Agreements and controversies of national guidelines for bronchiolitis: Results from an Italian survey
Abstract Introduction Significant variations in the management of bronchiolitis are often recorded, and, in parallel, to recommend a univocal clinical approach is challenging and still questioned. This study is aimed to evaluate the diagnostic and therapeutic management of bronchiolitis in children...
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| Language: | English |
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Wiley
2021-12-01
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| Series: | Immunity, Inflammation and Disease |
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| Online Access: | https://doi.org/10.1002/iid3.451 |
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| author | Sara Manti Amelia Licari Ilaria Brambilla Carlo Caffarelli Mauro Calvani Fabio Cardinale Giorgio Ciprandi Claudio Cravidi Marzia Duse Alberto Martelli Domenico Minasi Michele Miraglia Del Giudice Giovan B. Pajno Maria A. Tosca Elena Chiappini Eugenio Baraldi Gianluigi Marseglia |
| author_facet | Sara Manti Amelia Licari Ilaria Brambilla Carlo Caffarelli Mauro Calvani Fabio Cardinale Giorgio Ciprandi Claudio Cravidi Marzia Duse Alberto Martelli Domenico Minasi Michele Miraglia Del Giudice Giovan B. Pajno Maria A. Tosca Elena Chiappini Eugenio Baraldi Gianluigi Marseglia |
| author_sort | Sara Manti |
| collection | DOAJ |
| description | Abstract Introduction Significant variations in the management of bronchiolitis are often recorded, and, in parallel, to recommend a univocal clinical approach is challenging and still questioned. This study is aimed to evaluate the diagnostic and therapeutic management of bronchiolitis in children adopted by Italian pediatricians following the national guidelines. Material and Methods A survey study was designed and carried out by sending an email an open‐ended questionnaire developed by an expert panel of the Scientific Board of the Italian Society of Pediatric Allergology and Immunology (SIAIP). Questions were designed according to the national intersociety consensus document on treatment and prevention of bronchiolitis in newborns and infants. Results Overall, 234 pediatricians were taking part in the study. When diagnosing bronchiolitis, only 44.01% (103/234) of participants correctly followed the national guidelines. All participants (100%) would perform laboratory tests and/or radiological exams. 44.01% administered oxygen (O2) when O2 saturation was minor than 92%. About the therapeutic regimen, marked discrepancies between national guidelines and recorded answers were reported. Indications for hospital admission and discharge criteria were in line with the national guidelines. Conclusions There is a significant practice variation in the management of acute bronchiolitis among Italian physicians. Some wrong attitudes need to be further discouraged, such use of diagnostic procedures and therapeutic approaches. Further research is urgently required to define the best management of patients with bronchiolitis and implement strategies to standardize care and improve the quality of care. |
| format | Article |
| id | doaj-art-d84dcd3ade384e5ba96a641b2d4e3605 |
| institution | Kabale University |
| issn | 2050-4527 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Immunity, Inflammation and Disease |
| spelling | doaj-art-d84dcd3ade384e5ba96a641b2d4e36052025-08-20T03:31:38ZengWileyImmunity, Inflammation and Disease2050-45272021-12-01941229123610.1002/iid3.451Agreements and controversies of national guidelines for bronchiolitis: Results from an Italian surveySara Manti0Amelia Licari1Ilaria Brambilla2Carlo Caffarelli3Mauro Calvani4Fabio Cardinale5Giorgio Ciprandi6Claudio Cravidi7Marzia Duse8Alberto Martelli9Domenico Minasi10Michele Miraglia Del Giudice11Giovan B. Pajno12Maria A. Tosca13Elena Chiappini14Eugenio Baraldi15Gianluigi Marseglia16Dipartimento di Medicina Clinica e Sperimentale Unità di Broncopneumologia Pediatrica, Università di Catania Catania ItalyClinica Pediatrica, Fondazione IRCCS Policlinico “S. Matteo,” Università di Pavia Pavia ItalyClinica Pediatrica, Fondazione IRCCS Policlinico “S. Matteo,” Università di Pavia Pavia ItalyClinica Pediatrica, Dipartimento di Medicina e Chirurgia