Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
Survey of Practice Variations in Management of Acute Viral Bronchiolitis in India (PRERNI-PAVB Survey).
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Vikas Sahil, Angurana Suresh K, Muralidharan Jayashree, Craig Simon, Santhanam Indumathy, Vanaki Raghavendra, Choudhary Bharat, Reddy Mounika, Pediatric Resuscitation and Emergency Research Network of India (PRERNI) Investigators
Аннотация
BACKGROUND AND AIMS: To identify the practice variations in the management of acute viral bronchiolitis (AVB) in different healthcare settings across India.
METHODS: This online survey was conducted over 2½ months (May-July 2025) involving healthcare professionals (pediatricians, emergency physicians, and pediatric intensivists) working in different healthcare settings in India. Questions were related to demographic profile, caseload and seasonal variations, diagnosis, admission/discharge criteria, and treatment.
RESULTS: Among 100 respondents across 21 states/union territories, the majority were pediatric intensivists (n = 55) and pediatricians (n = 30) working in tertiary-level hospitals (n = 90). The pediatric intensive care unit (PICU) was available to 88 respondents. Most respondents diagnose AVB in children <2 years (n = 66) based on clinical history and examination alone (n = 41) and the addition of chest radiograph (n = 44). Common investigations performed among admitted children were chest radiograph (n = 76), sepsis screen (n = 64), and viral polymerase chain reaction (n = 47). Common admission criteria were high-risk babies (n = 94), severe respiratory distress (n = 91), doubtful follow-up (n = 72), and SpO2 <94% (n = 50). Once admitted, most respondents measure SpO2 intermittently (n = 59), start oxygen therapy if SpO2 <94% (n = 52), and maintain SpO2 >92% during treatment (n = 49). Once off oxygen, SpO2 >94% was used as a threshold to discharge (n = 58). Common modes to start oxygen were simple nasal prongs (n = 75) and high-flow nasal cannula (n = 58). The majority (n = 96) use nebulizations, including 3% saline (n = 86) and adrenaline (n = 52). Antibiotic use was reported by most as sometimes or rarely (n = 87). Most respondents use either the Indian Academy of Pediatrics (n = 48) or the American Academy of Pediatrics (n = 25) guidelines, and only 36 have a written policy/flowchart in the unit for management of AVB.
CONCLUSION: We noted wide variations in the diagnosis, severity assessment, investigations, treatment, and adherence to guidelines for AVB. However, the majority of respondents use antibiotics sometimes or rarely.
METHODS: This online survey was conducted over 2½ months (May-July 2025) involving healthcare professionals (pediatricians, emergency physicians, and pediatric intensivists) working in different healthcare settings in India. Questions were related to demographic profile, caseload and seasonal variations, diagnosis, admission/discharge criteria, and treatment.
RESULTS: Among 100 respondents across 21 states/union territories, the majority were pediatric intensivists (n = 55) and pediatricians (n = 30) working in tertiary-level hospitals (n = 90). The pediatric intensive care unit (PICU) was available to 88 respondents. Most respondents diagnose AVB in children <2 years (n = 66) based on clinical history and examination alone (n = 41) and the addition of chest radiograph (n = 44). Common investigations performed among admitted children were chest radiograph (n = 76), sepsis screen (n = 64), and viral polymerase chain reaction (n = 47). Common admission criteria were high-risk babies (n = 94), severe respiratory distress (n = 91), doubtful follow-up (n = 72), and SpO2 <94% (n = 50). Once admitted, most respondents measure SpO2 intermittently (n = 59), start oxygen therapy if SpO2 <94% (n = 52), and maintain SpO2 >92% during treatment (n = 49). Once off oxygen, SpO2 >94% was used as a threshold to discharge (n = 58). Common modes to start oxygen were simple nasal prongs (n = 75) and high-flow nasal cannula (n = 58). The majority (n = 96) use nebulizations, including 3% saline (n = 86) and adrenaline (n = 52). Antibiotic use was reported by most as sometimes or rarely (n = 87). Most respondents use either the Indian Academy of Pediatrics (n = 48) or the American Academy of Pediatrics (n = 25) guidelines, and only 36 have a written policy/flowchart in the unit for management of AVB.
CONCLUSION: We noted wide variations in the diagnosis, severity assessment, investigations, treatment, and adherence to guidelines for AVB. However, the majority of respondents use antibiotics sometimes or rarely.