A recent study by the Washington University Medical School in St. Louis states that children with asthma are able to effectively administer two inhalers – steroids and the other – bronchodilator, when symptoms occur. This is a traditional method of daily use of steroids, regardless of the symptoms and against the bronchodilator when the symptoms occur. The use of two inhalers, if necessary, is effective even for light asthma, according to investigators.
The steroid inhaler reduces inflammation, and the bronchodilator is also called rescue inhaler – facilitating respiration during asthma attacks.
The study relates to children with African American asthma. Research Journal of Allergy and Clinical Immunology: Practice.
"We are delighted to be able to control the symptoms-based treatment of as little as an asthma-like asthma," says Kaharu Sumino, MD, Professor. "The patients in the group who used two inhalers also used about one-fourth of the breath taking steroid dose in the assigned daily dose. We are also thrilled that patients and families feel the need to manage asthma pain when administered as needed treatment. "
About 6.2 million children in the United States are suffering from asthma in children under 18 years. There are about 7.4 percent of asthma among white children. Among African American children, these statistics are twice as high as 13.4 percent. According to the American Allergy and Asthma Foundation, asthma is about 1.8 million per year, and African Americans are three times more likely to be hospitalized due to asthma.
The study was conducted by doctors in primary health care in a few pediatric practices in the St. Louis area, which is widely used in primary health care and is not only effective by researchers at an academic medical center.
Clinical trials, formerly under the supervision of academic medical centers, have demonstrated the need for medication, as well as traditional routine steroid therapy strategies with rescue inhalant if necessary. But the question is how much this strategy can change to the private medical practice. This non-alternative, symptomatic strategy is only effective when children are accepted by primary care providers, and researchers have found that this method reduces monthly steroid medication by 75 percent.
The study involved 206 African American children aged 6 to 17 who were adequately monitored by asthma antibiotics. The participants saw their pediatricians at 12 primary health care facilities in St. Louis. Patients were randomly assigned to one of two groups. Each participant in the same group was recommended to take the dose with the steroid-freeletoneton inhalant, along with the rescue bronchodilator, when symptoms arise. Symptoms that can cause the use of drugs include breathing, chest tightness, difficulty in coughing, whistling, and physical exercise.
Each participant in the second group was advised to take a rescue bronchodilator in response to symptoms, regardless of the specific inhalation dose of steroid bayletonone, as the Global Initiative had been a standard recommendation for about 30 years. Instruction on asthma.
At the end of one year of research, researchers have no differentiation between the groups in the study of the good management of patients with asthma, and there is no difference in breathing tests that measure lung function. There were no differences between participants who applied for additional medical care during asthma attacks, for example in an office or ambulance room.
As expected, the group receiving inhaled corticosteroids daily bayletonone treated more drugs than a symptomatic group for months. Children in the daily use group were given 1961 micrographs a month, and the symptomatic group used 526 micrographs per month, which reduced the amount of medicines by three quarters. According to investigators, it is desirable to have a reduced amount, as there are side effects that account for the growth of steroids.
"Many families worry about side effects associated with the cost and growth of the drug, and stop taking steroid medicines. So it is pleasant to show that the effectiveness of drugs that are less effective is just as effective, "Sumino said. "This is a steroid plus rescue strategy for rescue salvation, which is now offered as an asthma version of the Global Initiative for Asthma Disease. Taking into account our research findings and other, doctors of primary health care may say that patients with asthma have an alternate effective alternative to daily inhalation steroid administration, "he said.
Researchers also say that children and caregivers in a group of medications are actively involved in treating asthma disease rather than relying on physicians' orders. Symptom-based strategies – in other words, Sumino and her colleagues – suggest that they have the power to control asthma.
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