Australasian bronchiolitis guideline

Paediat Res Emergency Dept Int

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Aim Bronchiolitis is the most common lower respiratory tract disorder in infants aged less than 12 months, and research has demonstrated that there is substantial variation in practice patterns despite treatment being well defined. In order to align and improve the consistency of the management of bronchiolitis, an evidence-based guideline was developed for the Australasian population. Methods The guideline development committee included representation from emergency and paediatric specialty medical and nursing personnel in addition to geographical representation across Australia and New Zealand - rural, remote and metropolitan. Formulation of the guideline included identification of population, intervention, comparator, outcomes and time questions and was associated with an extensive literature search from 2000 to 2015. Evidence was summarised and graded using the National Health and Medical Research Council and Grading of Recommendations Assessment, Development and Evaluation methodology, and consensus within the guideline group was sought using nominal group technique principles to formulate the clinical practice recommendations. The guideline was reviewed and endorsed by key paediatric health bodies. Results The guideline consists of a usable clinical interface for bedside functionality supported by evidence summary and tables. The Grading of Recommendations Assessment, Development and Evaluation and National Health and Medical Research Council processes provided a systematic and transparent process to review and assess the literature, resulting in a guideline that is relevant to the management of bronchiolitis in the Australasian setting. Conclusion This is the first robust Australasian acute paediatric guideline and provides clear guidance for the management of the vast majority of patients seen in Australasian emergency departments and general paediatric wards with bronchiolitis.

Original languageEnglish
Pages (from-to)42-53
Number of pages12
JournalJournal of Paediatrics and Child Health
Volume55
Issue number1
DOIs
Publication statusPublished - Jan 2019

Cite this

Paediat Res Emergency Dept Int. / Australasian bronchiolitis guideline. In: Journal of Paediatrics and Child Health. 2019 ; Vol. 55, No. 1. pp. 42-53.
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Australasian bronchiolitis guideline. / Paediat Res Emergency Dept Int.

In: Journal of Paediatrics and Child Health, Vol. 55, No. 1, 01.2019, p. 42-53.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Australasian bronchiolitis guideline

AU - Paediat Res Emergency Dept Int

AU - O'Brien, Sharon

AU - Borland, Meredith L.

AU - Cotterell, Elizabeth

AU - Armstrong, David

AU - Babl, Franz

AU - Bauert, Paul

AU - Brabyn, Christine

AU - Garside, Lydia

AU - Haskell, Libby

AU - Levitt, David

AU - McKay, Nicola

AU - Neutze, Jocelyn

AU - Schibler, Andreas

AU - Sinn, Kam

AU - Spencer, Janine

AU - Stevens, Helen

AU - Thomas, David

AU - Zhang, Michael

AU - Oakley, Ed

AU - Dalziel, Stuart R.

PY - 2019/1

Y1 - 2019/1

N2 - Aim Bronchiolitis is the most common lower respiratory tract disorder in infants aged less than 12 months, and research has demonstrated that there is substantial variation in practice patterns despite treatment being well defined. In order to align and improve the consistency of the management of bronchiolitis, an evidence-based guideline was developed for the Australasian population. Methods The guideline development committee included representation from emergency and paediatric specialty medical and nursing personnel in addition to geographical representation across Australia and New Zealand - rural, remote and metropolitan. Formulation of the guideline included identification of population, intervention, comparator, outcomes and time questions and was associated with an extensive literature search from 2000 to 2015. Evidence was summarised and graded using the National Health and Medical Research Council and Grading of Recommendations Assessment, Development and Evaluation methodology, and consensus within the guideline group was sought using nominal group technique principles to formulate the clinical practice recommendations. The guideline was reviewed and endorsed by key paediatric health bodies. Results The guideline consists of a usable clinical interface for bedside functionality supported by evidence summary and tables. The Grading of Recommendations Assessment, Development and Evaluation and National Health and Medical Research Council processes provided a systematic and transparent process to review and assess the literature, resulting in a guideline that is relevant to the management of bronchiolitis in the Australasian setting. Conclusion This is the first robust Australasian acute paediatric guideline and provides clear guidance for the management of the vast majority of patients seen in Australasian emergency departments and general paediatric wards with bronchiolitis.

AB - Aim Bronchiolitis is the most common lower respiratory tract disorder in infants aged less than 12 months, and research has demonstrated that there is substantial variation in practice patterns despite treatment being well defined. In order to align and improve the consistency of the management of bronchiolitis, an evidence-based guideline was developed for the Australasian population. Methods The guideline development committee included representation from emergency and paediatric specialty medical and nursing personnel in addition to geographical representation across Australia and New Zealand - rural, remote and metropolitan. Formulation of the guideline included identification of population, intervention, comparator, outcomes and time questions and was associated with an extensive literature search from 2000 to 2015. Evidence was summarised and graded using the National Health and Medical Research Council and Grading of Recommendations Assessment, Development and Evaluation methodology, and consensus within the guideline group was sought using nominal group technique principles to formulate the clinical practice recommendations. The guideline was reviewed and endorsed by key paediatric health bodies. Results The guideline consists of a usable clinical interface for bedside functionality supported by evidence summary and tables. The Grading of Recommendations Assessment, Development and Evaluation and National Health and Medical Research Council processes provided a systematic and transparent process to review and assess the literature, resulting in a guideline that is relevant to the management of bronchiolitis in the Australasian setting. Conclusion This is the first robust Australasian acute paediatric guideline and provides clear guidance for the management of the vast majority of patients seen in Australasian emergency departments and general paediatric wards with bronchiolitis.

KW - bronchiolitis

KW - guideline

KW - management

KW - paediatric

KW - respiratory

KW - NEBULIZED HYPERTONIC SALINE

KW - LENGTH-OF-STAY

KW - VIRAL BRONCHIOLITIS

KW - BACTERIAL COINFECTION

KW - EMERGENCY-DEPARTMENT

KW - PULSE OXIMETRY

KW - INFANTS

KW - DEXAMETHASONE

KW - MANAGEMENT

KW - 3-PERCENT

U2 - 10.1111/jpc.14104

DO - 10.1111/jpc.14104

M3 - Article

VL - 55

SP - 42

EP - 53

JO - Journal of Paediatric and Child Health

JF - Journal of Paediatric and Child Health

SN - 1034-4810

IS - 1

ER -