L’ uso precoce dei broncodilatatori nella bronchiolite non ne modifica gli esiti

Abstract

Early use of bronchodilators in Bronchiolitis doesn’t change outcomes A large retrospective multicenter study (446,696 emergency room visits of children with bronchiolitis) conducted in 3rd-level hospitals in the USA confirms that early use of bronchodilators doesn’t change outcomes, it doesn’t change the rate of hospitalization and return to the Emergency Department, it doesn’t reduce the percentage of invasive and non-invasive ventilation or hospitalization in Intensive Care Unit. The indication not to use this therapy, suggested by the AAP Guidelines and partially by an Italian consensus, does not yet seem part of the therapeutic habits of all Italian pediatrics.