Prevalent respiratory disease: Allergic rhinitis, bronchiolitis, sinusitis and laryngitis
Reference of this article: Callén Blecua MT, Pardos Martínez C, Praena Crespo M. Prevalent respiratory disease: Allergic rhinitis, bronchiolitis, sinusitis and laryngitis. Rev Pediatr Aten Primaria. 2007;9 Supl 2:S49-56.
Published in Internet: 30-06-2007
The respiratory pathology represents for the paediatrician a heavy work because of its great
Allergic rhinitis, sinusitis, laryngitis and bronchiolitis are diseases that must be approached
under the prism of the best evidences that the investigation puts to our reach. Allergic rhinitis
affects to 10-25% of the general population and although it isn?t a serious disease, it has great
importance because of the impact on the quality of life and the school performance. Its etiologic
diagnosis is necessary due to its implications on treatment. The diagnosis of the acute bacterial
sinusitis (ABS) in paediatrics is clinical and the use of simple radiology is not indicated.
The antibiotic use in the ABS depends on the pattern of local bacterial sensitivity and the antihistaminic
drugs should not be used, because they make difficult the drainage of secretions.
The diagnosis of the laryngitis is clinical and it must be differentiated from the epiglottitis,
of little present incidence due to the vaccine against haemophilus. In the treatment of the laryngitis,
adrenalin and budesonide in nebulization and systemic dexamethasone have shown their
effectiveness. The diagnosis of bronquiolitis is based on clinical history and exploration: severity
scales have not been validated to predict the clinical course. Systemic corticoids neither alter
the course of the disease nor diminish the number of admissions. The adrenaline and the
beta-agonists do not diminish the admissions or the days of stay in the hospital, but they can
be used if there is some improvement after an essay.
Keywords● Bronchiolitis ● Child ● Laryngitis ● Primary Care ● Rhinitis ● Sinusitis