Periodic use of inhaled steroids in children with mild persistent asthma: what are pediatricians recommending?


:Although asthma treatment guidelines recommend daily inhaled corticosteroid (ICS) use for all persistent asthma, pediatricians may recommend alternative treatment plans for children with mild persistent disease. The authors administered a survey of pediatricians to describe prescribing patterns for mild persistent asthma. More than 99% of providers agreed that periodic ICS could be effective for some asthma patients. Overall, 129/251 providers (51%) reported prescribing daily ICS to most patients with mild persistent asthma, whereas 78 (31%) reported recommending periodic ICS for most such patients. Providers with patient populations > or = 25% black were significantly less likely to report prescribing daily ICS (odds ratio, 0.3; 95% confidence interval, 0.2-0.6) for mild persistent asthma. Further research is needed on the effectiveness of periodic ICS use for children with mild persistent asthma and on underlying reasons for differing provider practice patterns.


Clin Pediatr (Phila)


Clinical pediatrics


Sawicki GS,Smith L,Bokhour B,Gay C,Hohman KH,Galbraith AA,Lieu TA




Has Abstract


2008-06-01 00:00:00














  • Managed care of children with special health care needs: the ABC Program.

    abstract::Families of children voluntarily enrolled in a managed care program for children with special health care needs receiving SSI and Medicaid benefits and their case managers were surveyed regarding care satisfaction, quality, and access. Claims data were used to compare the cost and utilization of health care before and...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Grossman LK,Rich LN,Michelson S,Hagerty G

    更新日期:1999-03-01 00:00:00

  • Adolescents' perspectives on vaccination outside the traditional medical home: a survey of urban middle and high school students.

    abstract::Eleventh- and 6th-grade students from an urban public school district were surveyed concerning vaccination outside the traditional medical home. Survey response rates were 50% for 11th- and 73% for 6th-grade students. Seventy-two percent of 11th-grade students reported that public health clinics were definitely or pro...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Pyrzanowski J,Curtis CR,Crane LA,Barrow J,Beaty B,Kempe A,Daley MF

    更新日期:2013-04-01 00:00:00

  • Fever of unknown origin: a diagnostic approach to this vexing problem.

    abstract::Fever is a common complaint leading families to seek medical attention. Its routine management is the bread and butter of pediatric practice. When fever is seen as prolonged beyond the expected time course (eg, 10 days for a presumed viral respiratory tract infection or 3 weeks for mononucleosis), concern for fever of...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审


    authors: Tolan RW Jr

    更新日期:2010-03-01 00:00:00

  • Neonatal infrared axillary thermometry.

    abstract::The authors compared axillary skin temperatures (AT) measured with an infrared (IR) thermometer (Lightouch Neonate, Exergen Corp) with rectal temperatures (RT) in 16 newly born term infants under radiant warmers (RW) and in cribs. Twelve stable, growing premature infants in incubators were also studied. This new devic...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Seguin J,Terry K

    更新日期:1999-01-01 00:00:00

  • A simple provider-based educational intervention to boost infant immunization rates: a controlled trial.

    abstract::We sought to determine if a simple educational intervention initiated at the first well-child care visit, with reinforcement at subsequent visits, can improve inner-city infant immunization rates. We conducted a controlled trial involving 315 newborn infants and their primary caregivers in 3 inner-city primary care ce...

    journal_title:Clinical pediatrics

    pub_type: 临床试验,杂志文章


    authors: Stille CJ,Christison-Lagay J,Bernstein BA,Dworkin PH

    更新日期:2001-07-01 00:00:00

  • Gonococcal infections in young children. Studies on the social, familial, and clinical aspects of 11 instances.

    abstract::Of 43 youngsters with gonorrhea, 11 were under 10 years of age. These 11 had in common atypical clinical presentation, marital disharmony of the parents, crowded living conditions; some had been abused sexually. Management of gonorrhea in such young children may require a concerted effort by a team of medical, social,...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Low RC,Cho CT,Dudding BA

