Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Standardizing the care of bronchiolitis

P M Adcock1, C L Sanders, G S Marshall

  • 1Division of Pediatric Infectious Diseases, Kosair Children's Hospital, Louisville, KY, USA.

Archives of Pediatrics & Adolescent Medicine
|August 13, 1998
PubMed
Summary

An educational intervention improved some aspects of infant bronchiolitis management, reducing bronchodilator use and increasing isolation compliance. However, the impact on antibiotic use and length of stay was limited.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Accurate Measurements of and Corrections for Nonlinearities in Radiometers.

Journal of research of the National Bureau of Standards. Section A, Physics and chemistry·2021
Same author

The Burden of Infant Meningococcal Disease in the United States.

Journal of the Pediatric Infectious Diseases Society·2013
Same author

Adoption of pharmacogenomic testing by US physicians: results of a nationwide survey.

Clinical pharmacology and therapeutics·2012
Same author

Stress analysis by photoelastic method; two-dimensional principles and practice.

The New Zealand journal of science and technology. B. General section·2010
Same author

Interlaboratory comparison of measurements of the spectral irradiance from fluorescent and incandescent lamps: a report.

Applied optics·2010
Same author

CIE Interlaboratory Comparison of Measurements of Photocell Spectral Sensitivity.

Applied optics·2010

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Healthcare Quality Improvement

Background:

  • Bronchiolitis is a common viral respiratory infection in infants, often leading to hospitalization.
  • Current management practices for hospitalized infants with bronchiolitis may include overuse of antibiotics and bronchodilators.
  • Standardized guidelines and educational interventions can potentially optimize the care of these patients.

Purpose of the Study:

  • To evaluate the impact of an educational intervention on the management of hospitalized infants diagnosed with bronchiolitis.
  • To assess changes in diagnostic test utilization, antibiotic and bronchodilator use, isolation practices, and length of hospital stay.

Main Methods:

  • A sequential, prospective cohort study was conducted in a 235-bed children's hospital.

Related Experiment Videos

  • Three cohorts of infants younger than 24 months with bronchiolitis were enrolled: pre-intervention, post-intervention, and follow-up.
  • The intervention included an educational program and practice guidelines focused on appropriate test use, reduced medication, and improved isolation.

    • Main Results:

    • While antibiotic use remained high, children with positive respiratory syncytial virus (RSV) test results received fewer days of antibiotics immediately post-intervention.
    • Bronchodilator use decreased significantly, with a reduction in the percentage of patients receiving them and the median number of treatments.
    • Isolation orders increased, but there were no significant changes in length of stay or readmission rates.

    Conclusions:

    • Educational initiatives incorporating practice guidelines can effectively enhance specific elements of care for hospitalized infants with bronchiolitis.
    • Further strategies may be needed to address the persistent use of antibiotics when not indicated.