Asthma from passive smoking in the home limit the interest of providing steroids to school
,
A program based on the provision of inhaled corticosteroids in school
allows among children with moderate to severe persistent asthma, reduce
symptoms, and absenteeism, but only if they are not exposed to smoking at home
with their parents, shows a study published in the journal "Archives of
Pediatrics and Adolescent Medicine."
While the recommendations advocate daily medication for children with
moderate to severe persistent asthma, it is frequently observed poor adherence
or lack of treatment, say the members of the team led by Dr. Jill Halterman, of
University of Rochester. That is why this group of doctors sought to evaluate
the impact of a program of support for asthma at school, of putting daily
provision of asthmatic children treated with inhaled corticosteroids background
.
This study included 180 asthmatic children aged 3 to 7 years, attending
54 schools in the city of Rochester. Half of them have benefited from this
program the schooling of the disease, while the other half, the management was
done by the conventional method (control group).
Monitoring carried out every three months during a school year, has
highlighted that children who received the curriculum of asthma experienced
more days without asthma symptoms during the first months winter (average 9.2
days over two weeks) than children in the control group (7.3 days).
Furthermore, comparison of data collected in the control group, children
who received inhaled corticosteroids school less missed school because of their
asthma, while parents reported a greater improvement in their quality of life.
However, after an analysis that the authors are aware of the test
results revealed that the curriculum process has a significant effect only in
children who are not exposed to smoking at home with their parents.
In this case, the benefit of corticosteroids given at school is even
more significant in relation to taking a conventional charge, also reducing the
number of days during which the child has to use medication to treat seizures
and number of medical consultations following a crisis.
These results suggest that a program to reduce asthma attacks at school
provides assistance to children and their parents in the management of this
disease, although the smoke cancels the benefits of better compliance, the
authors conclude that say that other studies are needed to assess the impact of
cigarette smoke on anti-asthma treatment.
In an accompanying editorial, Dr. David Bundy and his colleagues at the
University of North Carolina, saying that the benefits of this program seem
modest, suggest to involve education for management of asthma .
Author: Mohammad
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