    更新日期:1977-07-01 00:00:00

  • Use of propofol sedation in a pediatric emergency department: a prospective study.

    abstract::The purpose of this study was to determine the efficacy and safety of propofol sedation for pediatric procedures in the emergency department. For patients needing painful procedures, propofol was administered intravenously. Vital signs, complications, and time to recovery were recorded. Patient amnesia and parent, pat...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Skokan EG,Pribble C,Bassett KE,Nelson DS

    更新日期:2001-12-01 00:00:00

  • Fatal aortic rupture presenting as chest pain in an adolescent. The role of echocardiography in occult cystic medial necrosis.

    abstract::An adolescent female with occult cystic medial necrosis died following spontaneous aortic rupture. A large saccular aortic aneurysm that had ruptured into the pericardial space was demonstrated by two-dimensional echocardiography and confirmed at surgery. Echocardiographic screening of the patient's family members rev...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Schaffer MS,Nouri S,Chen SC,Waggoner AD,Pennington DG,Monteleone PL

    更新日期:1985-04-01 00:00:00

  • French norms and validation of the Child Development Inventory (CDI): Inventaire du Developpement de l'Enfant (IDE).

    abstract::The aim of this study was to determine the French norms and examine the validity of a parent-report inventory: the Child Development Inventory (CDI), called "Inventaire du Développement de l'Enfant (IDE)" in French. This assesses the general level of a child's development in 8 developmental domains. The norms were det...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Duyme M,Zorman M,Tervo R,Capron C

    更新日期:2011-07-01 00:00:00

  • Preemptive Ethanol Lock Therapy in Pediatric Hematology/Oncology Patients With Catheter-Associated Bloodstream Infection: Impact on Length of Stay, Cost, and Catheter Salvage.

    abstract:BACKGROUND:Ethanol lock therapy (ELT) with systemic antimicrobial therapy is a promising therapy for catheter-related infection (CRI). The impact of ELT timing on treatment efficacy and costs is unknown. PROCEDURES:A prospective study was conducted in the Hematology/Oncology Unit at the Children's Hospital of Michigan...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,随机对照试验


    authors: McGrath E,Du W,Rajpurkar M

    更新日期:2018-03-01 00:00:00

  • Nursing bottle caries: characteristics of children at risk.

    abstract::Nursing bottle carries is a pattern of extensive decay in newly erupted maxillary incisors. We examined nutritional, demographic, and behavioral characteristics of children with this condition and age/sex-matched controls, generating a profile of factors associated with increased risk for the development of this disea...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Marino RV,Bomze K,Scholl TO,Anhalt H

    更新日期:1989-03-01 00:00:00

  • A comparative study of the old tuberculin tine test and the PPD-tine test.

    abstract::Forty-one children suspected of having tuberculosis were simultaneously given an intermediate strength Mantoux test, an old tuberculin tine test (OT), and a purified protein derivative (PPD) tine test. Each test was read at 48 hours, and the largest diameter of induration was recorded. Twenty-nine patients had a posit...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Steiner P,Rao M,Victoria M,James P

    更新日期:1980-06-01 00:00:00

  • Pediatric residents' perceptions of family-centered rounds as part of postgraduate training.

    abstract:PURPOSE:Although family-centered rounds (FCRs) are recommended as standard practice, limited data address pediatric residents' opinions of FCRs. In the present study, we assessed residents' perceptions with respect to rounding experience and postgraduate year (PGY). METHODS:An anonymous online questionnaire was distri...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Pinto JM,Chu D,Petrova A

    更新日期:2014-01-01 00:00:00

  • Outpatient radiographic exposure in the first five years of life.

    abstract::Young children receive a variety of diagnostic radiographs over time. In some cases the exposure to radiation may be unwarranted because the films may yield confusing results, or may also need to be repeated because of poor technical quality. Even when the results are clearly negative, the subsequent treatment may pro...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Fosarelli PD,DeAngelis C

