A Clinical Audit for Children with Acute Bronchiolitis at Assiut University Children’s Hospital

Abstract

AbstractBackground: Bronchiolitis is a disorder most commonly caused in infants by viral infection. It is the most common lower respiratory tract infection in the first two years of life. Signs and symptoms are typically rhinitis, tachypnea, wheez-ing, cough, crackles, use of accessory muscles, and/or nasal flaring.Aim of Study: Comparing lines of management of acute bronchiolitis in children in our hospital with Nottingham University Children’s Hospital guideline for the management of acute bronchiolitis in children.Patients and Methods: Data of 160 children from 1 month to 2 years of age with acute bronchiolitis admitted at Assiut University Children’s Hospital during the period between 1 of April 2015 to 31 of March 2016 was collected and analyzed and clinical management was compared with the standard management guidelines according to Nottingham University Children’s Hospital guideline for the management of acute bronchiolitis in children (July 2013).Results: The study included 119 males (74.3 7%) and 41 females (25.63%). CBC was done to 154 cases (96.3%), chest X-ray was done to 149 cases (93.1%), pulse oximetry was done to 130 cases (81.3%). All patients (160 cases, 100%) received antibiotics, nebulised hypertonic saline and Inhaled Salbutamol, while 136 cases (85%) received intravenous fluids, 117 cases (73.1 %) received oxygen therapy, 100 cases (62.5%) received inhaled Ipratropium.Conclusion: We need to stick with the international guidelines as a reference standard to avoid missing important investigations or use of unnecessary investigations or lines of management unless recommended to improve the health services provided in Emergency Unit.