Suspected Bronchiolitis Care Pathway Overview (Under 2 Years Old)

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Bronchiolitis: Assessment (Under 2 Years Old)

Traffic light system for identifying severity of illness.

Bronchiolitis GP Guidelines

  • Pre-existing lung disease, congenital heart disease, neuromuscular weakness, immune-incompetence
  • Age <6 weeks (corrected)
  • Prematurity
  • Family anxiety
  • Re-attendance
  • Duration of illness is less than 3 days and Amber - may need to admit

  • Rhinorrhea (runny nose)
  • Cough
  • Poor feeding
  • Vomiting
  • Pyrexia
  • Respiratory distress
  • Apnoea
  • Inspiratory crackles +/- wheeze
  • Cyanosis

Practice Point:

When you feel a GP review in a specific time period is clinically appropriate but that falls outside of the ’in hours’ GP service please contact the Paediatric OOH HUB on 0300 369 0461 after 15:30.  Your patient will be contacted during the out of hours period, assessed and the appropriate actions taken. Please see the Urgent/OOH section for further information and the process.

Patient Resources

Please see the Patient & Carer Information & Leaflets and Community Resources section.

Resources for Professionals

National Standards

Please see the National and NICE Guidance section.