Presence and Treatment of Asthma Exacerbation in Infants and Children
Benjamin Volovitz* and Moshe Nussinovitch
Department of 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
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. Pediatr Ther 6:276. doi:10.4172/2161-0665.1000276
Copyright: © 2016 Volovitz B, et al. 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.
We sought to determine that asthma exacerbation exists in infants and can be treated effectively with inhaled corticosteroids. The sample included 1500 consecutive children aged <5 years who attended a tertiary pediatric asthma clinic in 2000-2013 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.