This is for anyone looking after a baby or child with bronchiolitis.
What is bronchiolitis?
Bronchiolitis is an infection of the smallest breathing airways (bronchioles) in the lungs.
It is caused by an infection (a virus) which causes the airways to become swollen and full of mucous. This can lead to breathing difficulties. As with many infections, it can easily spread from child to child.
Who gets bronchiolitis?
Bronchiolitis affects babies and children aged 0 to 2 years. It affects about 1 in 3 babies less than 1 year old.
It is usually mild and gets better without treatment, but some babies develop more serious symptoms. About 3 in 100 cases need admission to hospital.
Babies at risk of developing more serious symptoms include
newborn babies and premature babies
infants who already have heart, lung or immune conditions
children with Down’s Syndrome.
What are the symptoms?
Symptoms vary but they can include one or more of the following:
cold symptoms: runny nose, cough, mild fever
rasping and persistent dry cough
noisy breathing (wheezing)
fast breathing, difficulty breathing
your baby may feed less, vomit after feeding and have fewer wet nappies.
Bronchiolitis usually starts as a cold. Breathing problems and a cough develop 2 to 3 days later (although your baby may not experience breathing or feeding difficulties).
How long does bronchiolitis last?
Bronchiolitis usually lasts for 1 to 2 weeks, but the cough can last for 3 weeks. Symptoms tend to be worse between 3 to 5 days from the start of the illness and then gradually improve.
What treatment is available?
Bronchiolitis is self-limiting. This means the body’s immune system fights the infection and it gets better on its own. There is no medicine to kill the virus and antibiotics are not effective.
In more serious cases your baby may be admitted to hospital for the following treatments:
nasogastric tube feeds. This means a tube is passed into your baby’s nostril and down into their stomach so they can be given milk feeds without their having to make an effort.
a small number of babies need to be transferred to Paediatric Intensive Care where specialist machines can help with their breathing.
What can I do if I think my baby has bronchiolitis?
Contact yourGP or call NHS 111 if you are worried or your baby is experiencing any of the following:
they are not feeding normally (they have taken less than half their usual amount during the last 2 or 3 feeds)
they are less than 3 months old and have a temperature of 38 degrees C or above
they have not had a wet nappy for 12 hours or more
they are breathing faster than usual
they have a persistent temperature of 38 degrees C or above (regardless of their age)
they seem tired or irritable (difficult to comfort).
Call 999 immediately if you notice any of the following
your baby is struggling to breathe. They may grunt or pull in their chest muscles when they breathe (breath with their tummies or use a seesaw pattern of breathing).
your baby is having regular short pauses in their breathing
your baby’s skin on the inside of their lips or under their tongue turns blue
you are unable to wake your baby, or if woken they do not stay awake.
What can I do to help my baby if they are well enough to stay at home?
If your baby is well enough to be looked after at home you can do the following.
Give them smaller feeds more often. They may get tired during large, long feeds.
If they have a high temperature of 38 degrees C or above, you can give them paracetamol (for example Calpol) or ibuprofen (for example Nurofen). Always check the packet and follow the correct dose for their age.
Expose their chest or tummy to assess their breathing [???]
How can I reduce the spread of bronchiolitis?
Bronchiolitis is highly infectious, so avoid contact with other babies, especially those who are at risk of becoming seriously unwell. You can also do the following.
Wash your and your child’s hands frequently.
Wash or wipe toys and surfaces regularly.
Keep infected children at home until their symptoms have improved.
Keep newborn babies away from people with colds or flu.
Avoid smoking around your child. Do not let others smoke around them.
Paediatric Emergency Department (part of your nearest A&E)
Please speak to a member of staff before or during your visit to the hospital if you require translation.
Please contact the Patient Experience Team on 020 8934 3850 if you need this information in a different format.
For information accessibility please visit Kingston Hospital AccessAble www.accessable.co.uk/kingston-hospital-nhs-foundation-trust
Visit the hospital website, ask a member of staff, or ring us for details.
Switchboard 020 8546 7711
‘Find Us’ page for maps, transport, registering a blue badge, disabled access
Information, advice and support for patients and relatives (PALS) 020 8934 3993
Please speak to a member of staff before or during your visit to the hospital if you require translation support to access Patient Information. Please ring the phone number on your appointment letter, if you have one.
Request More Information
Please contact the Patient Experience Team on 020 893 3850 if you need this information in a different format.
For detailed information on accessibility at Kingston Hospital visit Kingston Hospital AccessAble (https://www.accessable.co.uk/kingston-hospital-nhs-foundation-trust).
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