    更新日期:1987-06-01 00:00:00

  • Rapid diagnosis of sepsis and bacterial meningitis in children with real-time fluorescent quantitative polymerase chain reaction amplification in the bacterial 16S rRNA gene.

    abstract::A method for the detection of bacterial pathogens in sepsis and bacterial meningitis with 16S rRNA gene- based real-time fluorescent quantitative polymerase chain reaction (FQ-PCR) is developed. A total of 190 blood specimens and 5 cerebrospinal fluid specimens from neonates with suspected sepsis or bacterial meningit...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Chen LH,Duan QJ,Cai MT,Wu YD,Shang SQ

    更新日期:2009-07-01 00:00:00

  • Long-term outcomes of physician peer teaching.

    abstract::Research conducted in 10 cities assessed long-term pediatric asthma outcomes from a peer teaching intervention for physicians to improve their asthma-related clinical and counseling skills. Hypotheses were better outcomes for patients, symptom reduction, less health care use, and enhanced view of the physician. Peers ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Clark NM,Cabana M,Kaciroti N,Gong M,Sleeman K

    更新日期:2008-11-01 00:00:00

  • Carving a niche: the general academic pediatrician as consultant. Part II: Academic, financial, and educational concerns.

    abstract::The General Academic Pediatrician (GAP) may act as a consultant to both primary care pediatricians and tertiary care subspecialists. The authors surveyed a consultation service staffed by three GAP's in a tertiary care children's hospital. The service was financially successful and generated new sources of referrals f...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Listernick R,Tanz RR,Davis AT

    更新日期:1988-12-01 00:00:00

  • Nasal continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea in Hallermann-Streiff syndrome.

    abstract::An 8-year-old girl with Hallermann-Streiff syndrome (oculomandibulofacial syndrome) was examined. She had a history of severe snoring, reported nocturnal apnea, excessive daytime hypersomnolence, nocturnal enuresis, and failure to thrive. Overnight polysomnography confirmed severe obstructive sleep apnea. Long-term na...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Ryan CF,Lowe AA,Fleetham JA

    更新日期:1990-02-01 00:00:00

  • Randomized study of six umbilical cord care regimens. Comparing length of attachment, microbial control, and satisfaction.

    abstract::Two hundred and seventy one infants were enrolled in a study to compare six different methods of treating the umbilical cord. Antimicrobial control was equal for all methods. Repeated triple dye application was considered least acceptable by staff and parents and had the longest attachment time. Povidone-iodine was as...

    journal_title:Clinical pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Gladstone IM,Clapper L,Thorp JW,Wright DI

    更新日期:1988-03-01 00:00:00

  • Physician and patient characteristics associated with discussion of psychosocial health during pediatric primary care visits.

    abstract::This study examined whether physical pain, mental health symptoms, and provider characteristics were associated with the discussion of children's behavior, mood, getting along with others, school performance, family stress, and parent stress during 800 pediatric primary care visits to 54 providers in 13 clinics. The d...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Brown JD,Wissow LS,Riley AW

    更新日期:2007-11-01 00:00:00

  • Skinfold measurements in children. A comparison of Lange and McGaw calipers.

    abstract::Two types of calipers to measure skinfolds have been compared in adults, but the same type of comparison has not been done in a pediatric population who generally would have smaller skinfolds. Biceps and triceps skinfold measurements were made in 240 pediatric patients ranging in age from 2 weeks to 18 years. Skinfold...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Jung E,Kaufman JJ,Narins DC,Kaufman GE

    更新日期:1984-01-01 00:00:00

  • Who should accept primary responsibility for the encopretic child? A successful pediatric program based on dietary control, bowel training, and family counseling.

    abstract::Such a program was used to treat 18 encopretic children; 17 improved and 14 became completely free of soiling. Most encopretic children can be managed by pediatricians and only those children with severe emotional disorders require psychiatric referral. ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Hein HA,Beerends JJ

