Dexamethasone Versus Prednisone for Pediatric Acute Asthma Exacerbations: Specialists' Practice Patterns.

Pediatric Emergency Care
Robert Peterson, Kelly D Young

Abstract

Dexamethasone has emerged as a viable alternative to prednisone in the treatment of pediatric acute asthma exacerbations, with the potential for improved compliance secondary to decreased frequency of dosing, improved taste, and decreased cost. The objective of this study is to identify whether providers are prescribing dexamethasone for pediatric acute asthma exacerbations. Secondary objectives are to describe variation in practice between different specialties and to identify the commonly used dosing and frequency for dexamethasone. We conducted a cross-sectional, descriptive study with an anonymous, web-based survey (surveymonkey.com). The survey population included all fellowship program directors listed on FRIEDA Online for pediatric emergency medicine, pediatric pulmonology, and allergy and immunology, and emergency medicine residency directors through the Council of Emergency Medicine Residency Directors listserv. Program directors were contacted via e-mail up to 5 times for 3 months. Overall, 300 respondents (70% of the program directors) completed the survey. Response rates by specialty varied from 60% to 94%. One third of providers are using dexamethasone, whereas just more than half of providers (51%) are prescribing...Continue Reading

References

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Citations

Sep 3, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Amy M DeLarocheAaron Jones
Jan 26, 2021·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Srish SharmaElizabeth Eby Halvorson
Oct 7, 2021·Hospital Pediatrics·Sunita Ali HemaniSarah Varghese

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