Alfin G. Vicencio, MD Attending in Pediatric Pulmonary at: Steven and Alexandra Cohen Childrens Med Center
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Bronchiolitis in Children Male: Many kids wheeze as babies. And wheeze as term as Bronchiolitis. What is Bronchiolitis mean? Alfin Vicencio: Bronchiolitis, this is really a very general term for inflammation in the airways that can cause small airway obstruction and it can be due to a variety of different causes. The most common of which probably is a viral infection. Male: Okay in this one particularly one that most kids get and you talk about that, the most commonly. Alfin Vicencio: The most common one that people talk about is respiratory syncytial virus or R.S.V. But over the past several years, there are a lot of other viruses that have come into play. For example, Rhino virus is one that previously we didn’t regularly test for but it’s probably becoming a little bit more important than most people hadn’t anticipate. Male: Even a common flu could be a trigger, is that true? Alfin Vicencio: Yes that’s true. Male: And since you’ve mentioned R.S.V. Every kid on the age of two probably gets R.S.V. Some will be mild, some will be severe and some of them get very sick. Who’s the high risk group for R.S.V.? Alfin Vicencio: The high risk groups are children with preexisting lung conditions, for example, children who were born prematurely, children with congenital heart diseases, children with immune deficiencies. But to be honest with you, there are a lot of genetic factors that we don’t quite understand right now that makes some people much, much more susceptible to severe R.S.V. infection than children and that’s something that we don’t completely understand right now. Male: For every time to premature we actually give a vaccine on a monthly basis during the high risk month, is that true? Alfin Vicencio: Yes. And trade name is Synagis and the generic name is Palivizumab and that’s something that helps to prevent this type of infection for high risk children. Male: Is it very effective? Alfin Vicencio: It is, it is. It’s something that really has decreased the hospitalization rate for a lot of children, particularly those born prematurely. Male: And after getting this R. S.V., many kids act almost like an asthmatic. They end up wheezing, frequent t attacks, you know why? Alfin Vicencio: Yes. Again that’s something does not completely understood right now. There are some people who believe that the virus itself predisposes one who is infected with it to develop asthma later in life. And there are some people who believe that people who are prone to asthma become more susceptible to becoming infected and that’s very difficult to sort some of those things out. As I mentioned before, there are some other viruses particularly Rhino virus which seems to show a very, very similar pattern and perhaps even more so than R.S.V. as far as the development of long term asthma.