La bronchiolite: aderenza alle linee guida
1Dipartimento Materno-Infantile, AOU Federico II, Napoli
2UOC Pediatria 1; 3Registro Tumori Infantili della Regione Campania, AORN “Santobono-Pausilipon”, Napoli
Bronchiolitis: compliance with guidelines
Bronchiolitis, Infection, Lower respiratory tract, Nebuliser therapy, Hypertonic solution
Background - Bronchiolitis is the most common infection of the lower respiratory tract during the first year of life. The American Academy of Pediatrics (AAP) guidelines and the Italian Society of Paediatrics (SIP) Consensus underline that the diagnosis of bronchiolitis is based on the clinical history and the objective examination and that the key points of the treatment are mainly to guarantee a proper nutrition/hydration and to administer oxygen where necessary.
Objectives - To assess the compliance with international and national guidelines in hospital settings before and after sharing and discussing a care protocol.
Materials and Methods - Two groups consisting of 27 patients each affected by bronchiolitis were studied. The children of the first were hospitalised in 2014-2015 and were managed without complying with the unit protocol and those of the second group were hospitalised in 2015-2016, after the protocol sharing. Treatment modalities and the incidence of complication were compared.
Results - Following the sharing of the clinical protocol a trend towards the decrease in the use of the antibiotic therapy and steroids was observed. A larger use of nebuliser therapy with hypertonic solution was observed with respect to the sole physiological solution or the steroidal one. The duration of hospitalisation was similar in the two considered periods. No major complications were observed in both the above two periods.
Conclusions - The present study, though it considers a low number of samples, shows that the sharing of an internal protocol for the management of paediatric patients can allow resources to be optimised as well as ineffective and potentially dangerous treatments to be avoided.
Vuoi citare questo contributo?
M. Rezzuto, C. Russo, C. Mandato, D. De Brasi, F. Savoia, P. Siani. LA BRONCHIOLITE: ADERENZA ALLE LINEE GUIDA.
Medico e Bambino 2018;37:641-646
L'accesso č riservato agli abbonati
alla rivista che si siano registrati
Per accedere all'articolo in formato full text
č necessario inserire username
La riproduzione senza autorizzazione č vietata. Le informazioni di tipo sanitario
contenute in questo sito Web sono rivolte a personale medico specializzato e non possono
in alcun modo intendersi come riferite al singolo e sostitutive dell'atto medico. Per
i casi personali si invita sempre a consultare il proprio medico curante. I contenuti
di queste pagine sono soggetti a verifica continua; tuttavia sono sempre possibili
errori e/o omissioni. Medico e Bambino non č
responsabile degli effetti derivanti dall'uso di queste informazioni.
Unauthorised copies are strictly forbidden. The medical information contained in the present web site is only addressed to specialized medical staff and cannot substitute any medical action. For personal cases we invite to consult one's GP. The contents of the pages are subject to continuous verifications; anyhow mistakes and/or omissions are always possible. Medico e Bambino is not liable for the effects deriving from an improper use of the information.