Talk:Bronchiolitis

Wiki Education Foundation-supported course assignment
This article was the subject of a Wiki Education Foundation-supported course assignment, between 21 October 2019 and 15 November 2019. Further details are available on the course page. Student editor(s): DocWock. Peer reviewers: Dhushla.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 16:18, 16 January 2022 (UTC)

I
I would like to start a discussion to discuss the final paragraph of this section on treatment, regarding the utility of Ribaravin as a treatment for RSV/bronchiolitis. On the RSV wiki page, it is stated that the evidence FOR ribaravin in RSV infection has been brought into question by multiple studies, and goes on to say that most institutions do not use it anymore. This is a slight contrast to the more positive attitude to this drug on the bronchiolitis page. While I am not in a position to correct either statement, I feel discussion may be appropriate to try and correct this apparent disparity.;. cheers Mtresillian 05:49, 2 July 2007 (UTC)

The wheeze is.... EXPIRATORY!!
Please include that it's expiratory. Also please don't forget about crackles due to exudation 156.22.3.1 (talk) 01:32, 24 May 2015 (UTC)

Lancet seminar
10.1016/S0140-6736(16)30951-5 JFW &#124; T@lk  08:21, 2 September 2016 (UTC)

WikiProject Medicine Fall 2019
Hello, I am currently a 4th year medical student taking a Wikiproject course, a course designed to enhance medical pages on Wikipedia through the WikiMed project. I hope to improve upon this article over the next four weeks and beyond. This page is of vital importance in the pediatric community as bronchiolitis is a common childhood illness and there appears to be a lack of widely available, high quality, information regarding this illness, especially in regards to therapies. By expanding and updating this page, I hope to enable parents and guardians to have a more educated discussion with their providers both in the clinic and emergency department about the care of their child. Below I will outline the sections that I will be working on for the next four weeks. I will draw much of my information from newer systematic reviews, meta-analyses, and the 2014 American Academy of Pediatrics clinical practice guidelines (which have been reaffirmed in 2019 by the American Academy of Family Physicians).

Introduction: The beginning of this article has a strong outline structure with up to date information. I will update as needed to reflect the new data in the rest of the article.

Signs and Symptoms: I will expand on the signs and symptoms to reflect any new consensus of the constellation of symptoms. I will also add a subsection on complications, hospitalization indications, and clinical course if time allows.

Causes: I would like to expand the risk factors. I would also like to add the osmosis video on bronchiolitis from wiki media commons to aid in explanation.

Diagnosis: I would like to expand the laboratory testing section as well as add a section on differential diagnosis.

Prevention: I will expand on the use of palivizumab for prevention and discuss tobacco smoke exposure.

Management: The bulk of the work will be here. I would like to bring up to date information from systemic reviews and meta-analyses to the following therapies: High flow nasal cannula and CPAP. Oxygen therapy in general. Deep suctioning. Chest physiotherapy. Steroids (oral and inhaled), bronchodilators, epinephrine, antibiotics, fluids, intubation, anti-leukotrienes, and alternative/complementary medicine (heliox, chinese herbal medicine).

Outcomes or prognosis: I would like to add this section if time allows as I feel it would be helpful for those seeking information on the illness to know the typical outcomes.

Epidemiology: I will expand as needed and briefly discuss adult bronchiolitis if time allows. I do not want to discuss adult bronchiolitis in detail as true "bronchiolitis" in adults is rare and is better discussed under sections such as bronchiolitis obliterans or constrictive bronchiolitis.

I would enjoy if anyone would like to participate in this process and I am open to questions, concerns, or edits. Thank you for your time and effort.

DocWock (talk) 22:51, 22 October 2019 (UTC)

WikiProject Peer Review
Good afternoon DocWock,

I am reviewing your article based on the outline you have provided and guidelines in place from WikiProject Medicine.

Introduction: The introduction is concise and well written. I know this section was already sufficient so I won't go into great detail here. However, I believe it flows well and contains all of the introductory information needed to outline the article.

Signs and symptoms: This section is well written and the bullet formatting provides a concise way to lay out the information. The only thing I would consider adding to this section is how to determine if a child should be hospitalized. I see you have this as a potential point you might add and I think it would benefit the article. It is included in the management so consider just moving that information to this section to provide more clarity.

Causes: The osmosis video is a great addition to the article! I think the video provides good source information. The expansion of risk factors also bolsters the content of this section. Great job!

Diagnosis: I think the differential diagnosis is important and a great addition to the article. I also think that the audio clip of a wheezing is important as it is an important physical examination finding in bronchiolitis, not just crackles as previously thought. I would indicate in the file if this is an audio clip of a child.

Prevention: You executed your plan of expanding this section well. Your information on Palivizumab is well written and definitely strengthens the article. I also feel that your information on cigarette smoking for parents is very beneficial especially as many parents may not understand that smoking outside of the home is still is a risk factor.

Management: The management section was heavily updated and the work done here is great. You did an excellent job looking into the literature and detailing what the current evidence shows on the effectiveness of various treatments. One line "The majority of evidence suggests that hypertonic saline is safe and effective at improving respiratory symptoms of mild to moderate bronchiolitis after 24 hours of use but does not appear effective in reducing the rate of hospitalization when used in the emergency room or other outpatient settings in which length of therapy is brief.", is over the readability guidelines of 26 words so I would suggest just making this 2 sentences. However, you put a substantial amount of work in this section which significantly improves this article.

Outcomes and Prognosis: This section was not added. If you have time you could add it to the article, however I feel this is addressed in other sections and I would consider just adding a quick line in the introduction section regarding outcomes and prognosis.

Epidemiology: This section is complete and to the point. No further edits are necessary.

Non-effective: This section is well written and the bullet point formatting is appropriate. I would change the title of the section to potential future treatments to give it a more positive connotation.

Overall, you have done an excellent job improving this article. It is clear you have put a tremendous amount of work in improving it, and it clearly shows in the depth of information added. You have done well providing links to other articles, and the links from the citations that I investigated are working appropriately.

Dhushla (talk) 20:28, 13 November 2019 (UTC)

Corn
Skrrrrr 103.180.200.188 (talk) 10:14, 5 January 2023 (UTC)