Management of RSV Bronchiolitis in Outpatient Setting.

IF 1.2 4区 医学 Q3 PEDIATRICS
Johannes Borgmann, Lea Sandmann, Simon Ritter, Axel Heep, Holger Köster, Martin Wetzke, Matthias Lange
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引用次数: 0

Abstract

Seasonal respiratory syncytial virus (RSV) lower respiratory infections (RSV-LRI) and bronchiolitis in children remain a high burden to medical facilities. Studies evaluating the practical approach in outpatient settings are scarce. We conducted a survey to provide an insight into management in pediatric offices in Germany. Invitations for participation in an online survey were sent to 623 providers of pediatric primary care via email. Recipients were randomly chosen from national databanks based on zip codes. The response rate was 16,2%, n=92 (14,7%) questionnaires were fully answered and analyzed. 93,5% (n=86) are board certified pediatricians. In outpatient setting, every second patient with suspected or confirmed RSV-LRI is presented three times or more. 40,7% of our participants refer less than 10% of all patients to hospital, 83,7% refer less than one third (<30%). 33,7% of all participants never perform virological testing in suspected cases of RSV-LRI. More than 50% of all participants prescribe bronchodilators, hypertonic saline inhalation is prescribed by 17,4%. Antibiotics are prescribed in less than 10% of all cases of RSV-LRI. About 3/4 ask for a clearer, more conclusive guideline regarding prophylaxis. The diagnostic approach varies significantly. Although not recommended in international guidelines, bronchodilators are still frequently used. Considering emerging options for passive immunization, broader inclusion criteria into immunization regimes are requested by the participants. More conclusive guidelines and recommendations could further improve the management of outpatient RSV-LRI in children.

在门诊治疗 RSV 支气管炎。
季节性呼吸道合胞病毒(RSV)下呼吸道感染(RSV-LRI)和儿童支气管炎仍然是医疗机构的沉重负担。对门诊环境中的实用方法进行评估的研究很少。我们进行了一项调查,以了解德国儿科门诊的管理情况。我们通过电子邮件向 623 名儿科初级保健提供者发出了参与在线调查的邀请。收件人根据邮政编码从国家数据库中随机抽取。回复率为 16.2%,其中 92 份(14.7%)问卷得到了完整答复和分析。93.5%(n=86)的受访者是经过认证的儿科医生。在门诊环境中,每两个疑似或确诊 RSV-LRI 患者中就有一个需要转诊三次或三次以上。40.7%的参与者将不到 10% 的患者转介到医院,83.7% 的参与者将不到三分之一的患者转介到医院。
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来源期刊
Klinische Padiatrie
Klinische Padiatrie 医学-小儿科
CiteScore
1.10
自引率
0.00%
发文量
135
审稿时长
6-12 weeks
期刊介绍: Das Forum für wissenschaftliche Information in der Kinderheilkunde ausgewählte Originalarbeiten aus allen Bereichen der Pädiatrie Visite: Ihr Forum für interessante Krankengeschichten und außergewöhnliche Kasuistiken aktuelle Fortschritte in Diagnostik und Therapie jährliche Schwerpunkthefte: Ergebnisse der pädiatrischen Onkologie plus Medizin und Markt topaktuelle Informationen aus der Industrie
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