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Uruguayan Medical Journal

ISSN: 1688-0390

Vol.17 - Nº 3 - Dic. 2001

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Bronchiolitis: strategy impact on managing infants sent to hospital

Rev Med Urug 2001; 17: 161-165
Full text (spanish) |  Full text (spanish) (New windows, pdf) | Abstract


Objective. To assess the impact of management strategies (Plan de Invierno-Winter Plan) on infants with bronchiolitis brought to the Centro Hospitalario Pereira Rossell (CHPR).

Method. We compared the treatment and progress of children with bronchiolitis treated within the Plan de Invierno (1999) with results obtained in a prior study (1996).

Inclusion criteria were as follow: age < 24 months; first acute respiratory onset with functional respiratory syndrome; whezzing; and hyperinflation in radiography.

Results. Clinical features of infants with bronchiolitis were similar in both periods. In 1999 (p< 0,01) clinical severity was higher. During the Plan de Invierno, diagnosis of bacterial superinfection decreased (p<0,01) as did the number of infants sent to intensive care unit (p=0,01), misuse of antibiotics (p<0,05), corticoids (p<0,01) and bronchodilators (p<0,01).

There were no significant differences in percentage of atelectasis, need of AVM nor in in-hospital staying.

Conclusions. Use of clinical protocols allowed to rationalize care resources.