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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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	bronchiolitis children guidelines survey treatment Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/d84dcd3ade384e5ba96a641b2d4e3605
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spelling	oai:doaj.org-article:d84dcd3ade384e5ba96a641b2d4e36052021-11-12T19:57:14ZAgreements and controversies of national guidelines for bronchiolitis: Results from an Italian survey2050-452710.1002/iid3.451https://doaj.org/article/d84dcd3ade384e5ba96a641b2d4e36052021-12-01T00:00:00Zhttps://doi.org/10.1002/iid3.451https://doaj.org/toc/2050-4527Abstract 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.Sara MantiAmelia LicariIlaria BrambillaCarlo CaffarelliMauro CalvaniFabio CardinaleGiorgio CiprandiClaudio CravidiMarzia DuseAlberto MartelliDomenico MinasiMichele Miraglia Del GiudiceGiovan B. PajnoMaria A. ToscaElena ChiappiniEugenio BaraldiGianluigi MarsegliaWileyarticlebronchiolitischildrenguidelinessurveytreatmentImmunologic diseases. AllergyRC581-607ENImmunity, Inflammation and Disease, Vol 9, Iss 4, Pp 1229-1236 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	bronchiolitis children guidelines survey treatment Immunologic diseases. Allergy RC581-607
spellingShingle	bronchiolitis children guidelines survey treatment Immunologic diseases. Allergy RC581-607 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
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
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
title	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_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_sort	agreements and controversies of national guidelines for bronchiolitis: results from an italian survey
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/d84dcd3ade384e5ba96a641b2d4e3605
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Agreements and controversies of national guidelines for bronchiolitis: Results from an Italian survey

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