What is the recommended management approach for an infant with mild bronchiolitis in a primary care setting?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025Updated: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

For an infant with mild bronchiolitis in a primary care setting, advise that bronchiolitis is usually self-limiting and symptoms peak between 3 and 5 days of onset .

Provide self-care advice, including using paracetamol or ibuprofen to treat distress caused by fever .

Encourage parents or carers to monitor the child's hydration, and advise continued breastfeeding if applicable .

Assess the child's oxygen saturation if pulse oximetry is available, but routine testing is not necessary for mild cases .

Advise parents/carers to watch for signs of deterioration, such as increased work of breathing, dehydration, or persistent hypoxia, and to seek medical help if these occur .

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