Acute wheeze in the under 5s - does burst therapy reduce admissions to hospital and the need for escalation to intravenous medications?

Report By: Karina Daud and Carly Reynolds - ST4 in Paediatrics
Search checked by viral induced wheeze, burst therapy, bronchodilators - As above.
Institution: Barnet and Chase Farm Hospitals NHS Trust, Luton and Dunstable Hospital NHS Foundation Trust
Date Submitted: 18th April 2013
Last Modified: 18th April 2013
Status: Red (incomplete)

Three Part Question

In [children under 5 years of age presenting with viral induced wheeze to A+E], does [burst therapy with salbutamol and ipratropium bromide via nebuliser or spacer] [reduce the rate of hospital admissions and need for escalation of wheeze treatment]?

(Burst therapy = 3x 2.5mg salbutamol and 1x 250micrograms ipratropium OR 3 x 10puffs salbutamol and 1x 2-4 puffs ipratropium)