01484nam a2200265   4500001000800000005001700008007000300025008004100028040000800069041000800077100003200085245008800117300002300205520064100228650001800869650001600887650003500903650004200938650003100980650002401011700002601035773010901061942003101170999001701201ESSALUD20260821151047.0ta      t        pe ||||| |||| 00| 0 spa d  aBMG  aeng  aBush, Andrew eAutor954284  aNo to azithromycin for preschoolers with acute wheezing in the emergency department  apáginas: 818-820  aAcute wheezing attacks are common in preschool-age children. These attacks lead to impaired quality of life and are associated with trajectories of poor lung function that may be lifelong, especially in children who are exposed to tobacco smoke and have allergic sensitization. Despite increased focus on phenotype-driven long-term therapy for asthma across the developmental spectrum, until recently, all acute wheezing attacks have been assumed to be the same and to warrant treatment with oral glucocorticoids. These assumptions have been challenged by data from adults showing that some, but not all, acute attacks are eosinophilic.  aALERGIA97055  aASMA 99753  aENFERMEDADES INFANTILES953890  aMEDICINA CLÍNICA AMBULATORIA953762  aPEDIATRÍA GENERAL954247  aNEUMOLOGÍA925628  aSaglani, Sejal9542850 022717922650dMassachusetts NEJM GroupoNEJM12tThe New England Journal of Medicine wESSALUDx0028-4793  cARTICULOSe2026-08-21zsqb  c22859d22859