{ "schema_version": 1, "kind": "condition", "id": "acute-bronchiolitis", "name": "Acute Bronchiolitis", "category": "infectious", "sources": "MSF Essential Drugs 2024 - paracetamol (oral) · No dose - supportive care, no medicine given · Erickson EN, Bhakta RT, Tristram D, Mendez MD. Pediatric Bronchiolitis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Last Update: January 12, 2025. · AAP Clinical Practice Guideline: Bronchiolitis 2014 · NICE Guideline NG9: Bronchiolitis in children 2021", "review_status": "reviewed", "verified_against": "MSF Essential Drugs 2024 - paracetamol (oral) · No dose - supportive care, no medicine given · Pediatric Bronchiolitis - disease-level clinical article (bronchiolitis-infantile-clinical.txt)", "verified_date": "2026-08", "treatments": [ { "id": 35, "generic": "No drug therapy in primary care (Supportive care)", "line": 1, "is_adjunct": false, "form": null, "strength_mg": null, "adult_dose": "Bronchiolitis is a disease of infants, usually under 12 months. There is no effective drug treatment: management is small frequent feeds, nasal saline and suction if feeding is blocked, and watching the work of breathing.", "adult_duration": "Supportive, through the illness", "dose_source": "No dose - supportive care, no medicine given", "rationale": "Supportive care is the mainstay - hydration, feeding, nasal suctioning, and oxygen for hypoxaemia - alongside recognising the infant who is tiring. Steroids are not recommended, and antibiotics are reserved for clear evidence of a superimposed infection. Bronchodilators are not universally effective, though a trial of aerosolised salbutamol may be considered for an infant with severe respiratory compromise.", "cautions": [ "A DISEASE OF INFANTS - it does not occur in adults, so no adult regimen applies.", "Inhaled or oral steroids do not alter the course, and antibiotics are only for clear evidence of a superimposed infection. Bronchodilators are not universally effective, but a trial of aerosolised salbutamol may be considered, especially for an infant with severe respiratory compromise.", "Admit if feeding falls below roughly half of normal intake.", "RED FLAG - Apnoea episodes, marked respiratory distress with grunting, severe recession or nasal flaring, or poor feeding or dehydration." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "This IS the paediatric entry - the condition does not occur in adults. Admit if feeding drops below about half of normal, or if there is apnoea, grunting, marked recession or cyanosis.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [], "condition_id": "acute-bronchiolitis" }, { "id": 37, "generic": "Referral & safety-netting (no drug therapy)", "line": 1, "is_adjunct": false, "form": null, "strength_mg": null, "adult_dose": null, "adult_duration": null, "dose_source": "Pediatric Bronchiolitis - disease-level clinical article (bronchiolitis-infantile-clinical.txt)", "rationale": "Carries the referral criteria and warning signs for this condition, which apply whichever treatment is chosen.", "cautions": [ "RED FLAG - The criteria for hospitalization and supplemental oxygen are tachypnea >60 breaths/min, SpO2 <92%, or inability to feed." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": null, "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [], "condition_id": "acute-bronchiolitis" }, { "id": 36, "generic": "Paracetamol", "line": 2, "is_adjunct": true, "form": "oral.solid", "strength_mg": 500.0, "adult_dose": "For fever or discomfort in the infant, dosed by weight - see the paediatric calculation. Bronchiolitis does not occur in adults, so the adult column does not apply here.", "adult_duration": "As needed for pain or fever", "dose_source": "MSF Essential Drugs 2024 - paracetamol (oral)", "rationale": "Symptomatic relief of the pain and fever only. It does not treat the cause, and the dose is the same whatever the cause is.", "cautions": [ "Dose the INFANT by weight - the adult figure carried on other screens is not the dose here.", "Relief only - it does not treat what is causing the pain or fever.", "Check every other product the patient is taking for paracetamol; combination cold and flu preparations are the usual route to an accidental overdose.", "Reduce the dose in significant liver disease, chronic alcohol use, or low body weight.", "RED FLAG - Admit or refer the infant for apnoea episodes, marked respiratory distress with grunting, severe chest retraction or nasal flaring, poor feeding or dehydration, or low oxygen saturation or a bluish colour. A very young infant, or one with underlying heart or lung disease or prematurity, warrants a lower threshold for admission." ], "peds_mgkg_low": 15.0, "peds_mgkg_high": 15.0, "peds_max_mg": 500.0, "peds_basis": "dose", "peds_unit": "mg", "peds_note": "Child 1 month and over: 15 mg/kg per dose, 3 or 4 times daily, maximum 60 mg/kg daily. Child under 1 month: 10 mg/kg per dose, 3 or 4 times daily, maximum 40 mg/kg daily. MSF's own weight table gives one 500 mg tablet three times daily from 30 kg to under 50 kg, so 500 mg is the per-dose ceiling; the 60 mg/kg daily total still applies.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": [ { "weight_kg": 10, "low_mg": 150, "high_mg": 150, "capped": false }, { "weight_kg": 20, "low_mg": 300, "high_mg": 300, "capped": false }, { "weight_kg": 30, "low_mg": 450, "high_mg": 450, "capped": false }, { "weight_kg": 40, "low_mg": 500, "high_mg": 500, "capped": true } ], "brands": [ { "trade_name": "FEBRIMOL 500 MG 20 TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO", "price_egp": 3.5, "pack_count": 20, "unit_price": 0.17, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CETAMOL 500 MG 20 TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MEMPHIS", "price_egp": 8.0, "pack_count": 20, "unit_price": 0.4, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "PARACETAMOL-MUP 500MG B.P. 20 TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MUP", "price_egp": 13.0, "pack_count": 20, "unit_price": 0.65, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CETAL 500 MG 20 TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "EIPICO", "price_egp": 24.0, "pack_count": 20, "unit_price": 1.2, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "ARKADOLOW 500 MG 30 F.C. TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "UTOPIA", "price_egp": 42.0, "pack_count": 30, "unit_price": 1.4, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "PARAMOL 500MG 20 TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR", "price_egp": 38.0, "pack_count": 20, "unit_price": 1.9, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "ADOL 500MG 24 CAPLETS", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "JULPHAR", "price_egp": 32.0, "pack_count": null, "unit_price": null, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "AUGICETAMIDE 500 MG 20 SACHETS", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "AUG PHARMA", "price_egp": 50.0, "pack_count": null, "unit_price": null, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "FEBRIMOL ORAL DROPS 20 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO", "price_egp": 4.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": false, "exact_form": false, "discontinued": false, "also_contains": null }, { "trade_name": "THERA-LO 3.2G/100ML ORAL SUSP. 100 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHAROPHARMA", "price_egp": 5.0, "pack_count": null, "unit_price": null, "strength_mg": 3200.0, "exact_strength": false, "exact_form": false, "discontinued": false, "also_contains": null } ], "condition_id": "acute-bronchiolitis" } ] }