GUIDELINE REVIEW
SIGN guideline on bronchiolitis in infants
Correspondence to:
For correspondence:
Dr J H Baumer
Consultant Paediatrician, Derriford Hospital, Plymouth, Devon PL6 8DH, UK; harry.baumer@phnt.swest.nhs.uk
| The first 150 words of the full text of this article appear below. |
A predictable event in the paediatrician’s year is the advent of the bronchiolitis season somewhere around November or December, with large numbers of hospital admissions of infants, especially those under 6 months of age. This continues to occur despite recent developments including the availability of palivizumab for prophylaxis in high-risk infants.
The Scottish Intercollegiate Guidelines Network (SIGN) published an evidence-based guideline on the condition in November 2006.1 The guideline’s purpose is to reduce some of the reported variations in management, avoiding unnecessary tests and interventions. It covers prevention; recognition and differential diagnosis; indications for hospital admission and the in-patient management of infants with bronchiolitis; limiting disease transmission, and prognosis. Its scope includes infants up to 12 months of age and excludes management in intensive care.
This review highlights those aspects particularly relevant to paediatricians. The other recommendations in the guideline can readily be accessed from the SIGN website (http://www.sign.ac.uk
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