Clinical Pediatrics

 

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First published on January 11, 2008, doi:10.1177/0009922807312184

Clinical Pediatrics 2008;47:446.

A more recent version of this article appeared on June 1, 2008
 © 2008 SAGE Publications

Article

Periodic Use of Inhaled Steroids in Children With Mild Persistent Asthma: What Are Pediatricians Recommending?

Gregory S. Sawicki*, Lauren Smith, Barbara Bokhour, Charlene Gay, Katherine H. Hohman, Alison A. Galbraith, and Tracy A. Lieu

* To whom correspondence should be addressed. E-mail: gregory.sawicki{at}childrens.harvard.edu.


  Abstract
Although asthma treatment guidelines recommend daily inhaled corticosteroid (ICS) use for all persistent asthma, pediatricians may recommend alternative treatment plans for children with mild persistent disease. The authors administered a survey of pediatricians to describe prescribing patterns for mild persistent asthma. More than 99% of providers agreed that periodic ICS could be effective for some asthma patients. Overall, 129/251 providers (51%) reported prescribing daily ICS to most patients with mild persistent asthma, whereas 78 (31%) reported recommending periodic ICS for most such patients. Providers with patient populations ≥25% black were significantly less likely to report prescribing daily ICS (odds ratio, 0.3; 95% confidence interval, 0.2-0.6) for mild persistent asthma. Further research is needed on the effectiveness of periodic ICS use for children with mild persistent asthma and on underlying reasons for differing provider practice patterns.


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