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

Abstract:

: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.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

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

doi

10.1177/0009922807312184

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

446-51

issue

5

eissn

0009-9228

issn

1938-2707

pii

0009922807312184

journal_volume

47

pub_type

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