Effect of RSV bronchiolitis practice guidelines on resource utilization

We sought to determine whether institution of respiratory syncytial virus ( RSV) practice guidelines decreased resource utilization for a heterogeneous population of children hospitalized with RSV bronchiolitis. Patients less than 24 months old with RSV bronchiolitis at a pediatric referral center we re identified by retrospective chart review for consecutive RSV seasons. Be fore the guidelines were instituted patients were less likely to have a doc umented physician's assessment of response to albuterol, were more likely t o have received supplemental oxygen and cardiorespiratory monitoring, and t o be discharged on an albuterol regimen. Patients received more albuterol t reatments. After the guidelines were in place fewer resources were utilized in the care of patients with RSV bronchiolitis. RSV practice guidelines ma y simplify and streamline the care of a heterogeneous population of childre n with bronchiolitis.