June 2009. Volume 5. Number 2

Inhaled corticosteroids prevent exacerbations in infants and preschoolers diagnosed as having asthma or recurrent wheezing

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Castro-Rodriguez JA, Rodrigo GJ. Efficacy of inhaled corticosteroids in infants and preschoolers with recurrent wheezing and asthma: a systematic review with meta-analysis. Pediatrics. 2009;123:e519-25
Reviewers: García Vera C1, Aizpurua Galdeano P2.
1 Centro de Salud Sagasta-Ruiseñores. Zaragoza. España.
2ABS 7 La Salut Badalona. Badalona. España.
Correspondence: César García Vera. Email: cgarciav@wanadoo.es
Reception date: 19/03/2009
Acceptance date: 30/03/2009
Publication date: 22/04/2009

Abstract

Authors' conclusions: Infants and preschoolers with recurrent wheezing or asthma had less wheezing/asthma exacerbations and improve their symptoms and lung function during treatment with inhaled corticosteroids.

Reviewers' commentary: Given the difficulties of an accurate diagnosis of asthma in infants and preschoolers and considering the potential benefits of prophylactic therapy with inhaled corticosteroids in some of them, it could be sensible to test this therapy in those with persistent symptoms or frequent exacerbations.

How to cite this article

García Vera C, Aizpurua Galdeano P. Los corticoides inhalados previenen reagudizaciones en niños pequeños catalogados tanto de asma como de sibilantes recurrentes. Evid Pediatr. 2009;5:37.

AVC | Critically appraised articles

Castro-Rodriguez JA, Rodrigo GJ. Efficacy of inhaled corticosteroids in infants and preschoolers with recurrent wheezing and asthma: a systematic review with meta-analysis. Pediatrics. 2009;123:e519-25
Reviewers: García Vera C1, Aizpurua Galdeano P2.
1 Centro de Salud Sagasta-Ruiseñores. Zaragoza. España.
2ABS 7 La Salut Badalona. Badalona. España.
Correspondence: César García Vera. Email: cgarciav@wanadoo.es
Reception date: 19/03/2009
Acceptance date: 30/03/2009
Publication date: 22/04/2009

How to cite this article

García Vera C, Aizpurua Galdeano P. Los corticoides inhalados previenen reagudizaciones en niños pequeños catalogados tanto de asma como de sibilantes recurrentes. Evid Pediatr. 2009;5:37.

References

  1. From the Global Strategy for Asthma Management and Prevention, Global Initiative for Asthma (GINA) 2008. Disponible en : http://www.ginasthma.org.
  2. British Thoracic Society Scottish Intercollegiate Guidelines Network. British Guideline on the Management of Asthma A national clinical guideline. 2008. Disponible en: http://www.brit-thoracic.org.uk
  3. Brand PL, Baraldi E, Bisgaard H, Boner AL, Castro-Rodriguez JA, Custovic A, et al. Definition, assessment and treatment of wheezing disorders in preschool children: an evidence-based approach. Eur Respir J. 2008;32:1096-110.
  4. García Vera C, Ibáñez Pradas V. El uso de propionato de fluticasona inhalado no parece modificar la historia natural del asma en niños menores de cinco años con sibilancias. Evid Pediatr. 2006;2:77.
  5. González de Dios J, Ochoa Sangrador C. Montelukast no es eficaz como tratamiento preventivo en la enfermedad reactiva de las vías aéreas postbronquiolitis. Evid Pediatr. 2009;5:4.
22/04/2009

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