Improving Evidence Based Bronchiolitis Care

Cahill, Anne Marie; Cohen, Joanna S.

doi:10.1016/j.cpem.2018.02.003

Cited by 6 publications

(7 citation statements)

References 59 publications

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“…There is, therefore, an apparent change in trend, given that in the early years, publications focused on origin and survival. However, in the most recent publications, the overall interest is more focused on specific treatments, such as positive pressure or high‐flow nasal cannula, 32 and the performance of evidence‐based clinical studies 33 …”

Section: Discussionmentioning

confidence: 99%

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Worldwide research trends on bronchiolitis in pediatrics

Nievas‐Soriano,

Martín‐Latorre,

Martín‐González

et al. 2023

Pediatric Pulmonology

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Background The COVID‐19 pandemic has led to a significant increase in cases of bronchiolitis among children. As a result, there has been a corresponding increase in the number of publications on this topic. It is essential to examine the main areas of focus within the scientific literature to understand the current trends in research on pediatric bronchiolitis. This research aims to analyze the types of scientific advances related to pediatric bronchiolitis, the research trends being pursued, and the countries and research institutions leading these efforts. By understanding these aspects of bronchiolitis research, we can better understand the current state of knowledge and identify areas where further research is needed. Methods To conduct a bibliometric analysis of the scientific literature on pediatric bronchiolitis, all relevant publications were retrieved from the Scopus database. The Scopus API and the SW VosViewer software with optimized modularity functions were used. This analysis was intended to provide a comprehensive overview of the current state of research on this topic, including the types of scientific advances being developed, the research trends being pursued, and the countries and research institutions leading these efforts. Results A total of 3810 publications were reviewed. We observed an increasing number of publications, particularly in recent years. Of these, 73.7% were articles, 95% were written in English, and 29.4% were from the United States. The main keywords used in these publications included: human, bronchiolitis, child, preschool, preschool child, major clinical study, controlled study, pneumonia, asthma, adolescent, hospitalization, infant, and newborn. These keywords were grouped into six clusters: outpatient management, long‐term consequences, etiology, intensive care management, diagnostic methods, and the main cluster, which focused on hospital treatment and clinical studies. Conclusions The bibliometric analysis of bronchiolitis research in pediatrics reveals that there has been a significant increase in the number of publications on this topic, particularly in recent years. Most of these publications are articles written in English and published in the United States. The main keywords used in these studies relate to various aspects of bronchiolitis, including diagnosis, treatment, and long‐term consequences. The results of this analysis suggest that bronchiolitis is a topic of significant interest and concern for researchers and practitioners in the field of pediatrics and that further research is needed to improve our understanding and management of this condition.

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Section: Discussionmentioning

confidence: 99%

“…However, in the most recent publications, the overall interest is more focused on specific treatments, such as positive pressure or high-flow nasal cannula, 32 and the performance of evidence-based clinical studies. 33…”

Section: Global Evolution Trends Countries Institutions and Authorsmentioning

confidence: 99%

Worldwide research trends on bronchiolitis in pediatrics

Nievas‐Soriano,

Martín‐Latorre,

Martín‐González

et al. 2023

Pediatric Pulmonology

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“…Some of our patients received different treatment modalities like bronchodilators. Bronchodilators are less likely to be recommended in more recent guidelines, and the theory that they may be of greater benefit in infants more likely to develop asthma has been refuted [51,52] The limitation of our study is its retrospective nature. In addition, concomitant bacterial infection and viral genomic load have not been measured.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Bronchiolitis in Hospitalized Infants at Tawam Hospital, Al Ain, United Arab Emirates

