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Bronchiolitis — RACP Paediatrics MCQ

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HardRespiratoryBronchiolitisRACP Paediatrics

An 8-week-old infant born at 28 weeks gestation presents with increasing apnoeas during a period of coryzal symptoms in winter. RSV antigen testing is positive. Besides supportive care, which additional factor is most important to consider?

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Correct answer: D — The infant may need caffeine citrate for apnoea of prematurity

Ex-premature infants (<32 weeks) are at high risk of apnoea with RSV bronchiolitis due to central and obstructive mechanisms. Caffeine citrate may be indicated for recurrent apnoeas. Palivizumab is prophylactic and not a treatment. Corticosteroids and ribavirin have no role in routine bronchiolitis management.

Reference: PREDICT Network – 2025 – Australasian Bronchiolitis Guideline: 2025 Update