Università di Parma Parma ItalyDipartimento di Pediatria Ospedale S. Camillo‐Forlanini Roma ItalyUOC Pediatria, Servizio di Allergologia e Pneumologia Pediatrica, Azienda Ospedaliera‐Universitaria “Consorziale‐Policlinico,” Ospedale Pediatrico Giovanni XXIII Bari ItalyCasa di Cura Villa Montallegro Genoa ItalyFamily Paediatrics, ATS Pavia Pavia ItalyDipartimento di Pediatria, Policlinico Umberto I, Università Sapienza di Roma Roma ItalyUOC Pediatria, Azienda Ospedaliera G. Salvini, Ospedali di Garbagnate Milanese e Bollate Milano ItalyUOC Pediatria, Grande Ospedale Metropolitano Reggio Calabria ItalyDipartimento della Donna, del Bambino e di Chirurgia Generale e Specialistica, Università della Campania Luigi Vanvitelli Napoli ItalyDipartimento di Pediatria, Unità di Allergologia, Università di Messina Messina ItalyAllergologia Pediatrica, Istituto Giannina Gaslini Genova ItalySODc Malattie Infettive AOU Meyer, Dipartimento di Scienze della Salute Università di Firenze Firenze ItalyDipartimento della Donna e del Bambino Università di Padova Padova ItalyClinica Pediatrica, Fondazione IRCCS Policlinico “S. Matteo,” Università di Pavia Pavia ItalyAbstract Introduction Significant variations in the management of bronchiolitis are often recorded, and, in parallel, to recommend a univocal clinical approach is challenging and still questioned. This study is aimed to evaluate the diagnostic and therapeutic management of bronchiolitis in children adopted by Italian pediatricians following the national guidelines. Material and Methods A survey study was designed and carried out by sending an email an open‐ended questionnaire developed by an expert panel of the Scientific Board of the Italian Society of Pediatric Allergology and Immunology (SIAIP). Questions were designed according to the national intersociety consensus document on treatment and prevention of bronchiolitis in newborns and infants. Results Overall, 234 pediatricians were taking part in the study. When diagnosing bronchiolitis, only 44.01% (103/234) of participants correctly followed the national guidelines. All participants (100%) would perform laboratory tests and/or radiological exams. 44.01% administered oxygen (O2) when O2 saturation was minor than 92%. About the therapeutic regimen, marked discrepancies between national guidelines and recorded answers were reported. Indications for hospital admission and discharge criteria were in line with the national guidelines. Conclusions There is a significant practice variation in the management of acute bronchiolitis among Italian physicians. Some wrong attitudes need to be further discouraged, such use of diagnostic procedures and therapeutic approaches. Further research is urgently required to define the best management of patients with bronchiolitis and implement strategies to standardize care and improve the quality of care.https://doi.org/10.1002/iid3.451bronchiolitischildrenguidelinessurveytreatment |
| spellingShingle | Sara Manti Amelia Licari Ilaria Brambilla Carlo Caffarelli Mauro Calvani Fabio Cardinale Giorgio Ciprandi Claudio Cravidi Marzia Duse Alberto Martelli Domenico Minasi Michele Miraglia Del Giudice Giovan B. Pajno Maria A. Tosca Elena Chiappini Eugenio Baraldi Gianluigi Marseglia Agreements and controversies of national guidelines for bronchiolitis: Results from an Italian survey Immunity, Inflammation and Disease bronchiolitis children guidelines survey treatment |
| title | Agreements and controversies of national guidelines for bronchiolitis: Results from an Italian survey |
| title_full | Agreements and controversies of national guidelines for bronchiolitis: Results from an Italian survey |
| title_fullStr | Agreements and controversies of national guidelines for bronchiolitis: Results from an Italian survey |
| title_full_unstemmed | Agreements and controversies of national guidelines for bronchiolitis: Results from an Italian survey |
| title_short | Agreements and controversies of national guidelines for bronchiolitis: Results from an Italian survey |
| title_sort | agreements and controversies of national guidelines for bronchiolitis results from an italian survey |
| topic | bronchiolitis children guidelines survey treatment |
| url | https://doi.org/10.1002/iid3.451 |
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