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Published on: November 4, 2010
Clinical assessment and management of children with bronchiolitis
Rhian Stevens1, Lucille Kelsall-Knight1
1School of Nursing, University of Birmingham, Birmingham, England.
Insights
Bronchiolitis, a common viral illness in young children, requires increased attention due to predicted respiratory surges and COVID-19 impacts. This article aids nurses in managing bronchiolitis, covering its causes, risks, and care strategies.
Area of Science:
- Pediatrics
- Infectious Diseases
- Respiratory Medicine
Background:
- Bronchiolitis is a frequent seasonal viral infection affecting infants and children under two.
- Its importance is heightened by anticipated winter respiratory illness surges and ongoing COVID-19 pandemic effects on anxiety and transmission.
- Children's nurses play a critical role in providing care and support to affected families.
Purpose of the Study:
- To equip children's nurses with comprehensive knowledge to manage bronchiolitis during a potential surge.
- To summarize key aspects of bronchiolitis, including pathophysiology, risk factors, transmission, diagnosis, and management.
- To address the impact of the COVID-19 pandemic on healthcare systems, children, and families regarding this illness.
Main Methods:
- Review of current literature on bronchiolitis.
- Analysis of recent national policy changes related to bronchiolitis management.
- Consideration of the COVID-19 pandemic's influence on pediatric respiratory illness and healthcare.
Main Results:
- The article provides a summary of bronchiolitis pathophysiology, risk factors, transmission routes, and diagnostic criteria.
- It outlines current clinical management strategies for bronchiolitis in children.
- Recent national policy updates relevant to bronchiolitis care are included.
Conclusions:
- Children's nurses need updated information to effectively manage bronchiolitis, especially during periods of increased respiratory illness.
- Understanding the interplay between bronchiolitis, seasonal viral surges, and the COVID-19 pandemic is crucial for optimal patient care.
- This resource supports nurses in preparing for and responding to the challenges of managing pediatric bronchiolitis.
Abstract:
Bronchiolitis is a common seasonal viral illness in babies and children aged under two years. Its significance has increased in the light of a predicted surge in respiratory illness in children this winter and the continuing effect of the coronavirus disease 2019 (COVID-19) pandemic on parental anxiety and cross-infection. Children's nurses will have a central role in delivering high-quality care and support to children and families during this time. To support children's nurses to prepare for a surge, this article summarises the pathophysiology of bronchiolitis, risk factors, transmission, diagnosis and clinical management of children with the illness, including recent national policy changes. It also considers the potential effect of the COVID-19 pandemic on the healthcare system, children and families.
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