazioni di una linea guida per la gestione della bronchiolite acuta? Risultati di uno studio multicentrico italiano. Pneumologia Pediatrica 2008;29:21-31.
6. R.Sacchetti, N.Lugli, S.Alboresi, M.Torricelli, O.Capelli, L.Borsari, A.Ballestrazzi. Studio osservazionale multicentrico sulla bronchiolite nella Regione Emilia Romagna (SOMBRERO). Medico e bambino 2015; vol.34 n.6:376-381

Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.