SciELO - Scientific Electronic Library Online

 
vol.71 número4Perfil clínico de una cohorte de pacientes con síndrome de Silver-Russell atendidos en el Hospital Infantil de México Federico Gómez de 1998 a 2012Obstrucción de la vía aérea por higroma quístico en un recién nacido índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • No hay artículos similaresSimilares en SciELO

Compartir


Boletín médico del Hospital Infantil de México

versión impresa ISSN 1665-1146

Resumen

ONATE RAMIREZ, Ana Lorena; RENDON MACIAS, Mario Enrique; IGLESIAS LEBOREIRO, José  y  BERNARDEZ ZAPATA, Isabel. Use of the evidence-based guidelines for management of bronchiolitis. Bol. Med. Hosp. Infant. Mex. [online]. 2014, vol.71, n.4, pp.227-232. ISSN 1665-1146.  http://dx.doi.org/10.1016/j.bmhimx.2014.08.007.

Introduction: The aim of this study was to analyze the medical care of children < 5 years of age with acute bronchiolitis in relation to the most relevant practices of evidence-based guidelines for bronchiolitis. Methods: We reviewed the charts of 197 hospitalized infants with acute bronchiolitis during 2012 to 2013 to analyse whether the guideline recommendations were used according to: American Academic of Pediatritians (AAP), Scotish Intercollegiate Guidelines Network (SIGN), Sector Salud México (SS), and Guía Práctica Clínica Bronquiolitis, España (GPCBA). Results: We evaluated 197 patients attended by 49 pediatricians. Of the recommended actions, in 110 patients (55.8%) aspirate secretions were indicated, 105 patients (53%) received supplemental oxygen and 63 patients (31.9%) used inhaled hypertonic solution. Non-recommended actions were carried out in 166 patients (84%) who received inhaled bronchodilators, 143 patients (72%) who inhaled steroids, 110 patients (55.8%) who were prescribed antibiotics, 76 patients (38%) who had nebulization and 52 patients (26.3%) were administered systemic steroids. Physicians with < 10 years of expertise prescribed more systemic steroids. Conclusions: Despite the dissemination of good clinical practice guidelines for the management of acute bronchiolitis, its adoption has not been totally completed.

Palabras llave : Clinical practice guidelines; Acute bronchiolitis; Treatment.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons