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Published on: November 4, 2010
Treatment with inhaled corticosteroids improves pulmonary function in children under 2 years old with risk factors
Alejandro Manuel Teper1, Carlos Daniel Kofman
1Respiratory Center, Hospital de Niños Ricardo Gutiérrez, Buenos Aires, Argentina. ateper@intramed.net
Insights
Inhaled corticosteroids improve pulmonary function and illness control in young children with asthma. Evidence suggests early treatment for recurrent wheeze can prevent severe disease and irreversible obstruction.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Clinical Immunology
Background:
- Asthma is a chronic respiratory condition affecting children worldwide.
- Persistent asthma in children requires effective management to prevent long-term complications.
- Inhaled corticosteroids (ICS) are a cornerstone therapy for pediatric asthma.
Purpose of the Study:
- To review recent studies on the impact of inhaled corticosteroids on pulmonary function in young children with asthma.
- To synthesize current evidence regarding the efficacy of ICS in improving lung function in pediatric asthma patients.
- To address the existing discrepancies in research findings concerning ICS effectiveness in early childhood asthma.
Main Methods:
- Systematic review of recent clinical studies and research publications.
- Analysis of data from trials investigating inhaled corticosteroids in infants and young children.
- Evaluation of studies focusing on pulmonary function tests and clinical outcomes in pediatric asthma.
Main Results:
- Inhaled corticosteroids are widely recognized as the most effective treatment for persistent childhood asthma.
- Recent studies indicate a demonstrable improvement in pulmonary function in young children using ICS.
- Despite some conflicting results, evidence suggests ICS ameliorate clinical outcomes in pediatric asthma.
Conclusions:
- Inhaled corticosteroids are recommended for infants and young children with recurrent wheeze and asthma risk factors.
- Early ICS treatment appears to enhance illness control and improve pulmonary function in this age group.
- Consistent application of ICS may prevent the progression to more severe asthma and irreversible airway obstruction.
Purpose Of Review:
To report on recent studies on the effect of inhaled corticosteroids on pulmonary function in young children with asthma.
Recent Findings:
Inhaled corticosteroids are considered the most effective treatment for persistent asthma in children. Appropriate control of childhood asthma may prevent more serious disease or irreversible obstruction in later years. While some authors have described an improvement with the use of inhaled corticosteroids in young children, others found no clinical or functional benefit. Various studies have shown that inhaled corticosteroids ameliorate clinical outcomes, and recently a study demonstrated improvement in pulmonary function in young children with asthma. The use of different study designs may explain the lack of consistent results and disagreement regarding the efficacy of inhaled corticosteroids in these patients.
Summary:
Based on the preponderance of evidence, treatment with inhaled corticosteroids in infants and young children with recurrent wheeze and risk factors of developing asthma appears to allow better control of the illness and improve the pulmonary function.
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