Decreasing overuse of unnecessary therapy in the management of Bronchiolitis in children < 2 years of age, in adult ED of a community hospital by implementing evidence based clinical practice guidelines

Abstract

Background: Bronchiolitis is a leading cause of hospitalization for children, yet variability in its management persists. There are a few evidence-based medical interventions for bronchiolitis; however, non-evidence based medications and diagnostic testing continue to be used in many clinical settings despite evidence of its futility, resulting in increased cost and length of stay. Evidence-based practice guidelines by AAP in 2014 recommend supportive care with limited diagnostic testing and treatment. Bronchiolitis is 1 of the top 10 ED …