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Bronchiolitis in the community in children aged between 2 months and 2 years
Bronchiolitis is a major cause of respiratory morbidity in young children and usually affects children younger than 2 years; peak age is infants between 3 and 6 months. Peak season is usually between November and March, but also between March and July. Bronchiolitis is the most common cause of hospital visits in infancy, leading to significant morbidity, and even mortality, putting pressure on paediatric wards and emergency and intensive care units. Respiratory syncytial virus (RSV) accounts for up to 80% of cases. Investigations usually are not required. Treatment is symptomatic in the vast majority of bronchiolitis cases. Proper history and examination will help to determine the correct diagnosis and ultimately the most appropriate treatment. If community physicians are able to diagnose bronchiolitis with certainty, are aware of the referral criteria and are able to educate the parents, bronchiolitis can be managed at home, which may help decrease pressure on hospitals.