Literature DB >> 35863042

Pediatricians' Attitude in Management of Acute Bronchiolitis: Did Guidelines Overcome Practices?

Ayse Gultekingil1, Emre Gocer1, Murat Anil2, Hasan Agin3, Ayse B Anil2, Rana Işguder3, Funda Kurt4, Feyza Incekoy-Girgin5, Nilgun Erkek6, Fatih Durak2, Halise Akca7, Emel Berksoy2, Aytac Goktug8, Ilker Gunay3, Oksan Derinoz9, Nilufer Yalindag-Ozturk5, Ebru Azapagasi8, Gulser E Besli10, Caglar Odek11, Deniz Tekin8, Oguz Dursun6, Tanil Kendirli8, Ozlem Teksam1.   

Abstract

Background: Acute bronchiolitis is one of the most common diseases of early childhood. There are many recent changes in the treatment of acute bronchiolitis. The aim of this study is to evaluate treatment approaches to acute bronchiolitis among clinicians and to observe compliance with clinical guidelines. Materials and
Methods: Our study was designed as a multicenter cross-sectional descriptive study. A cohort of pediatric residents, fellows, and attendants were surveyed with a questionnaire including general and occupational characteristics of pediatricians and treatment choices in acute bronchiolitis.
Results: A total of 713 questionnaires were collected. Most commonly applied treatment among pediatricians was inhaled salbutamol, followed by intravenous hydration, hypertonic saline, and inhaled steroid. Most commonly preferred treatment in the management of mild bronchiolitis was oral hydration and inhaled salbutamol in severe bronchiolitis.
Conclusion: Although recent guidelines for the treatment of acute bronchiolitis does not support the use of many different therapies, pediatricians still tend to use them, especially bronchodilators, corticosteroids, and antibiotics.

Entities:  

Keywords:  bronchiolitis; children; guideline; infant; treatment

Year:  2020        PMID: 35863042      PMCID: PMC8443258          DOI: 10.1089/ped.2020.1141

Source DB:  PubMed          Journal:  Pediatr Allergy Immunol Pulmonol        ISSN: 2151-321X            Impact factor:   0.885


  20 in total

1.  Bronchodilators should be considered for all patients with acute bronchiolitis, but closely monitored for objectively measured clinical benefits.

Authors:  Carlos E Rodriguez-Martinez; Jose A Castro-Rodriguez
Journal:  Acta Paediatr       Date:  2015-06-19       Impact factor: 2.299

2.  Decreasing unnecessary utilization in acute bronchiolitis care: results from the value in inpatient pediatrics network.

Authors:  Shawn Ralston; Matthew Garber; Steve Narang; Mark Shen; Brian Pate; John Pope; Michele Lossius; Trina Croland; Jeff Bennett; Jennifer Jewell; Scott Krugman; Elizabeth Robbins; Joanne Nazif; Sheila Liewehr; Ansley Miller; Michelle Marks; Rita Pappas; Jeanann Pardue; Ricardo Quinonez; Bryan R Fine; Michael Ryan
Journal:  J Hosp Med       Date:  2012-10-09       Impact factor: 2.960

3.  A Multicenter Collaborative to Reduce Unnecessary Care in Inpatient Bronchiolitis.

Authors:  Shawn L Ralston; Matthew D Garber; Elizabeth Rice-Conboy; Grant M Mussman; Kristin A Shadman; Susan C Walley; Elizabeth Nichols
Journal:  Pediatrics       Date:  2015-12-01       Impact factor: 7.124

4.  Management of acute bronchiolitis in emergency wards in Spain: variability and appropriateness analysis (aBREVIADo Project).

Authors:  Carlos Ochoa Sangrador; Javier González de Dios
Journal:  Eur J Pediatr       Date:  2012-02-21       Impact factor: 3.183

5.  Management of bronchiolitis in the emergency department: impact of evidence-based guidelines?

Authors:  Lara W Johnson; Janie Robles; Amanda Hudgins; Shea Osburn; Devona Martin; Amy Thompson
Journal:  Pediatrics       Date:  2013-03       Impact factor: 7.124

Review 6.  A meta-analysis of randomized controlled trials evaluating the efficacy of epinephrine for the treatment of acute viral bronchiolitis.

Authors:  Lisa Hartling; Natasha Wiebe; Kelly Russell; Hema Patel; Terry P Klassen
Journal:  Arch Pediatr Adolesc Med       Date:  2003-10

7.  Variations in bronchiolitis management between five New Zealand hospitals: can we do better?

Authors:  A M Vogel; D R Lennon; J E Harding; R E Pinnock; D A Graham; K Grimwood; P K Pattemore
Journal:  J Paediatr Child Health       Date:  2003 Jan-Feb       Impact factor: 1.954

Review 8.  Pharmacologic treatment of bronchiolitis in infants and children: a systematic review.

Authors:  Valerie J King; Meera Viswanathan; W Clayton Bordley; Anne M Jackman; Sonya F Sutton; Kathleen N Lohr; Timothy S Carey
Journal:  Arch Pediatr Adolesc Med       Date:  2004-02

9.  Variation in the management of infants hospitalized for bronchiolitis persists after the 2006 American Academy of Pediatrics bronchiolitis guidelines.

Authors:  Todd A Florin; Terri Byczkowski; Richard M Ruddy; Joseph J Zorc; Matthew Test; Samir S Shah
Journal:  J Pediatr       Date:  2014-07-09       Impact factor: 4.406

10.  Management of acute bronchiolitis: can evidence based guidelines alter clinical practice?

Authors:  J Barben; C E Kuehni; D Trachsel; J Hammer
Journal:  Thorax       Date:  2008-08-22       Impact factor: 9.139

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.