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Asthma in primary schools.

J Storr1, E Barrell, W Lenney

  • 1Royal Alexandra Hospital for Sick Children, Brighton, East Sussex.

British Medical Journal (Clinical Research Ed.)
|July 25, 1987
PubMed
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Five percent of children in Lewes use bronchodilator inhalers for asthma, missing seven school days annually. Many children struggle with inhaler technique, indicating a need for better asthma education in schools and homes.

Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Public Health

Background:

  • Asthma is a common chronic respiratory disease in children.
  • Inhalational treatment, particularly with bronchodilators, is a cornerstone of asthma management.
  • Effective inhaler technique is crucial for optimal drug delivery and symptom control.

Purpose of the Study:

  • To assess the prevalence of inhalational treatment use among children with asthma in the Lewes area.
  • To evaluate parental and school attitudes towards childhood asthma treatment.
  • To determine children's proficiency in using prescribed inhalers.

Main Methods:

  • A survey was conducted across seven schools in the Lewes area.
  • Data collection included identifying children using inhalational treatment, assessing parental and school attitudes, and evaluating children's inhaler technique.

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  • Prevalence rates and school absence data were analyzed.

    • Main Results:

    • Approximately 5% of children were receiving bronchodilator inhalational treatment.
    • Children on inhalational treatment missed an average of seven school days per year.
    • Most parents' views on treatment correlated with their child's asthma severity.
    • Schools generally managed bronchodilator administration adequately but lacked deep understanding of asthma.
    • A significant majority of children demonstrated unsatisfactory technique when using pressurized metered-dose inhalers.

    Conclusions:

    • Childhood asthma management via inhalers requires improved educational strategies for both children and educational institutions.
    • Addressing the gap in understanding asthma and inhaler use is essential for enhancing treatment efficacy.
    • Parental perspectives on asthma treatment are influenced by disease severity, highlighting the need for tailored support.