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Published on: July 10, 2012
Australasian bronchiolitis guideline
Sharon O'Brien1,2, Meredith L Borland1,3, Elizabeth Cotterell4
1Princess Margaret Hospital for Children, Perth, Western Australia, Australia.
This study developed an evidence-based guideline to standardize bronchiolitis management in infants across Australasia. The guideline aims to improve consistency in treating this common respiratory illness in young children.
Area of Science:
- Pediatrics
- Respiratory Medicine
- Evidence-Based Medicine
Background:
- Bronchiolitis is a frequent lower respiratory tract illness in infants under 12 months.
- Significant variations in clinical practice exist for bronchiolitis management.
- There is a need for consistent, evidence-based treatment protocols.
Purpose of the Study:
- To develop an evidence-based clinical practice guideline for bronchiolitis management.
- To improve the consistency and alignment of care for infants with bronchiolitis in Australasia.
- To provide clear guidance for healthcare professionals managing bronchiolitis.
Main Methods:
- A multidisciplinary committee with geographical representation developed the guideline.
- Literature search conducted from 2000-2015, focusing on PICO questions.
- Evidence graded using National Health and Medical Research Council (NHMRC) and Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodologies.
- Consensus achieved through nominal group technique; guideline reviewed and endorsed by key pediatric bodies.
Main Results:
- A user-friendly clinical guideline with evidence summaries and tables was created.
- The NHMRC and GRADE frameworks ensured a systematic and transparent literature review.
- The guideline is tailored for the Australasian clinical setting.
Conclusions:
- This is the first comprehensive Australasian guideline for acute pediatric care.
- Provides clear management recommendations for most bronchiolitis cases in emergency departments and general pediatric wards.
- Aims to standardize and enhance the quality of care for infants with bronchiolitis.
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