Other risk factors are also environmental. «Children who live in crowded environments, or in large families, or i children who have little brothers and sisters who attend kindergarten, are considered more at risk – the National Secretary of the SIP continues – Studies have shown that children who have siblings under 5 years of age have a greater risk of undergoing a more severe form of bronchiolitis “.
What are the symptoms of RSV and the red flags to look out for
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The VRS virus presents similar symptoms to those of others viral respiratory infections: runny nose, dry and irritating cough and fever (in most cases not high). Subsequently, the signs of a may appear reduction in nutrition and then difficulty in breathing.
Bronchiolitis – the SIP experts point out – is in fact a dynamic disease, that is, it can have one rapid evolution.
“It almost always starts with a simple cold which then goes to degenerate – specifies Dr. Bozzola – From a cold you also start having a cough, then coughing more and more insistent until you get to a real picture of bronchiolitis”.
The Italian Society of Pediatrics also indicates those who are the alarm bells to lend to attention and that may make hospitalization necessary: in addition to the reduction of nutrition, also the presence of episodes of apnea (i.e. moments of interruption of the breath) and the appearance of a real breathing difficulty.
«The child to try to survive uses everything he has in his possession for to breathe – explains Dr. Bozzola – that is, it also uses the accessory muscles, for this reason among the signals to look out for are the intercostal re-entries: it is as if the chest moves like an accordion because it tries to let more air through. As you can see reentry to the jugular that make it that is the dimple between the neck and the sternum is more marked. Finally, there is talk of breathing in the nasal fins because the child in this situation also uses his nose to breathe ».
For this reason, close monitoring by the treating pediatrician who can also establish the possible need for hospitalization is essential. Like is being treated a newborn in that case?
«The child is first of all placed in hydration – concludes Dr. Bozzola – a phlebotherapy, to avoid excessive water loss; therefore it is expected oxygen therapy with mask or cannula. Only in the most complicated cases is the intensive care».
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