Title |
The use of inhaled corticosteroids in pediatric asthma: update
|
---|---|
Published in |
World Allergy Organization Journal, August 2016
|
DOI | 10.1186/s40413-016-0117-0 |
Pubmed ID | |
Authors |
Elham Hossny, Nelson Rosario, Bee Wah Lee, Meenu Singh, Dalia El-Ghoneimy, Jian Yi SOH, Peter Le Souef |
Abstract |
Despite the availability of several formulations of inhaled corticosteroids (ICS) and delivery devices for treatment of childhood asthma and despite the development of evidence-based guidelines, childhood asthma control remains suboptimal. Improving uptake of asthma management plans, both by families and practitioners, is needed. Adherence to daily ICS therapy is a key determinant of asthma control and this mandates that asthma education follow a repetitive pattern and involve literal explanation and physical demonstration of the optimal use of inhaler devices. The potential adverse effects of ICS need to be weighed against the benefit of these drugs to control persistent asthma especially that its safety profile is markedly better than oral glucocorticoids. This article reviews the key mechanisms of inhaled corticosteroid action; recommendations on dosage and therapeutic regimens; potential optimization of effectiveness by addressing inhaler technique and adherence to therapy; and updated knowledge on the real magnitude of adverse events. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 13% |
Ecuador | 1 | 7% |
Spain | 1 | 7% |
Venezuela, Bolivarian Republic of | 1 | 7% |
Argentina | 1 | 7% |
Unknown | 9 | 60% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 12 | 80% |
Practitioners (doctors, other healthcare professionals) | 2 | 13% |
Scientists | 1 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 274 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 43 | 16% |
Student > Master | 40 | 15% |
Student > Ph. D. Student | 22 | 8% |
Researcher | 18 | 7% |
Student > Postgraduate | 17 | 6% |
Other | 50 | 18% |
Unknown | 84 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 100 | 36% |
Nursing and Health Professions | 22 | 8% |
Pharmacology, Toxicology and Pharmaceutical Science | 18 | 7% |
Biochemistry, Genetics and Molecular Biology | 9 | 3% |
Agricultural and Biological Sciences | 5 | 2% |
Other | 28 | 10% |
Unknown | 92 | 34% |