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Australasian bronchiolitis guideline.

Sharon O'Brien1,2, Meredith L Borland1,3, Elizabeth Cotterell4

  • 1Princess Margaret Hospital for Children, Perth, Western Australia, Australia.

Journal of Paediatrics and Child Health
|July 17, 2018
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
bronchiolitisguidelinemanagementpaediatricrespiratory

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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.