Última revisão: 3 Jul 2021
Última atualização: 03 Nov 2020

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • tosse
  • taquipneia
  • sibilância
  • retrações, gemência e batimento da asa do nariz

Outros fatores diagnósticos

  • rinite
  • achados clínicos variáveis
  • irritabilidade, mal-estar e baixa aceitação alimentar
  • febre <40 °C (<104 °F)
  • estertores
  • apneia
  • assincronia toracoabdominal

Fatores de risco

  • crianças <3 anos
  • meses do inverno
  • prematuridade ou displasia broncopulmonar
  • exposição passiva à fumaça de cigarro
  • desobstrução das vias aéreas e função prejudicadas
  • cardiopatia congênita
  • imunodeficiência

Investigações diagnósticas

Investigações a serem consideradas

  • detecção rápida de antígeno por ensaio de imunoadsorção enzimática (ELISA)
  • radiografia torácica
  • reação em cadeia da polimerase via transcriptase reversa (RT-PCR)

Novos exames

  • testes de função pulmonar em lactentes

Algoritmo de tratamento

Colaboradores

Autores

Howard Panitch, MD

Professor

Division of Pulmonary Medicine

Children's Hospital of Philadelphia

Philadelphia

PA

Declarações

HP is a consultant for the development of a portable ventilator by Philips Respironics. He is a member of the American Thoracic Society's Guideline Committee, Long-Term Oxygen Therapy for Infants and Children, and Chair of the American College of Chest Physicians' Home Based Mechanical Ventilation and Neuromuscular Disease NetWork, a member of the ATS guideline committee on bronchopulmonary dysplasia (BPD), and current new guideline committee updating the BPD Statement. He is a member of the planning committee of the Pediatric Assembly of the American Thoracic Society, and receives royalties from Up-To-Date for the review of two topics.

Agradecimentos

Professor Panitch would like to gratefully acknowledge Dr Isaac Desheng Liu, Dr Woon Li Seo, Dr Jennifer L. Nayak, Dr Caroline B. Hall, and Dr Clement L. Ren, previous contributors to this topic. IDL, WLS, JLN, and CLR declare that they have no competing interests. CBH is an author of a number of references cited in this topic.

Revisores

Robert Welliver, MD

Professor of Pediatrics

Women and Children's Hospital

Buffalo

NY

Declarações

RW declares that he has no competing interests.

Giovanni Piedimonte, MD

Wyeth Research Scholar Professor and Chair

Department of Pediatrics

WVU School of Medicine

Physician-in-Chief

WVU Children's Hospital

Morgantown

WV

Declarações

GP declares that he has no competing interests.

H. Cody Meissner, MD

Professor of Pediatrics

Infectious Disease

Department of Pediatrics

Tufts-New England Medical Center

Boston

MA

Declarações

HCM is an author of a number of references cited in this topic.

John Henderson, MBBS

Professor of Paediatric Respiratory Medicine

University of Bristol

Bristol

UK

Declarações

JH declares that he has no competing interests.

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