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Care of infants and children with bronchiolitis: a systematic review
1College of Nursing, Valparaiso University, Valparaiso, IN, USA. Suzanne.Zentz@valpo.edu
Insights
Bronchiolitis management in infants lacks evidence-based support, leading to varied treatments. This review identified best practices for pediatric bronchiolitis care, proposing clinical pathways to improve evidence implementation.
Area of Science:
- Pediatrics
- Infectious Diseases
- Respiratory Medicine
Background:
- Bronchiolitis is a leading cause of infant hospitalization.
- Current management strategies often lack robust evidence.
- Therapeutic efficacy varies widely among infants.
Purpose of the Study:
- To systematically review the best available evidence for infant and child bronchiolitis care.
- To identify evidence-based recommendations for managing bronchiolitis.
- To address the gap between evidence and clinical practice.
Main Methods:
- A comprehensive two-phase literature search was conducted.
- Twenty relevant publications were critically appraised.
- Systematic review methodology was employed.
Main Results:
- A significant body of evidence regarding bronchiolitis management was identified.
- Numerous evidence-based recommendations for care were revealed.
- Variability in current treatment approaches was confirmed.
Conclusions:
- Clinical practice for bronchiolitis management requires improvement.
- Evidence-based recommendations exist for pediatric bronchiolitis care.
- Implementing clinical pathways can facilitate the integration of evidence into practice.
Abstract:
Bronchiolitis is the most frequent cause of hospitalization in the infant population. Management varies widely, and the efficacy of many routinely implemented therapies is not supported by evidence. The purpose of the systematic review was to identify the best evidence available regarding the care of infants and children with bronchiolitis. A two-phase literature search was performed, and 20 publications were appraised. An abundance of evidence regarding management of bronchiolitis was revealed resulting in numerous recommendations. Use of a clinical pathway is proposed as a possible solution for moving this evidence into practice.
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