Evidence map›Paper›PMID 40685806›Full record

GuidelineJournal of paediatrics and child health2025

Australasian Bronchiolitis Guideline: 2025 Update.

Meredith L Borland, Kate Loveys, Franz E Babl, Elizabeth Cotterell, Libby Haskell, Sharon O'Brien, Ed Oakley, Catherine L Wilson, Jane Alsweiler, David Armstrong and 20 more

Abstract readPractice GuidelineReview
In one paragraph

Guideline in Journal of paediatrics and child health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Australasian Bronchiolitis Guideline: 2025 Update.Journal of paediatrics and child health · 2025
    Guideline
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Survey of Practice Variations in Management of Acute Viral Bronchiolitis in India (PRERNI-PAVB Survey).Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Meredith L BorlandEmergency Department, Perth Children's Hospital, Perth, Western Australia, Australia.ORCID 0000-0002-5326-5008
Kate LoveysDepartment of Paediatrics: Child and Youth Health, School of Medicine, University of Auckland, Auckland, New Zealand.ORCID 0000-0003-0694-4830
Franz E BablDepartments of Paediatrics and Critical Care, University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0002-1107-2187
Elizabeth CotterellArmidale Rural Referral Hospital, Armidale, New South Wales, Australia.ORCID 0000-0001-8469-8394
Libby HaskellDepartment of Paediatrics: Child and Youth Health, School of Medicine, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-8706-3674
Sharon O'BrienEmergency Department, Perth Children's Hospital, Perth, Western Australia, Australia.ORCID 0000-0002-5980-4682
Ed OakleyDepartments of Paediatrics and Critical Care, University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0002-3712-6200
Catherine L WilsonEmergency Research, Clinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0001-5893-4226
Jane AlsweilerDepartment of Paediatrics: Child and Youth Health, School of Medicine, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-0874-6654
David ArmstrongDepartment of Respiratory and Sleep Medicine, Monash Children's Hospital, Clayton, Victoria, Australia.ORCID 0000-0002-5933-705X
Simon S CraigEmergency Research, Clinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0003-2594-1643
Nigel W CrawfordRoyal Children's Hospital, Melbourne, Victoria, Australia.ORCID 0000-0003-1851-5080
Dianne CrellinRoyal Children's Hospital, Melbourne, Victoria, Australia.ORCID 0000-0003-2629-0483
Sonja CroneDepartment of Paediatrics, Rotorua Hospital, Te Whatu Ora Lakes, Rotorua, New Zealand.
Trevor DukeRoyal Children's Hospital, Melbourne, Victoria, Australia.ORCID 0000-0003-4637-1416
Shane GeorgeGold Coast University Hospital, Gold Coast, Queensland, Australia.ORCID 0000-0002-8880-1245
Christine Jeffries-StokesRural Clinical School of Western Australia, Kalgoorlie, Western Australia, Australia.ORCID 0000-0002-2714-9660
Nidhi KrishnanQueensland Children's Hospital, South Brisbane, Queensland, Australia.
Anna LithgowDepartment of Paediatrics, The Royal Darwin Hospital, Darwin, Northern Territory, Australia.ORCID 0000-0003-2675-6749
Ken PeacockDepartment of General Medicine, Children's Hospital at Westmead, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia.
Tomas RatoniNorthern NSW Local Health District, New South Wales, Australia.
Peter RichmondPerth Children's Hospital, Perth, Western Australia, Australia.ORCID 0000-0001-7562-7228
Annie SmithSouthland Hospital, Invercargill, New Zealand.
Rebecca StarkieDepartment of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-1700-2777
David ThomasDepartment of General Medicine, Women's and Children's Hospital, Adelaide, South Australia, Australia.
Alexandra WallaceDepartment of Paediatrics: Child and Youth Health, School of Medicine, University of Auckland, Auckland, New Zealand.ORCID 0000-0003-2192-3245
Michael ZhangEmergency Department, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
Emma TavenderDepartments of Paediatrics and Critical Care, University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0002-7230-712X
Stuart R DalzielDepartment of Paediatrics: Child and Youth Health, School of Medicine, University of Auckland, Auckland, New Zealand.ORCID 0000-0003-0522-9579
Paediatric Research in Emergency Departments International Collaborative (PREDICT) Network, Australasia

Funding

Cure KidsNational Health and Medical Research CouncilRoyal Children's Hospital FoundationState Government of Victoria
6 · The paper itself

Abstract

aimTo provide updated evidence-based clinical guidance in the management of infants with bronchiolitis presenting to emergency departments (EDs), general paediatric, or intensive care units (ICUs) in Australia and Aotearoa New Zealand (AoNZ) following the first publication in 2016.

methodThe Paediatric Research in Emergency Departments International Collaborative (PREDICT) network guideline working group appraised, summarised, and updated evidence from 1 January 2000 to 24 January 2024 addressing 41 questions (30 from the 2016 guideline and 11 new questions for 2025). Recommendations were developed using GRADE methodology and revised after a period of external consultation.

resultsThe literature search identified 26 467 citations with 431 included in 41 recommendations providing 11 new and 7 key updates. The key changes included: (i) refinement of the clinical features of bronchiolitis, (ii) addition of new risk factors for severity of illness, (iii) advice on the role of biomarkers for unexpected deterioration or admission to ICU, (iv) guidance on glucocorticoids in SARS-CoV-2 co-infection, (v) guidance on combined glucocorticoids/inhaled epinephrine in severe bronchiolitis requiring ICU level care, (vi) refinement of oxygen saturation targets, (vii) guidance on humidified high flow therapy and continuous positive airway pressure, (viii) recommendation on use of RSV prevention therapies/immunisations for babies and mothers.

conclusionThe updated Australasian Bronchiolitis Guideline provides clinicians across Australasian settings with the latest evidence-based guidance on the management of the commonest condition in infancy requiring hospital admission.

Indexed as

BronchiolitisAustralasiaAustraliaCOVID-19Emergency Service, HospitalHumansInfantInfant, NewbornNew Zealandbronchiolitisguidelinemanagementpaediatricrespiratory

Identifiers

PMID40685806
PMCPMC12397848

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.