Clinical and sociodemographic profile of asthma and attitude of parents towards inhaled corticosteroid use in children

Gibi Xavier; O. Jose

doi:10.18203/2349-3291.ijcp20243849

Authors

Gibi Xavier Department of Paediatrics. Govt T. D. Medical College Alappuzha Kerala, India
O. Jose Department of Paediatrics. Govt T. D. Medical College Alappuzha Kerala, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20243849

Keywords:

Asthma, Inhaled corticosteroids, Cross-sectional study

Abstract

Background: To find out the clinical and socio demographic profile of asthma in 6–12-year-old children and also to understand the knowledge, attitude and practices of parents regarding the ICS use in a tertiary care centre, Alappuzha Kerala.

Methods: Hospital based cross-sectional study, over a period of 1 year. Ethical committee clearance obtained. 141 children were selected from the asthma clinic, based on Inclusion and exclusion criteria. Questionnaire was given to parents, and methods of using MDI checked and corrected.

Results: Most common reason for exacerbation of asthma are exposure to indoor air pollutants and viral infections. A major share of parents showing reluctance for using ICS due to fear of side effects. So usually using for a short course only, not as prescribed.

Conclusions: The adherence of using ICS can be improved by parent-doctor communication and demonstrating the use of inhaler and its importance in asthma.

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References

Pocket guide for Asthma Management and Prevention-Global initiative for asthma –GINA.

Andrew H. Liu, Joseph D. Spahn, Spahn, Scott H. Sicherer. Nelson textbook of paediatrics. 21st ed; 2014: 1186-209.

Rosas-Salazar C, Ramratnam SK, Brehm JM, Han Y-Acosta-Pérez E, Alvarez M. Parental numeracy and asthma exacerbations in Puerto Rican children. Chest. 2013;144(1):92-8.

Chan PW, DeBruyne JA. Parental concern towards the use of inhaled therapy in children with chronic asthma.Pediatr Int Off J Pediatr Soc. 2000;42(5):547-51.

Partridge MR, Hill SR. Enhancing care for people with asthma: the role of communication, educat ion, training and self-management. 1998 world asthma meeting education delivery of care working group. Eur Respir J 2000;16(2):333-48.

McKeever TM, Britton J. Diet and Asthma. Am J Respir Crit Care Med 2004;170(7):725-9.

Agarwal R, Aggarwal AN, Gupta D, Jindal SK. Inhaled corticosteroids vs placebo for preventing COPD exacerbations:a systematic review and meta regression of randomised controlled trials. Chest. 2010;137(2):318-25.

Jaakkola JJK, Ahmed P, Ieromnimon A, Goepfert P, Laiou E, Quansah R, et al. Preterm delivery and asthma: a systematic review and meta-analysis. J Allergy Clin Immunol. 2006;118(4):823-30.

Bhalla K, Nehra D, Nanda S. Prevalance of bronchial asthma and its associated risk factors in school-going adolescents in Tier –III North Indian City.J Family Med Prim Care. 2018;7(6):1452-7.

Losappio. Characteristics of patients admitted to emergency department for asthma attack: a real-life study”. BMC. 2019;19:107.