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[Use of prophylactic medication in persistent asthma]

M C Duarte1, P A Camargos

  • 1Instituto da Criança e Adolescente de Juiz de Fora, MG, Brazil.

Jornal De Pediatria
|December 20, 2003
PubMed
Summary

Few children with persistent asthma received controller medication, with only 4.6% using inhaled anti-inflammatory drugs. This highlights an unsatisfactory rate of prophylactic therapy for pediatric asthma patients.

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Area of Science:

  • Pediatric Pulmonology
  • Allergy and Immunology
  • Public Health

Background:

  • Persistent asthma affects a significant number of children.
  • Effective prophylactic therapy is crucial for managing persistent asthma.
  • Understanding current treatment patterns is essential for improving patient outcomes.

Purpose of the Study:

  • To evaluate the use of prophylactic therapy in children with moderate to severe persistent asthma.
  • To determine the proportion of pediatric asthma patients receiving controller medications upon initial evaluation at a specialized center.

Main Methods:

  • A descriptive study was conducted on 306 pediatric patients (ages 4-15) with persistent asthma.
  • Data were collected from June 1995 to August 1998 at an outpatient reference center in Brazil.

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  • Patient records were analyzed for the use of various prophylactic asthma medications.
  • Main Results:

    • 87.3% of patients had moderate persistent asthma, and 12.7% had severe persistent asthma.
    • Only 14.4% of patients were on any controller medication.
    • The use of inhaled anti-inflammatory drugs (steroids, sodium cromoglycate, nedocromil sodium) was significantly lower, at 4.6%.

    Conclusions:

    • The utilization rate of prophylactic regimens for pediatric persistent asthma was found to be unsatisfactory.
    • There is a critical need to increase the use of inhaled anti-inflammatory drugs for better asthma control in children.
    • Addressing the low uptake of controller medications is vital given the prevalence of asthma.