    更新日期:1978-01-01 00:00:00

  • Pitfalls on the diagnosis of acute osteomyelitis by bone scan.

    abstract::Two patients with acute osteomyelitis had technetium 99m methylene diphosphonate bone images that were misinterpreted. A review of six prospective evaluations of technetium scanning in the diagnosis of acute osteomyelitis shows that bone image interpretation may be misleading in five to seven per cent of pediatric pat...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Wald ER,Mirro R,Gartner JC

    更新日期:1980-09-01 00:00:00

  • Parental management of childhood diarrhea.

    abstract::The objective was to determine the prevalence of therapies used by parents to manage acute diarrhea in their children and determine extent of parental adherence to current management guidelines and utilization of functional foods. Parents (N=623) of children with diarrhea were surveyed in a tertiary care pediatric eme...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Li ST,Klein EJ,Tarr PI,Denno DM

    更新日期:2009-04-01 00:00:00

  • Pediatric imported malaria in New York: delayed diagnosis.

    abstract::The records of 20 children with imported malaria admitted to Kings County Hospital between October 1987 and May 1995 were reviewed. All had a history of recent travel or immigration from a malaria endemic area (West-Africa [16], Central-America [three], and the Caribbean [one]). None of the 10 children with a travel h...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审


    authors: Viani RM,Bromberg K

    更新日期:1999-06-01 00:00:00

  • Impact of Respiratory Syncytial Virus-Confirmed Hospitalizations on Caregivers of US Preterm Infants.

    abstract::This study assessed the impact of respiratory syncytial virus-confirmed hospitalizations (RSVH) on caregivers of high-risk preterm infants. Caregivers for infants born at 29 to 35 weeks' gestational age and hospitalized for confirmed RSV disease responded to measures of self-rated and perceived infant stress (1-7; 7 =...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Pokrzywinski RM,Swett LL,Pannaraj PS,Yi J,Pavilack MS,Kumar VR,McLaurin KK

    更新日期:2019-07-01 00:00:00

  • Safety words inventory and literacy screener: standardization and validation.

    abstract::When evaluating a school-aged patient, particularly for such issues as attention deficit disorder, or learning disabilities, health-care providers are encouraged to appraise children's school performance. Although some clinicians seek teachers' comments, recent research suggests that teachers' appraisals have limited ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Glascoe FP

    更新日期:2002-11-01 00:00:00

  • Deliberate practice improves pediatric residents' skills and team behaviors during simulated neonatal resuscitation.

    abstract:OBJECTIVE:To evaluate the skills and team behavior of pediatric residents during resuscitation with a high-fidelity mannequin before and after a deliberate practice intervention. METHODS:Each month residents participate in two 90-minute videorecorded sessions (2-3 weeks apart) in an "off-site" delivery room during the...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Cordero L,Hart BJ,Hardin R,Mahan JD,Nankervis CA

    更新日期:2013-08-01 00:00:00

  • Impact of a Personalized Audit and Feedback Intervention on Antibiotic Prescribing Practices for Outpatient Pediatric Community-Acquired Pneumonia.

    abstract::Antibiotic choice for pediatric community-acquired pneumonia (CAP) varies widely. We aimed to determine the impact of a 6-month personalized audit and feedback program on primary care providers' antibiotic prescribing practices for CAP. Participants in the intervention group received monthly personalized feedback. We ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Diaz MCG,Handy LK,Crutchfield JH Jr,Cadilla A,Hossain J,Werk LN

    更新日期:2020-10-01 00:00:00

  • Statement of Redundant Publication.

    abstract::For 'Factors Associated With Specific Language Impairment and Later Language Development During Early Life: A Literature Review' by Benjamas Prathanee, MA, Bandit Thinkhamrop, PhD, Sumalee Dechongkit, PhD; Clinical Pediatrics; Volume 46 Number 1, January 2007; 22-29; © 2007; SAGE Publications; 10.1177/0009922806297153...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,已发布勘误



    更新日期:2017-09-01 00:00:00