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Change in viral bronchiolitis management in hospitals in the UK after the publication of NICE guideline.

Barr, R; Carande, EJ; Pollard, AJ; Drysdale, SB (2018) Change in viral bronchiolitis management in hospitals in the UK after the publication of NICE guideline. J Clin Virol, 105. pp. 84-87. ISSN 1873-5967 https://doi.org/10.1016/j.jcv.2018.06.011
SGUL Authors: Drysdale, Simon Bruce

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Abstract

BACKGROUND: Viral bronchiolitis is one of the most common causes of hospitalisation in young infants. It has previously been shown that many United Kingdom (UK) hospital Trusts were not compliant with many aspects of the National Institute for Health and Care Excellence (NICE) bronchiolitis guideline prior to its publication. OBJECTIVES: This study aimed to investigate changes in the management of bronchiolitis by hospital Trusts between 2015 (before NICE guideline publication) and 2017, after publication. STUDY DESIGN: We prospectively surveyed paediatricians at UK hospital Trusts on the management of bronchiolitis before (March to May 2015) and after (January to May 2017) the NICE bronchiolitis guideline publication in June 2015, using an electronic, structured questionnaire. RESULTS: In 2015 111 Trusts were represented and in 2017 100 Trusts. Significant improvements were seen in the use of nebulised bronchodilators and hypertonic saline and provision of parental written guidance. However, full compliance with the guideline did not change with 18% of Trusts compliant before publication of the guideline in 2015 and 19% fully compliant with the guideline in 2017. CONCLUSIONS: Overall there were modest but important improvements in the reported management of bronchiolitis after the publication of the NICE guideline.

Item Type: Article
Additional Information: © 2018. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
Keywords: Bronchiolitis, Hospital, NHS trust, NICE guideline, RSV, Survey, Bronchiolitis, Viral, Bronchodilator Agents, Disease Management, Guideline Adherence, Hospitalization, Hospitals, Humans, Infant, National Health Programs, Pediatricians, Practice Guidelines as Topic, Prospective Studies, Surveys and Questionnaires, United Kingdom, Humans, Bronchiolitis, Viral, Bronchodilator Agents, Hospitalization, Prospective Studies, Infant, Hospitals, National Health Programs, Disease Management, Guideline Adherence, Practice Guidelines as Topic, Surveys and Questionnaires, United Kingdom, Pediatricians, Bronchiolitis, RSV, NICE guideline, Survey, NHS trust, Hospital, Virology, 1103 Clinical Sciences, 0605 Microbiology, 1108 Medical Microbiology
SGUL Research Institute / Research Centre: Academic Structure > Infection and Immunity Research Institute (INII)
Journal or Publication Title: J Clin Virol
ISSN: 1873-5967
Language: eng
Dates:
DateEvent
August 2018Published
12 June 2018Published Online
11 June 2018Accepted
Publisher License: Creative Commons: Attribution-Noncommercial-No Derivative Works 4.0
Projects:
Project IDFunderFunder ID
UNSPECIFIEDMedical Sciences Division Medical Research FundUNSPECIFIED
UNSPECIFIEDJenner Institute of the University of OxfordUNSPECIFIED
PubMed ID: 29909244
Web of Science ID: WOS:000438892300013
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/110692
Publisher's version: https://doi.org/10.1016/j.jcv.2018.06.011

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