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Bronchiolitis Clinical Pathway, Inpatient – Further Diagnostic Testing

Bronchiolitis Clinical Pathway — Inpatient

Further Diagnostic Testing

Chest X-rayX-rays are not routinely recommended
Consider if:
  • Clinical picture is not consistent with typical bronchiolitis
  • Clinical course suggests super infection
  • New fever late in the disease process
  • Severe disease / toxic appearance with a lack of upper respiratory symptoms
Viral RRPViral testing is not routinely recommended
Consider testing if:
  • The diagnosis is in question (influenza is unlikely in children with typical bronchiolitis)
  • Prolonged fever
  • Local epidemiology indicates significant flu activity
  • When there is a high clinical suspicion of flu and
    • The child is being seen within the window when antivirals will be effective (for children to be discharged)
    • The child is being admitted
Pertussis PCRPertussis Testing is not routinely recommended
Consider if:
  • Paroxysmal or prolonged cough
  • Apnea
  • Known pertussis exposure

 

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