From the Research
Treatment for chemical pneumonitis from pool water should prioritize removing the person from exposure, providing supportive care, and considering corticosteroid therapy to reduce inflammation and morbidity, as evidenced by the most recent and highest quality study 1. The primary goal is to minimize morbidity, mortality, and improve quality of life. Key steps in management include:
- Removing the person from the source of exposure and taking them to an area with fresh air, as recommended by 2
- Monitoring oxygen levels and providing supplemental oxygen if necessary
- Irrigating exposed areas with uncontaminated fresh water for at least 15 minutes, as suggested by 2
- Considering medications such as bronchodilators like albuterol and corticosteroids like prednisone to reduce inflammation and open airways
- Hospitalization may be necessary for severe cases requiring intensive respiratory support It is essential to note that prevention is crucial, and pool chemicals should be properly balanced and stored, and swimming areas should be well-ventilated. The use of corticosteroids in the treatment of pneumonia, including chemical pneumonitis, has been shown to reduce mortality and morbidity in adults with severe community-acquired pneumonia, as demonstrated by 1. However, the decision to use corticosteroids should be made on a case-by-case basis, considering the severity of the exposure and the individual's overall health. In general, the treatment approach should prioritize supportive care, removal from exposure, and careful monitoring, with corticosteroid therapy considered for more severe cases, as supported by the highest quality evidence 1.