Current management of acute bronchiolitis in Turkey [Türkiye'deki pediatristlerin akut bronşiyolite güncel yaklaşimlari]

Acute bronchiolitis is the most common lower respiratory tract infection in infants. The aim of this study was to overview the treatment practices of pediatricians in Turkey and to compare them with the current international management approaches. Questionnaires about acute bronchiolitis were distributed to pediatricians in the 49 th National Congress of Pediatrics and 2nd Congress of Pediatric Emergency and Intensive Care. The questionnare described a clinical scenario and this was followed by a list of management questions. Of a total of 300 questionnaires, 160 (53%) were returned. Of the participants, 88% give inhaled salbutamol, and 74% only oxygen or inhaled salbutamol plus oxygen in children with moderate acute bronhiolitis. Pediatricians in state hospitals use steroid (42%) and cold mist therapy (10%) more than in university and training hospitals (p<0.05). Epinephrine administration was significantly lower than in state hospitals and university and training hospitals, respectively at 2% and 5%. The most common survey in acute bronchiolitis was chest radiographs (68%). Antibiotics were prescribed routinely by 10% of state hospital pediatricians and by 6% of university and training hospital pediatricians. In conclusion, in light of the new, randomized, controlled clinical research and meta-analyses, guidelines have to be updated and continuous education provided with evidence-based protocols