2015 nice bronchiolitis guideline


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PDF Bronchiolitis in children: summary of NICE guidance

Bronchiolitis is the most common lower respiratory tract infection in the first year of life: one in five infants is afected and 2-3 are admitted to hospital 1 The diagnosis is made on clinical evidence and clinicians need to be confident with their decision

  • Should children with bronchiolitis take nasogastric tubes?

    Give fluids by nasogastric or orogastric tube in children with bronchiolitis if they cannot take in enough fluid by mouth. Consider upper airway suctioning in children who have respiratory distress or feeding dificulties because of upper airway secretions.

  • What is the bronchiolitis guideline?

    This guideline covers diagnosing and managing bronchiolitis in babies and children. It aims to help healthcare professionals diagnose bronchiolitis and identify if babies and children should be cared for at home or in hospital. It describes treatments and interventions that can be used to help with the symptoms of bronchiolitis.

  • When should children with bronchiolitis be referred to secondary care?

    Consider referring children with bronchiolitis to secondary care if they have any of the following: Respiratory rate of more than 60 breaths/min Dificulty with breast feeding or inadequate oral fluid intake (<75% of usual volume) Clinical dehydration.

  • Do bronchodilators benefit children with bronchiolitis?

    While we clearly acknowledged in the guideline that a small proportion of children may appear to get a clinical benefit from bronchodilators (and there is significant disagreement as to whether the magnitude of said benefit is clinically meaningful), the majority of children with bronchiolitis do not stand to benefit.

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