Bronchiolitis, Viral Clinical Trial
Official title:
Efficacy of Single Injection of Dexamethasone for Acute Bronchiolitis in Children Younger Than 2 Years Old: A Randomized, Double-Blind, Placebo Controlled Trial
The purpose of this study was to determine whether a single intramuscular injection of dexamethasone decreased the duration of symptoms of acute bronchiolitis in young children.
Acute bronchiolitis is an infection of the lower respiratory tract causing inflammation of
the small airways, leading to bronchiolar obstruction. Corticosteroids are frequently
prescribed as anti-inflammatory drugs. The usefulness of corticosteroids for this disease
remains controversial, despite many randomized controlled trials (RCTs). Recently, a
meta-analysis and systemic review showed significant improvement in clinical symptoms,
length of hospital stay and duration of symptoms in children with this disease after
treatment with various regimens of systemic corticosteroids.
Dexamethasone is a long acting corticosteroid with biologic half-life ranging from 36-72
hours. A single dose of dexamethasone has been the standard recommendation for the treatment
of croup which has a similar pathophysiology without evidence of adverse effects.
Furthermore, there is no previous report of this single dosage form of dexamethasone for the
treatment of acute bronchiolitis in young children.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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