Document Release: Clinical Practice Guidelines on Diagnosing Persistent Wheeze in InfantsAugust 3, 2016 at 1:47 pm
“Official ATS American Thoracic Society Clinical Practice Guidelines: Diagnostic Evaluation of Infants With Recurrent or Persistent Wheezing” was published by the ATS in the Aug. 1 American Journal of Respiratory and Critical Care Medicine. Authors consider recommendations conditional, and suggestions for infants younger than 24 months with persistent wheezing despite treatment with bronchodilators, inhaled corticosteroids, or systemic corticosteroids include:
- An airway survey via flexible fiberoptic bronchoscopy.
- Bronchoalveolar lavage.
- 24-hour esophageal pH monitoring rather than upper gastrointestinal radiography.
- 24-hour esophageal pH monitoring rather than gastrointestinal scintigraphy.
- Video-fluoroscopic swallowing studies.