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Improving the Management of Children With BronchiolitisUpdate of Bronchiolitis Guideline: The Updated American Academy of Pediatrics Clinical Practice Guideline

Siew C. Su, MBBS; Anne B. Chang, MBBS, PhD
Author and Funding Information

From the Queensland Children’s Respiratory Centre (Dr Su and Prof Chang), Queensland Children’s Medical Research Institute, Royal Children’s Hospital Brisbane, Queensland University of Technology; and Child Health Division (Prof Chang), Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.

CORRESPONDENCE TO: Anne B. Chang, MBBS, PhD, Queensland Children’s Respiratory Centre, Royal Children’s Hospital Brisbane, Herston Rd, Herston, QLD, 4029, Australia; e-mail: annechang@ausdoctors.net


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(6):1428-1430. doi:10.1378/chest.14-2024
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Bronchiolitis is the most common cause of hospitalization of very young children.1 Although the mortality associated with bronchiolitis is low in affluent countries, the related cost and morbidity are high,2 especially in some minority groups, such as indigenous children.3 Despite the burden of illness, there is a relative paucity of evidence-based guidelines on the management of bronchiolitis in and out of hospitals. Prior to the updated bronchiolitis guideline from the American Academy of Pediatrics (AAP),1 the latest most comprehensive collation of evidence for the management of bronchiolitis was that from the Scottish Intercollegiate Guidelines Network (SIGN) guideline from the United Kingdom,2 where the latest search date was 2005. Thus, the updated AAP bronchiolitis guideline,1 which has incorporated relevant data from the past 10 years, should be a welcomed document by clinicians worldwide.

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