Related Experiment Video
Updated: Sep 30, 2026

Auricular Acupressure as an Adjuvant Treatment for Wheezing in Stable Chronic Obstructive Pulmonary Disease
Published on: May 10, 2024
Intermittent treatment with high dose nebulized beclomethasone for recurrent wheezing in infants due to upper
G Ghirga1, P Ghirga, S Fagioli
1Pediatric Division, San Paolo General Hospital, Civitavecchia (Rome), Italy.
Insights
Early high-dose inhaled beclomethasone dipropionate can reduce recurrent wheezing in infants following upper respiratory tract infections (URTI). This treatment lowered symptom scores and acute attacks, offering a promising intervention for this common childhood condition.
Area of Science:
- Pediatrics
- Respiratory Medicine
- Pharmacology
Background:
- Recurrent wheezing in infants following upper respiratory tract infections (URTI) presents a significant therapeutic challenge.
- Early intervention strategies are needed to manage wheezing episodes in infants.
Purpose of the Study:
- To investigate the efficacy of high-dose inhaled beclomethasone dipropionate initiated early during URTI in reducing recurrent wheezing in infants.
- To assess the impact of early beclomethasone treatment on symptom severity and acute exacerbations.
Main Methods:
- A study involving 26 infants (7-12 months) with recurrent wheezing during URTI.
- Infants received either nebulized beclomethasone (400 mg tid for 5 days) at the first sign of URTI or served as a control group without preventive treatment.
- Symptom scores, emergency room visits, hospital admissions, and oral steroid use were recorded.
Main Results:
- Beclomethasone treatment led to significantly lower symptom scores (p<0.05).
- Only one infant required emergency room visits during beclomethasone therapy, compared to five in the control group.
- No hospital admissions occurred, and adverse events were not reported.
Conclusions:
- Early administration of high-dose inhaled beclomethasone during the prodromal phase of URTI shows favorable results in managing recurrent infant wheezing.
- The treatment reduced the frequency and severity of wheezing episodes and acute attacks.
- Inhaled beclomethasone is a potentially effective and safe intervention for infants experiencing recurrent wheezing associated with URTI.
Background:
To investigate if high dose inhaled beclomethasone dipropionate started early after upper respiratory tract infection (URTI) could reduce recurrent wheezing in infants.
Methods:
Twenty-six ambulatory infants, 7-12 months of age, with recurrent wheezing during upper respiratory tract infection participated. All experienced at least three wheezing attacks. Those with underlying lung or systemic disease were excluded. Infants were divided into two groups in an open unblinded manner, until 13 patients had been recruited for each group. The groups were similar in risk factors for recurrent wheezing. Four treatment periods of 5 days were planned for group 1. The dose regimen was nebulized beclomethasone 400 mg by mask tid for 5 days. Treatment was started at the very first sign of URTI prior to any sign of wheezing. Group 2 did not receive any preventive treatment and constituted the control group. Symptoms scores were recorded. The number of emergency room visits, hospital admissions and short courses with oral steroids was also noted.
Results:
Twelve infants completed 48 treatment periods. Five visited the emergency room, only one during beclomethasone therapy. Six received oral steroids, two receiving beclomethasone. No patient was admitted to the hospital. Symptom scores were significantly lower during beclomethasone treatment (p<0.05). No apparent adverse events were reported.
Conclusions:
The infant with recurrent wheezing during URTI is a therapeutic challenge. Most of these infants have prodromal symptoms for about 24 hours before wheezing starts. In the present study we observed favorable results, decrease in the number the child wheezed and the number of acute attacks, when high dose inhaled beclomethasone is administered during this critical time.
Related Concept Videos
Inhaled Medications
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by anesthetizing...
Drugs Used in Lower Respiratory Disorders: Overview
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
Respiratory Syncytial Virus Disease
Pulmonary Cycle: Exhalation