Bronchiolitis: Translating evidence into practice

Abstract

Bronchiolitis is one of the most common reasons for hospital admission in children younger than 12 months. As such, it has been the subject of numerous studies attempting to define the best diagnostic, treatment and management strategies. Unfortunately, despite this high-quality research, effective therapies have largely remained elusive, with many long-held beliefs and treatment strategies being shown to have no demonstrable benefit.

The translation of these so-called negative studies into clinical practice represents a significant challenge. We, as clinicians, struggle with the concept of ‘doing less’ for our patients, even when we have data to show that the therapies we are delivering are of no clinical benefit. It is psychologically much easier to take on-board a new and exciting treatment or investigation than it is to stop a practice pattern that has been embedded in practice for generations.