Shibli

Nouredin

Amri

et al. 2021

TORMJ

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Background: Bronchiolitis is the commonest lower respiratory tract infection, found worldwide in children < 2 years of age. Over sixty percent of cases are caused by Respiratory Syncytial Virus (RSV). The disease is known to have significant morbidity, mortality and health care costs. Its seasonal variability, manifestations and complications vary between countries. The aim of this study was to determine the epidemiological and clinical characteristics of infants hospitalized with bronchiolitis in Al Ain City, United Arab Emirates. Methods: Retrospective observational chart review was made of an unselected cohort of infants ≤ 2 years admitted to the pediatric department of Tawam hospital over a 3-year period and discharged with the diagnosis of bronchiolitis. Epidemiological data and risk factors were analyzed. Results: RSV was the commonest pathogen (51%). Hospitalizations occurred year-round but increased significantly in December and January. The patients’ median age was 5.8 months with a male predominance (male:female ratio of 1.5:1.0). The mean age at admission was 6.6 months and presentation occurred, on average, 2.9 days after the onset of the symptoms. The majority (94%) had respiratory distress on presentation. Chest x-ray was performed in 80% of the patients. Most children received bronchodilator therapy and oxygen therapy was administered to 42%. The mean duration of hospital stay was 3 days. Conclusion: Bronchiolitis remains a common reason for hospital admission and carries significant morbidity. RSV is the primarily responsible virus for hospital admissions and morbidity. A better understanding of the burden of bronchiolitis in our setting would enable better planning and use of hospital resources to minimize its short and long-term sequelae.

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“… Asthma (*excluded from the study) Asthma diagnosis was made based on the Global Initiative for Asthma (GINA) guidelines 2019 8 in any child with; History Wheezing/coughing with exercise, laughing in the absence of respiratory infection, occurring more at night or in the morning History of other allergic diseases for example eczema, allergic rhinitis, asthma in the first degree relative or allergen sensitization Exclusions We excluded the symptom of “chest tightness” because young children are not able to express this symptom objectively Measure of peak flow and/or spirometry because children under five years cannot perform these tests appropriately Bronchiolitis Bronchiolitis was defined as the first episode of wheezing in a child less than 24 months of age, presenting with at least one of the signs and symptoms of cough, running nose and/or difficulty breathing, and respiratory distress. 9 , 10 Chest radiography (X-ray) findings of hyperinflation ruled out pneumonia. Common cold This was defined as the presence of a cough, nasal discharge, +/- fever, no signs of pneumonia or severe pneumonia, bronchiolitis, and no stridor when a child is calm.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Outpatient Clinical Diagnostic Approaches for Common Acute Respiratory Tract Infections in Children Under Five Years of Age: A Cross-Sectional Study

Turyasiima,

Kiconco,

Egesa

et al. 2024

PHMT

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Background Acute respiratory tract infections are among the leading causes of child morbidity and mortality worldwide. Although the diagnosis of acute respiratory tract infections requires simple outpatient medical techniques and care, it is still misdiagnosed among primary care physicians, leading to delayed treatment and increased mortality. This study described the prevalence of common acute respiratory tract infections and simple techniques that effectively detect and diagnose children presenting with acute respiratory symptoms to primary healthcare physicians in remote settings. Patients and Methods This descriptive cross-sectional study was conducted at the pediatric outpatient clinic of a tertiary hospital in western Uganda in April, May and June 2019. A total of 896 children aged 2–59 months attending the clinic were recruited consecutively into the study and examined for the presence of acute respiratory infection. Participants’ sociodemographic and clinical data were collected through history taking and clinical examination using a validated Uganda Ministry of Health Uganda outpatient clinical checklist (FORM 5). The outcome variable was the presence of an acute upper or lower respiratory condition. Data was analyzed using STATA version 13.0 (StataCorp, College Station, USA) and summarized using descriptive statistics. Results The overall period prevalence of acute respiratory tract infections among children aged 2 to 59 months was 36.9% (36,942 per 100,000 population). Upper respiratory tract infections with a prevalence of 24.8% were more common than lower respiratory tract infections. The most frequent upper respiratory tract infection in this setting was common cold (52%), followed by tonsillopharyngitis (10.7%), while pneumonia (26%) was the most frequent lower respiratory tract infection. Conclusion Acute respiratory tract infections contribute to the high burden of disease in pediatric outpatient clinics. Simple, affordable, and approved diagnostic clinical techniques that involve physical examination of the upper and lower respiratory systems can precisely diagnose acute respiratory tract infections in resource-limited settings where there is no access to sophisticated diagnostic equipment.

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Improving Evidence Based Bronchiolitis Care

Cited by 6 publications

References 59 publications

Worldwide research trends on bronchiolitis in pediatrics

Worldwide research trends on bronchiolitis in pediatrics

Epidemiology of Bronchiolitis in Hospitalized Infants at Tawam Hospital, Al Ain, United Arab Emirates

Prevalence and Outpatient Clinical Diagnostic Approaches for Common Acute Respiratory Tract Infections in Children Under Five Years of Age: A Cross-Sectional Study

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