Abstract
PURPOSE: Viral bronchiolitis in infants is an acute obstructive disease of small airways. Asthma, defined as recurrent episodes of lower respiratory tract obstruction, is frequently viral induced in young children. Differentiating between bronchiolitis and asthma is thus often difficult for clinicians. While the benefits of bronchodilators and anti-inflammatory agents are proven in asthma, they are controversial in the management of bronchiolitis. Recurrent episodes of lower airway obstruction should raise the suspicion of asthma and should be treated as such.The purpose of this study was to evaluate whether the current therapeutic practice of Quebec paediatricians differed when treating first-time or recurrent episodes of bronchiolitis.
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