Misuse of Glucocorticoids Short Courses in an Ambulatory Pediatric Facility: A Case Series of Forced Prescriptions for Common Wheezing or Rashes
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View abstract on PubMed
Summary
This summary is machine-generated.Pediatric glucocorticoid bursts are frequently prescribed for wheezing and skin conditions in young children. This study highlights potential overuse in ambulatory settings, warranting further investigation into prescribing patterns.
Area Of Science
- Pediatric Medicine
- Pharmacology
- Public Health
Background
- Glucocorticoid bursts, while effective, carry potential risks.
- Understanding pediatric prescribing patterns is crucial for safe medication use.
Purpose Of The Study
- To investigate the patterns of glucocorticoid burst prescribing in a pediatric ambulatory setting.
- To identify the common indications and age groups receiving these medications.
Main Methods
- A retrospective review of medical records was conducted for children attending well-child checkups.
- Data collection spanned from May to November 2022, including prescriptions from birth to the consultation date.
- Included children were those entering and leaving primary school.
Main Results
- Out of 79 children, 34 (43%) received at least one glucocorticoid burst.
- Wheezing was the primary indication (48 courses), predominantly in preschoolers (83%).
- Thirteen children received glucocorticoids for acute skin conditions like dermatitis or insect bites.
Conclusions
- Overuse of pediatric glucocorticoids is a significant issue in the studied community.
- Current prescribing practices for conditions like wheezing and dermatitis require attention.
- Further research is needed to optimize glucocorticoid use in children.
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