Benzalkonium Chloride in Albuterol Solutions: Time for a Change?

AD Woolf, SF Manzi - Pediatrics, 2020 - publications.aap.org
Benzalkonium chloride (BAC), a quaternary ammonium compound, is a common
antimicrobial agent used in many everyday household products. It kills on contact most …

Are β-adrenergic bronchodilators safe?

PA Eggleston - Pediatrics, 1997 - publications.aap.org
Since the introduction of β 2-selective adrenergic drugs in the 1960s and the development of
the metered-dose inhaler (MDI) delivery system, these agents have rapidly become the most …

Inner-city availability of preservative-containing albuterol

M Reznik, I Sharif, PO Ozuah - Clinical pediatrics, 2004 - journals.sagepub.com
Benzalkonium chloride (BAC) added to nebulized albuterol may induce bronchospasm. The
objective of this study was to determine the availability of BAC-containing nebulized …

Adverse effects of bronchodilators in infants with bronchiolitis

S Mukherjee, K Rutter, L Watson… - The Journal of …, 2015 - meridian.allenpress.com
In a recently published systematic review and meta-analysis, which included 30 trials
representing 1992 infants with bronchiolitis, the authors concluded that bronchodilators such …

The recommendation to not use bronchodilators is not supported by the evidence

P Walsh, SJ Rothenberg - Pediatrics, 2015 - publications.aap.org
The guideline authors imply that our randomized controlled trial in 703 children with
bronchiolitis supports their assertion that “clinical scores may vary from between observers” …

Benzalkonium chloride: a bronchoconstricting preservative in continuous albuterol nebulizer solutions

S Prabhakaran, M Abu‐Hasan… - … : The Journal of Human …, 2017 - Wiley Online Library
For convenience, many pediatric hospitals are preparing solutions for continuous nebulized
albuterol using the 0.5% 20‐ml multidose albuterol dropper bottle. This product contains …

Continuous albuterol with benzalkonium in children hospitalized with severe asthma

MC Pertzborn, S Prabhakaran, M Abu-Hasan… - …, 2020 - publications.aap.org
METHODS: We performed a retrospective cohort study comparing the clinical outcomes of
patients< 18 years of age receiving continuous nebulized albuterol with and without BAC …

Let them breathe: a plea to pediatricians to advocate for stock inhaler policies at school

AA Pappalardo, LB Gerald - Pediatrics, 2019 - publications.aap.org
Although all 50 states permit children with asthma to self-carry personal inhalers, access to
emergency inhalers may be as low as 14%. 1 Every child could have access when needed if …

Bronchiolitis

J DiTraglia - Archives of pediatrics & adolescent medicine, 2004 - jamanetwork.com
We appreciate Dr DiTraglia's observation that there appeared to be a conflict between the
conclusions of our systematic reviews on the diagnosis and treatment of bronchiolitis1, 2 …

When the nebs aren't helping: paradoxical bronchoconstriction due to preservative in continuous albuterol nebulizer solution

M Currie, C Jordan, C Loughlin - C62. PEDIATRIC CASES I, 2016 - atsjournals.org
Albuterol is routinely administered via continuous nebulization for the treatment of status
asthmaticus. However, the preservative benzalkonium chloride (BAC) is present in some but …