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  1. Standardizing the care of bronchiolitis.

    Article - En anglais

    Objective 

    To study the effect of an educational intervention on the management of hospitalized infants with bronchiolitis.

    Design 

    Sequential, prospective cohort study.

    Setting 

    A 235-bed children's hospital with nearly all private rooms.

    Patients 

    Consecutively admitted, previously healthy children younger than 24 months with symptoms of bronchiolitis.

    The first cohort was enrolled between January 1 and January 21,1996 ; the second cohort between January 29 and February 18,1996, following a 1-week intervention period ; the third (follow-up) cohort between December 1996 and February 1997.

    Intervention 

    Educational program and practice guidelines aimed at appropriate utilization of diagnostic tests, decreased antibiotic and bronchodilator use, increased compliance with isolation, decreased length of stay, and maintenance of quality care.

    Main Outcome Measures 

    Utilization of respiratory syncytial virus (RSV) enzyme immunoassay, initiation and duration of parenteral antibiotic therapy, number of nebulized bronchodilator treatments, isolation orders, length of stay, and readmission rate.

    Results 

    A total of 90 patients were studied preintervention, 63 postintervention, and 90 during the follow-up period.

    The groups were comparable in demographic and clinical features.

    No patient had a documented serious bacterial infection ; however, almost half in each group received parenteral antibiotics, despite recommendations against this. (...)

    Mots-clés Pascal : Bronchiolite, Education santé, Diagnostic, Traitement, Chimiothérapie, Antibiotique, Bronchodilatateur, Recommandation, Etude statistique, Enfant, Homme, Appareil respiratoire pathologie, Bronche pathologie

    Mots-clés Pascal anglais : Bronchiolitis, Health education, Diagnosis, Treatment, Chemotherapy, Antibiotic, Bronchodilator, Recommendation, Statistical study, Child, Human, Respiratory disease, Bronchus disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0404293

    Code Inist : 002B11D. Création : 25/01/1999.