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Clinical Pediatrics
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Home Nebulizers in Childhood Asthma

Parental Perceptions and Practices

C. Anthony Ryan, MB, MRCPI, FRCP

Department of Pediatrics, Walter McKenzie Health Sciences Center, University of Alberta, Edmonton, Canada, T6G 2R7

Andrew R. Willan, PhD

Brian A. Wherrett, MD, FRCP

Seventy five percent of 91 parents of asthmatic children (aged 6 months to 15.4 years) with home nebulizers, responded to a questionnaire that sought to document parental experience with this form of therapy. The most common indications for acquiring a nebulizer were inability to use metered dose inhalers and poor response or intolerance to oral medications. When the children were classified into those who used the nebulizer daily (27/69) and those who used it less than daily (42/69), we found that the daily users were more likely to be in the severest category of asthma, by parental assessment, prior to the home nebulization program (p = 0.0035).

Retrospective, uncontrolled comparison before and after the acquisition of a home nebulizer showed significant decreases both in hospital admissions (1.7 vs 0.7; p < 0.001) and total in-patient days (4.1 vs 1.7; p < 0.0001). Home nebulizers are well tolerated by parents and children alike and may be associated with decreased morbidity.

Clinical Pediatrics, Vol. 27, No. 9, 420-424 (1988)
DOI: 10.1177/000992288802700902
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Home page
 Arch Pediatr Adolesc MedHome page
D. A. Zimo, M. Gaspar, and J. Akhter
The Efficacy and Safety of Home Nebulizer Therapy for Children With Asthma
Arch Pediatr Adolesc Med, February 1, 1989; 143(2): 208 - 211.
[Abstract] [PDF]