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EDITORIAL Managing Bronchiolitis and Respiratory Syncytial Virus Finding the Yellow Brick Road N THIS ISSUE OF THE ARCHIVES, THE 2 STUDIES BY lows it to benefit the common clinical expression of 1 2 Bordley et al and King et al clearly point out wheezing, whatever its genesis. the conundrums, confusion, and concerns re- Ribavirin is the only therapeutic agent currently ap- garding the currently available methods of di- proved for RSV infections in hospitalized infants. How- I agnosis and testing as well as pharmacologic ever, new pharmacologic modalities are in development therapies for bronchiolitis in young children. These well- based on advances in deciphering the conundrum of the designed reviews conclude that the present indications immune response to RSV, such as specific chemokine and 11-13 for testing and efficacy of the therapeutic modalities dis- cytokine blockers. Nevertheless, therapeutic agents cussed are insufficient. The results produce 2 major ques- are unlikely to provide a significant long-term effect on tions: Why is no benefit or efficacy demonstrated, and the health care burden from RSV. Morbidity during acute where do we go from here? infection may be diminished, but not the aftermath— The lack of effective approaches to management may the rowen
JAMA Pediatrics – American Medical Association
Published: Feb 1, 2004
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