How pediatricians in Spain manage the first acute wheezing episode in an atopic infant. Results from the TRAP study
Allergol. immunopatol
; 33(6): 317-325, nov. 2005. tab
Artigo
em En
| IBECS
| ID: ibc-044235
Biblioteca responsável:
ES1.1
Localização: ES1.1 - BNCS
ABSTRACT
Background:
Although the treatment of asthma has been addressed in several guidelines, the management of the first acute wheezing episode in infants has not often been evaluated. We surveyed practicing pediatricians in Spain about the treatment they would provide in a simulated case. Material andmethods:
A random sample of 3000 pediatricians and physicians who normally treated children was surveyed. The questionnaire inquired about how they would treat a first mild-to-moderate wheezing attack in a 5-month-old boy with a personal and family history of allergy. Pediatricians were asked about their professional background.Results:
A total of 2347 questionnaires were returned with useful data (78.2 %). Most (90.4 %) of the pediatricians would use a short-acting beta2 agonist (SABA) via a metered-dose inhaler with a spacer and a face mask or nebulizer. However, only 34.5 % chose a SABA alone 31.3 % added an oral steroid and 27.6 % added an inhaled corticosteroid (ICS). The factors associated with the use of ICS in the acute attack were (1) lack of specific training in pediatrics (OR 1.45; 1.12-1.85) and (2) primary care health center setting (OR 1.31; 1.01-1.69) or rural setting (OR 1.28; 1.01-1.66). Forty-four percent did not recommend any follow-up treatment while 20.7 % prescribed ICS as maintenance therapy. The factors related to this decision were the same as those described above.Conclusions:
The management of a first wheezing episode seems to meet published guidelines among Spanish pediatricians with formal training in pediatrics and in those who work in a hospital setting or in urban areasRESUMEN
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Coleções:
Bases de dados nacionais
/
Espanha
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
Problema de saúde:
Arranjos de Entrega
Base de dados:
IBECS
Assunto principal:
Pediatria
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Padrões de Prática Médica
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Sons Respiratórios
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Receptores Adrenérgicos beta 2
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Administração de Caso
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Hipersensibilidade Imediata
Tipo de estudo:
Estudo diagnóstico
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Estudo de etiologia
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Guia de prática clínica
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Estudo prognóstico
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Pesquisa qualitativa
Limite:
Criança
/
Criança, pré-escolar
/
Humanos
País/Região como assunto:
Europa
Idioma:
Inglês
Revista:
Allergol. immunopatol
Ano de publicação:
2005
Tipo de documento:
Artigo
Instituição/País de afiliação:
Barcarrota Health Center/Spain
/
Pizarrales Health Centre/Spain
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University General Hospital/Spain
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University of Murcia/Spain
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University of Santiago de Chile/Chile
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University of Valencia/Spain