For a patient with acute bronchiolitis caused by a viral infection, what is typically NOT recommended?

In the management of acute bronchiolitis, particularly when it is caused by a viral infection, antibiotic therapy is typically not recommended. The reason for this is that bronchiolitis is most often due to viral pathogens, with respiratory syncytial virus (RSV) being the most common culprit. Antibiotics are effective against bacterial infections, but they do not have any effect on viral infections. Therefore, using antibiotics for a viral condition does not provide any clinical benefit and can lead to unnecessary side effects and resistance.

In contrast, supportive care, hydration, and sometimes bronchodilator therapy may be used based on the severity of the symptoms and the clinical judgment of the provider. Supportive care typically includes measures such as managing fever, providing supplemental oxygen if the patient is hypoxic, and ensuring adequate hydration. While bronchodilators may be considered, their effectiveness is variable and not universally endorsed for all patients, particularly in mild cases. Nonetheless, they can be administered for symptomatic relief in certain situations.

Thus, the focus in treating acute bronchiolitis is primarily on supportive measures rather than antibiotic therapy, which is why the selection of antibiotic therapy as something that is typically not recommended is appropriate.