caa a22 4500 475786785 CHVBK 20180406123700.0 cr unu---uuuuu 170329e20000401xx s 000 0 eng 10.1007/s004310051284 doi (NATIONALLICENCE)springer-10.1007/s004310051284 Differences in management of bronchiolitis between hospitals in The Netherlands [Elektronische Daten] [Paul L. P. Brand, Anja A. P. H. Vaessen-Verberne] To study the variation in management of acute bronchiolitis in the Netherlands, a questionnaire on the use of diagnostic and therapeutic procedures and prescription of drugs after discharge was mailed to all 110 hospital-based paediatric practices in the Netherlands. A 100% response rate was achieved. There was a great deal of variation in management of bronchiolitis between respondents. The most commonly applied diagnostic procedures were immunofluorescence staining of nasopharyngeal secretions for respiratory syncytial virus (100% of respondents), blood gas analysis (93%), leucocyte count/differentiation and serum C-reactive protein levels (92%), and chest X-rays (83%). Most respondents used supplemental oxygen (100%) and tube feeding (96%) when needed, and gave nebulized bronchodilators, either as a trial (59%) or in a fixed schedule (33%). Antibiotics for suspected bacterial co-infection were used by 69% of respondents. Corticosteroids were used for severe cases by 35% of respondents; ribavirin was only used in 11% of hospitals for treatment of children from high-risk groups. When children had responded favourably to bronchodilators during admission, these drugs were continued after discharge by 69% of respondents; more than half of these also prescribed inhaled corticosteroids to these children. Conclusion Considerable variation in management of bronchiolitis exists between hospitals in the Netherlands. Several diagnostic and therapeutic approaches are used which are not evidence based, probably reflecting the lack of therapeutic options with proven clinical efficacy for this condition. Springer-Verlag Berlin Heidelberg, 2000 Key words Bronchiolitis nationallicence Viral nationallicence Hospitalization nationallicence Infant nationallicence Brand Paul L. P. Department of Paediatrics, Isala Clinics/Weezenlanden Hospital, PO Box 10500, 8000 GM Zwolle, The Netherlands Tel.: +31-384-242234; Fax: +31-384-242734, NL aut Vaessen-Verberne Anja A. P. H. Department of Paediatrics, Ignatius Hospital, Breda, The Netherlands, NL aut https://doi.org/10.1007/s004310051284 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004310051284 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Brand Paul L. P. Department of Paediatrics, Isala Clinics/Weezenlanden Hospital, PO Box 10500, 8000 GM Zwolle, The Netherlands Tel.: +31-384-242234; Fax: +31-384-242734, NL aut NATIONALLICENCE 700 1- Vaessen-Verberne Anja A. P. H. Department of Paediatrics, Ignatius Hospital, Breda, The Netherlands, NL aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer