Skip to main content

Research Repository

Advanced Search

Nutritional management of young infants presenting with acute bronchiolitis in Belgium, France and Switzerland: Survey of current practices and documentary search of national guidelines worldwide

Valla, Frédéric V.; Baudin, Florent; Demaret, Pierre; Rooze, Shancy; Moullet, Clémence; Cotting, Jacques; Ford-Chessel, Carole; Pouyau, Robin; Peretti, Noël; Tume, Lyvonne N.; Milesi, Christophe; Le Roux, Bénédicte Gaillard

Nutritional management of young infants presenting with acute bronchiolitis in Belgium, France and Switzerland: Survey of current practices and documentary search of national guidelines worldwide Thumbnail


Authors

Frédéric V. Valla Frederic.Valla@uwe.ac.uk

Florent Baudin

Pierre Demaret

Shancy Rooze

Clémence Moullet

Jacques Cotting

Carole Ford-Chessel

Robin Pouyau

Noël Peretti

Lyvonne Tume Lyvonne.Tume@uwe.ac.uk
Associate Professor in Child Health

Christophe Milesi

Bénédicte Gaillard Le Roux



Abstract

© 2018, Springer-Verlag GmbH Germany, part of Springer Nature. Feeding difficulties are common in young infants presenting with acute bronchiolitis, but limited data is available to guide clinicians adapting nutritional management. We aimed to assess paediatricians’ nutritional practices among Western Europe French speaking countries. A survey was disseminated to describe advice given to parents for at home nutritional support, in hospital nutritional management, and preferred methods for enteral nutrition and for intravenous fluid management. A documentary search of international guidelines was concomitantly conducted. Ninety-three (66%) contacted physicians responded. Feeding difficulties were a common indication for infants’ admission. Written protocols were rarely available. Enteral nutrition was favoured most of the time when oral nutrition was insufficient and might be withheld in case of severe dyspnoea to decrease respiratory workload. Half of physicians were aware of hyponatremia risk and pathophysiology, and isotonic intravenous solutions were used in less than 15% of centres. International guideline search (23 countries) showed a lack of detailed nutritional management recommendations in most of them. Conclusion: practices were inconsistent among physicians. Guidelines detailed nutritional management poorly. Awareness of hyponatremia risk in relation to intravenous hypotonic fluids and of the safety of enteral hydration and nutrition is insufficient. New guidelines including detailed nutritional management recommendations are urgently needed.What is Known?• Infants presenting with acute bronchiolitis face feeding difficulties.• Underfeeding may promote undernutrition, and intravenous hydration with hypotonic fluids may induce hyponatremia.What is New?• Physicians’ nutritional practices are inconsistent and awareness of hyponatremia risk and pathophysiology is insufficient among physicians.• Awareness of hyponatremia risk and pathophysiology is insufficient among physicians.• The reasons for enteral nutrition withholding in bronchiolitis infants are not evidence based, and national guidelines of acute bronchiolitis across the world are elusive regarding nutritional management.• National guidelines of acute bronchiolitis across the world are elusive regarding nutritional management.

Citation

Valla, F. V., Baudin, F., Demaret, P., Rooze, S., Moullet, C., Cotting, J., …Le Roux, B. G. (2019). Nutritional management of young infants presenting with acute bronchiolitis in Belgium, France and Switzerland: Survey of current practices and documentary search of national guidelines worldwide. European Journal of Pediatrics, 178(3), 331-340. https://doi.org/10.1007/s00431-018-3300-1

Journal Article Type Article
Acceptance Date Nov 29, 2018
Online Publication Date Dec 1, 2018
Publication Date Mar 12, 2019
Deposit Date Dec 3, 2018
Publicly Available Date Dec 2, 2019
Journal European Journal of Pediatrics
Print ISSN 0340-6199
Electronic ISSN 1432-1076
Publisher Springer (part of Springer Nature)
Peer Reviewed Peer Reviewed
Volume 178
Issue 3
Pages 331-340
DOI https://doi.org/10.1007/s00431-018-3300-1
Keywords feeding, bronchiolitis, guidelines, infants, survey
Public URL https://uwe-repository.worktribe.com/output/849911
Publisher URL https://doi.org/10.1007/s00431-018-3300-1
Additional Information Additional Information : This is the author's accepted manuscript. The final published version is available here: https://doi.org/10.1007/s00431-018-3300-1.

Files








You might also like



Downloadable Citations