Pharmacological aspects regarding the drugs used in pediatric asthma: A retrospective observational study at a tertiary care hospital.
DOI:
https://doi.org/10.51168/sjhrafrica.v7i3.2546Keywords:
Pediatric asthma, pharmacological therapy, inhaled corticosteroids, bronchodilators, retrospective studyAbstract
Background
Asthma is one of the most common chronic respiratory disorders affecting children worldwide. Pharmacological management plays a crucial role in controlling symptoms, reducing exacerbations, and improving quality of life in pediatric patients. Various classes of medications, such as bronchodilators, inhaled corticosteroids, leukotriene receptor antagonists, and combination therapies, are widely used in clinical practice.
Methodology
A retrospective observational study was conducted at Government Medical College & Hospital, Purnea, over a period of 8 months. Medical records of 90 pediatric asthma patients were analyzed. Data regarding demographic characteristics, drug prescriptions, therapeutic patterns, and treatment outcomes were collected and analyzed using statistical software.
Results
Among the 90 patients analyzed, the most frequently prescribed drugs were short-acting β2-agonists (SABA) (82.2%), inhaled corticosteroids (74.4%), and leukotriene receptor antagonists (46.7%). Combination therapy with inhaled corticosteroids and long-acting β2-agonists was used in 38.9% of cases. Statistical analysis demonstrated a significant association between disease severity and combination therapy use (p = 0.032). Among the 90 pediatric patients, the majority belonged to the 6–10 years age group (41.1%), followed by 2–5 years (31.1%) and 11–14 years (27.8%). Male patients constituted 57.8%, while females accounted for 42.2%.
Conclusion
The study highlights the importance of inhaled corticosteroids and bronchodilators in pediatric asthma management. Combination therapy is frequently used in moderate to severe cases.
Recommendation
Rational prescribing practices and adherence to guideline-based therapy should be encouraged to optimize asthma management in pediatric populations.
References
Global Initiative for Asthma. Global strategy for asthma management and prevention. Fontana (WI): Global Initiative for Asthma; 2023.
World Health Organization. Asthma fact sheet. Geneva: World Health Organization; 2022.
Barnes PJ. Pathophysiology of asthma. Eur Respir J. 2008;31:1303-1316.
Rabe KF, Adachi M, Lai CKW, Soriano JB, Vermeire PA, Weiss KB, et al. Worldwide severity and control of asthma. Eur Respir J. 2004;24:40-47. https://doi.org/10.1016/j.jaci.2004.04.042
O'Byrne PM, Pedersen S, Busse WW, Tan WC, Chen YZ, Ohlsson SV, et al. Effects of early intervention with inhaled budesonide in mild persistent asthma. Lancet. 2001;357:1071-1076.
Busse WW, Lemanske RF Jr. Asthma. N Engl J Med. 2001;344:350-362. https://doi.org/10.1056/NEJM200102013440507
Drazen JM, Israel E, O'Byrne PM. Treatment of asthma with drugs modifying the leukotriene pathway. N Engl J Med. 1999;340:197-206. https://doi.org/10.1056/NEJM199901213400306
Barnes PJ. The pharmacological properties of tiotropium. Chest. 2000;117:63S-66S. https://doi.org/10.1378/chest.117.2_suppl.63S
Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. 2023 update.
Lalloo UG, Walters RD, Adachi M, de Guia TS, Emelyanov A, Fritscher CC, et al. Asthma programmes in diverse regions of the world. Eur Respir Rev. 2011;20:1-10.
Bateman ED, Hurd SS, Barnes PJ, Bousquet J, Drazen JM, FitzGerald M, et al. Global strategy for asthma management and prevention. Eur Respir J. 2008;31:143-178. https://doi.org/10.1183/09031936.00138707
Bender BG, Rand C. Medication non-adherence and asthma treatment cost. Curr Opin Allergy Clin Immunol. 2004;4:191-195. https://doi.org/10.1097/00130832-200406000-00009
Martinez FD, Wright AL, Taussig LM, Holberg CJ, Halonen M, Morgan WJ. Asthma and wheezing in the first six years of life. N Engl J Med. 1995;332:133-138. https://doi.org/10.1056/NEJM199501193320301
Asher MI, Montefort S, Björkstén B, Lai CKW, Strachan DP, Weiland SK, et al. Worldwide time trends in the prevalence of asthma. Lancet. 2006;368:733-743. https://doi.org/10.1016/S0140-6736(06)69283-0
Rodrigo GJ, Rodrigo C. Beta-agonists in acute asthma treatment. Chest. 1999;115:1610-1617. https://doi.org/10.1378/chest.115.5.1482
Bousquet J, Jeffery PK, Busse WW, Johnson M, Vignola AM. Asthma: from bronchoconstriction to airway inflammation and remodeling. Am J Respir Crit Care Med. 2000;161:1720-1745. https://doi.org/10.1164/ajrccm.161.5.9903102
Ducharme FM, Lasserson TJ, Cates CJ. Long-acting beta2-agonists versus anti-leukotrienes as add-on therapy. Cochrane Database Syst Rev. 2011;5:CD003137.
Pauwels RA, Löfdahl CG, Postma DS, Tattersfield AE, O'Byrne P, Barnes PJ, et al. Effect of inhaled formoterol and budesonide on asthma exacerbations. N Engl J Med. 1997;337:1405-1411. https://doi.org/10.1056/NEJM199711133372001
Global Initiative for Asthma. Global strategy for asthma management and prevention update. Fontana (WI): GINA; 2021.
Fuhlbrigge AL, Adams RJ, Guilbert TW, Grant E, Lozano P, Janson SL, et al. The burden of asthma in the United States. J Allergy Clin Immunol. 2002;110:557-565.
Szefler SJ. Advances in pediatric asthma management. J Allergy Clin Immunol. 2006;117:1252-1259. https://doi.org/10.1016/j.jaci.2005.12.1353
Masoli M, Fabian D, Holt S, Beasley R. Global burden of asthma. Allergy. 2004;59:469-478. https://doi.org/10.1111/j.1398-9995.2004.00526.x
National Asthma Education and Prevention Program. Expert panel report 3: Guidelines for the diagnosis and management of asthma. Bethesda (MD): National Institutes of Health; 2007.
Bush A, Fleming L. Diagnosis and management of asthma in children. BMJ. 2015;350:h996. https://doi.org/10.1136/bmj.h996
Holgate ST. Pathogenesis of asthma. Clin Exp Allergy. 2008;38:872-897. https://doi.org/10.1111/j.1365-2222.2008.02971.x
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