Abstract
Bronchiolitis is the leading cause of infant hospitalizations in the United States. Despite clinical practice guidelines discouraging the utilization of non–evidence-based therapies, there continues to be wide variation in care and resource utilization. A pre-post physician focused educational intervention was conducted with the aims to reduce the use of non–evidence-based medical therapies, including bronchodilators, among patients admitted for bronchiolitis. Among patients meeting inclusion criteria (pre: n = 45; post: n = 47), bronchodilator use decreased by 50% (P <.001). Antibiotic use increased by 9% (P <.02), although results remained within published acceptable utilization rates of less than 19%. There were no statistical differences in chest X-ray, respiratory viral panel, and steroid use. There were no differences in number of pediatric intensive care unit transfers, 30-day readmission rates, and mean length of stay. The findings demonstrate that a physician-focused educational intervention highlighting American Academy of Pediatrics clinical practice guidelines resulted in reduced utilization of bronchodilators.
Original language | English (US) |
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Pages (from-to) | 253-258 |
Number of pages | 6 |
Journal | Clinical Pediatrics |
Volume | 57 |
Issue number | 3 |
DOIs | |
State | Published - Mar 1 2018 |
Keywords
- bronchiolitis
- clinical practice guidelines
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health