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.

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