Best Practice Bronchiolitis

Clinical Predictors of Hospital Admission in Children Aged 0-24 Months with Acute Bronchiolitis

BACKGROUND Bronchiolitis is a significant cause of acute morbidity in children less than 2 years old and some children with bronchiolitis are admitted to the hospital. AIMS AND OBJECTIVES To identify clinical predictors of hospital admission in children aged 0-24 months with acute bronchiolitis.   METHODS: All children in the age group of 0-24 months presenting with acute bronchiolitis to a ded...

Treatment of Acute Viral Bronchiolitis

Acute viral bronchiolitis represents the most common lower respiratory tract infection in infants and young children and is associated with substantial morbidity and mortality. Respiratory syncytial virus is the most frequently identified virus, but many other viruses may also cause acute bronchiolitis. There is no common definition of acute viral bronchiolitis used internationally, and this ma...

Clinical inquiries. What are hospital admission criteria for infants with bronchiolitis?

Inpatient bronchiolitis guideline implementation and resource utilization.

BACKGROUND Provider-dependent practice variation in children hospitalized with bronchiolitis is not uncommon. Clinical practice guidelines (CPGs) can streamline practice and reduce utilization however, CPG implementation is complex. METHODS A multidisciplinary team developed and implemented CPGs for management of bronchiolitis for children <2 years old. Children with comorbidities, ICU admiss...

Pulse oximetry may lead to unnecessary hospital admissions for infants with bronchiolitis and mild hypoxaemia.

Context Viral bronchiolitis is a leading cause for infants to be admitted to hospital. Hospitalisation rates for bronchiolitis increased more than twofold between 1980 and 2000, a period during which pulse oximetry was introduced into routine practice. Practice guidelines from the American Academy of Paediatrics have stressed that oxygen is not required in otherwise stable infants with saturati...