Última revisão: 24 Out 2020
Última atualização: 29 Jan 2019

Resumo

Definição

História e exame físico

Principais fatores de diagnóstico

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

Outros fatores de diagnóstico

  • rinite
  • achados clínicos variáveis
  • febre <40 °C (<104 °F)
  • apneia

Fatores de risco

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

Exames diagnósticos

Exames a serem considerados

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

Novos exames

  • testes de função pulmonar em lactentes
Mais novos exames

Algoritmo de tratamento

Colaboradores

Professor

Division of Pulmonary Medicine

Children's Hospital of Philadelphia

Philadelphia

PA

Divulgações

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. He is a contributing author on the American Thoracic Society's Statement on the Care of the Child with Chronic Lung Disease of Infancy (cited in this topic) and receives royalties from Up-To-Date for the review of two topics.

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.

Colegas revisoresMOSTRAR TODOS

Professor of Pediatrics

Women and Children's Hospital

Buffalo

NY

Divulgações

RW declares that he has no competing interests.

Wyeth Research Scholar Professor and Chair

Department of Pediatrics

WVU School of Medicine

Physician-in-Chief

WVU Children's Hospital

Morgantown

WV

Divulgações

GP declares that he has no competing interests.

Professor of Pediatrics

Infectious Disease

Department of Pediatrics

Tufts-New England Medical Center

Boston

MA

Divulgações

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

Professor of Paediatric Respiratory Medicine

University of Bristol

Bristol

UK

Divulgações

JH declares that he has no competing interests.

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