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post in: Lifestyle, Video Date:08 Sep 2017, 18:47 views:711
Benjamin Volovitz * and Moshe Nussinovitch, department of mukhopadhyay Pediatrics, Schneider Children's Medical Center, Israel *Corresponding Author: Benjamin Volovitz, department of Pediatrics, schneider Children's Medical Center 4 Recanati Street, Tel Aviv 6949404, Israel. Tel:, fax:, e-mail: email protected, received Date: January 04, 2016, accepted Date: January 28, 2016.
Published Date: February 01, 2016, citation: Volovitz B, Nussinovitch M (2016) Presence and Treatment of Asthma Exacerbation in Infants and Children. Copyright: 2016 Volovitz B,. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Visit for more related articles. Pediatrics Therapeutics, view PDF, download PDF, abstract.
We sought to determine that asthma exacerbation exists in infants and can be treated effectively with pediatrics inhaled corticosteroids. The sample included 1500 consecutive children aged 5 years who attended a tertiary pediatric asthma clinic in because of an asthma exacerbation that failed to be controlled in the community. Clinical characteristics and response to treatment were compared between the infants and older children (age 1-5 years).
Thirty-one percent of the children were infants. There was no difference between infants and older children in rate of asthma in the family, percentage of emergency department visits or hospitalizations, duration of asthma symptoms, and beta-2 agonist and oral corticosteroid use.
All patients had a history of prolonged cough and were coughing during their first visit; 45 were also wheezing. During the treatment period, the rate of emergency department visits and hospitalization for asthma exacerbations decreased significantly without use of oral corticosteroids.
Most patients (88 with or without wheezing, had a good response to treatment, with no significant difference between infants and older children. Asthma is present in infants and has the same clinical characteristics as in older children.
In both age groups, asthma exacerbations respond equally well to inhaled corticosteroids, regardless of the presence of wheezing. Keywords, asthma; Young children; Infants; Treatment; Inhaled corticosteroids.
Introduction, the 2012 International Consensus (icon) on Pediatric Asthma stated that the diagnosis of asthma in children younger than 2-3 years is difficult because of the lack of objective methods to measure suboptimal responses to medications. The consensus also reported that high-dose inhaled steroids may be effective for the treatment of asthma exacerbations. This was supported by a recent meta-ysis showing equal effectiveness of inhaled and oral corticosteroids in the treatment of children with asthma in the emergency department setting.