Article Text

other Versions

PDF
Implementation science takes baby steps in infants with bronchiolitis
  1. Steve Cunningham1,
  2. Hilary Pinnock2
  1. 1Department of Child Life and Health and MRC Centre for Inflammation Research, The University of Edinburgh, The Queen’s Medical Research Institute, Edinburgh, UK
  2. 2Allergy 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

Statistics from Altmetric.com

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

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.

Linked Articles