Bronchiolitis Clinical Trial
Official title:
Double Blinded Controled Study:Treatment With Adrenaline Inhalation Versus Nasal Decongestant Drops for Bronchiolitis
This was a randomized, double blinded, controlled trial. The aim of the study was to compare
xylometazoline HCL nasal drops to inhalation of epinephrine as a treatment for
bronchiolitis.
The study hypothesis is:xylometazoline HCL nasal drops treatment is good as epinephrine
inhalation for treatment of bronchiolitis.
Signed informed consent was obtained from a parent of each child. And the human ethics
committee of our hospital approved the study according to the principles of the Declaration
of Helsinki.(Approved - 2002)
Patients:
65 infants who were admitted to Pediatric A- a general pediatric ward, in Schneider
Children's Medical Center because of bronchiolitis during winter in two consecutive years
2004-2005.
The inclusion criteria were: Full term previously healthy Infants, ages 1-12 months, after
informed consent was signed with clinical presentation of mild to moderate bronchiolitis
according to a clinical score .Exclusion criteria were as follows: prematurity, congenital
lung or cardiac disease, infants who had past hospitalization due to respiratory illness and
severe bronchiolitis (score>7 with a range scale 0-10).
All eligible patients were randomly assigned to one of two groups: Group 1 (control)
received inhalation of epinephrine 1mg, in 2cc of 0.9% saline solution four times a day, and
nasal drops of 0.9% saline for each nostril every twelve hours. Group 2 - the study group
received four inhalation of 0.9% saline four times a day and one nasal drop of
xylometazoline HCL to each nostril twice a day. This treatment continued until the patient
was ready for discharge.
Patients were examined and evaluated at the study entry and were re-evaluated every 10-12
hours. Length of hospital stay,time to improve Oxygen saturation, time to the need of IV
fluid and clinical score between the two groups of treatment were compared.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Caregiver, Investigator), Primary Purpose: Treatment
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