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

Clinical Pediatrics
Gregory S SawickiTracy A Lieu

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.

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Citations

Jul 28, 2012·Current Medical Research and Opinion·Francine M DucharmeFrancisco J D Noya
Jun 23, 2009·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Ann Chen WuTracy A Lieu
Jan 31, 2019·Italian Journal of Pediatrics·Jia ZhaiBing Huang
Jan 28, 2021·Medical Anthropology Quarterly·Julie SprayJean M Hunleth
Jan 18, 2020·The Journal of Allergy and Clinical Immunology. in Practice·Bruce G Bender
Aug 3, 2019·The Journal of Allergy and Clinical Immunology. in Practice·Kaharu SuminoMario Castro
Oct 26, 2021·The Journal of Allergy and Clinical Immunology. in Practice·Cristina Ardura-GarciaUNKNOWN SPAC Study Team

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