You are here

Article Text

Article menu
Download PDFPDF
Editorial
Implementation science takes baby steps in infants with bronchiolitis
  1. Steve Cunningham1,
  2. Hilary Pinnock2
  1. 1 Department of Child Life and Health and MRC Centre for Inflammation Research, The University of Edinburgh, The Queen’s Medical Research Institute, Edinburgh, UK
  2. 2 Allergy and Respiratory Research Group, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK
  1. Correspondence to Professor Steve Cunningham, Department of Child Life and Health and MRC Centre for Inflammation Research, The University of Edinburgh, The Queen’s Medical Research Institute, Edinburgh EH16 4TJ, UK; steve.cunningham{at}nhs.net

https://doi.org/10.1136/thoraxjnl-2017-211455

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Bronchiolitis, the annual winter endemic of acute viral lower respiratory tract illness in infants, is challenging for hospitals with overfull paediatric wards, for general practitioners worried about not spotting the infant at risk and for sleep-deprived parents looking after a sick child. The National Institute for Health and Care Excellence (NICE) Bronchiolitis guideline, published in 2015,1 highlights ‘red flags’ and lists ineffective treatments which ‘should not be used’, citing abundant clinical trials.

    In this journal, Carande and colleagues2 gauge the effect of the guideline publication on management in general practice. There were some shifts towards better practice in the (self-selected) general practitioner (GP) respondents, though improvement was incremental rather than transformational, as is common to new guidelines.3

    Nearly three-quarters of respondents routinely used oximetry for the assessment of a child with acute bronchiolitis. Measuring oxygen saturation with an age-appropriate device has been widely promoted as essential in the assessment of patients of any age with acute lower …

    View Full Text

    Footnotes

    • Contributors Both authors contributed equally to the development and final version of the manuscript.

    • Competing interests SC was chair of the NICE Bronchiolitis guideline development group. HP has no competing interests to declare.

    • Provenance and peer review Commissioned; externally peer reviewed.

    Linked Articles