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Local side-effects of inhaled corticosteroids in asthmatic children: influence of drug, dose, age, and device.

Identifieur interne : 000039 ( Ncbi/Merge ); précédent : 000038; suivant : 000040

Local side-effects of inhaled corticosteroids in asthmatic children: influence of drug, dose, age, and device.

Auteurs : J C Dubus [France] ; C. Marguet ; A. Deschildre ; L. Mely ; P. Le Roux ; J. Brouard ; L. Huiart

Source :

RBID : pubmed:11576072

English descriptors

Abstract

The objective was to investigate the local side-effects of inhaled corticosteroids (ICS) in daily life in asthmatic children, particularly the younger ones, by an observational prospective cross-sectional cohort study.

PubMed: 11576072

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pubmed:11576072

Le document en format XML

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<title xml:lang="en">Local side-effects of inhaled corticosteroids in asthmatic children: influence of drug, dose, age, and device.</title>
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<nlm:affiliation>Services de Pédiatrie, CHU Timone-Enfants, Marseille, Hôpital Charles Nicolle (Rouen), Hôpital Jeanne de Flandres (Lille), Hôpital du Havre (Le Havre), CH Côte de Nâcre (Caen), INSERM U379, Institut Paoli-Calmette, Marseille, France.</nlm:affiliation>
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<name sortKey="Marguet, C" sort="Marguet, C" uniqKey="Marguet C" first="C" last="Marguet">C. Marguet</name>
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<name sortKey="Deschildre, A" sort="Deschildre, A" uniqKey="Deschildre A" first="A" last="Deschildre">A. Deschildre</name>
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<name sortKey="Mely, L" sort="Mely, L" uniqKey="Mely L" first="L" last="Mely">L. Mely</name>
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<name sortKey="Le Roux, P" sort="Le Roux, P" uniqKey="Le Roux P" first="P" last="Le Roux">P. Le Roux</name>
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<name sortKey="Brouard, J" sort="Brouard, J" uniqKey="Brouard J" first="J" last="Brouard">J. Brouard</name>
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<title xml:lang="en">Local side-effects of inhaled corticosteroids in asthmatic children: influence of drug, dose, age, and device.</title>
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<nlm:affiliation>Services de Pédiatrie, CHU Timone-Enfants, Marseille, Hôpital Charles Nicolle (Rouen), Hôpital Jeanne de Flandres (Lille), Hôpital du Havre (Le Havre), CH Côte de Nâcre (Caen), INSERM U379, Institut Paoli-Calmette, Marseille, France.</nlm:affiliation>
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<series>
<title level="j">Allergy</title>
<idno type="ISSN">0105-4538</idno>
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<term>Administration, Inhalation</term>
<term>Adolescent</term>
<term>Adrenal Cortex Hormones (administration & dosage)</term>
<term>Adrenal Cortex Hormones (adverse effects)</term>
<term>Age Factors</term>
<term>Asthma (drug therapy)</term>
<term>Chi-Square Distribution</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cross-Sectional Studies</term>
<term>Drug Eruptions (etiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
<term>Mouth Diseases (chemically induced)</term>
<term>Nebulizers and Vaporizers</term>
<term>Prospective Studies</term>
<term>Respiratory Tract Diseases (chemically induced)</term>
<term>Surveys and Questionnaires</term>
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<term>Adrenal Cortex Hormones</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Adrenal Cortex Hormones</term>
</keywords>
<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en">
<term>Mouth Diseases</term>
<term>Respiratory Tract Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Asthma</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Drug Eruptions</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Administration, Inhalation</term>
<term>Adolescent</term>
<term>Age Factors</term>
<term>Chi-Square Distribution</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
<term>Nebulizers and Vaporizers</term>
<term>Prospective Studies</term>
<term>Surveys and Questionnaires</term>
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<front>
<div type="abstract" xml:lang="en">The objective was to investigate the local side-effects of inhaled corticosteroids (ICS) in daily life in asthmatic children, particularly the younger ones, by an observational prospective cross-sectional cohort study.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">11576072</PMID>
<DateCreated>
<Year>2001</Year>
<Month>9</Month>
<Day>28</Day>
</DateCreated>
<DateCompleted>
<Year>2001</Year>
<Month>11</Month>
<Day>01</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0105-4538</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>56</Volume>
<Issue>10</Issue>
<PubDate>
<Year>2001</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Allergy</Title>
<ISOAbbreviation>Allergy</ISOAbbreviation>
</Journal>
<ArticleTitle>Local side-effects of inhaled corticosteroids in asthmatic children: influence of drug, dose, age, and device.</ArticleTitle>
<Pagination>
<MedlinePgn>944-8</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The objective was to investigate the local side-effects of inhaled corticosteroids (ICS) in daily life in asthmatic children, particularly the younger ones, by an observational prospective cross-sectional cohort study.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Asthmatic children (n=639, 75.9+/-48.9 months, 61.3% boys), treated with beclomethasone dipropionate (BDP) (721.0+/-287.3 microg per day) or budesonide (BUD) (835.5+/-684.9 microg per day) for at least 1 month, were recruited at the time of a scheduled visit. Local side-effects were researched by questionnaire (cough during inhalation, hoarseness, dysphonia, and thirsty feeling) and clinical examination (perioral dermatitis, oral candidiasis, and tongue hypertrophy).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Exactly 63.3% of the children aged under 6 years and 59.5% of the older ones reported one local side-effect. Cough (39.7%) was dependent on young age, use of BDP, and mainly use of spacer device, with an OR of 4.7 (95% CI: 2.7-8.2). Thirsty feeling (21.9%) and hoarseness (14.1%) occurred in children using ICS and long-acting beta2-agonists. Dysphonia (11.1%) was favored by high doses of BDP and BUD, and by inhalation from spacer devices or nebulizers. No factor favored oral candidiasis (10.7%). Perioral dermatitis (2.9%) and tongue hypertrophy (0.1%) were associated with nebulization.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Local side-effects of ICS are common in asthmatic children of all ages, and the device used constitutes the most influential factor.</AbstractText>
</Abstract>
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<LastName>Dubus</LastName>
<ForeName>J C</ForeName>
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<Affiliation>Services de Pédiatrie, CHU Timone-Enfants, Marseille, Hôpital Charles Nicolle (Rouen), Hôpital Jeanne de Flandres (Lille), Hôpital du Havre (Le Havre), CH Côte de Nâcre (Caen), INSERM U379, Institut Paoli-Calmette, Marseille, France.</Affiliation>
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<CollectiveName>Réseau de Recherche Clinique en Pneumonologie Pédiatrique</CollectiveName>
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<Language>ENG</Language>
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<RefSource>Allergy. 2001 Oct;56(10):925-7</RefSource>
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