Skip to main content
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1995 Apr;72(4):317–320. doi: 10.1136/adc.72.4.317

Effect of continuous treatment with topical corticosteroid on episodic viral wheeze in preschool children.

N Wilson 1, K Sloper 1, M Silverman 1
PMCID: PMC1511243  PMID: 7763063

Abstract

Acute episodic wheeze related to viral infections is a common and distressing condition and treatment remains unsatisfactory. Although some benefit from the continuous use of inhaled steroids has been demonstrated in young wheezy children, their effect primarily on acute episodes has not been considered. In this study the effect of budesonide (400 micrograms/day) was assessed in a four month double blind parallel trial, in 41 children (0.7-6.0 years) with predominantly episodic viral wheeze. Analysis of the last three months showed no difference between budesonide or placebo in mean daily total symptom score (median values 0.6 and 0.63), episode number (mean values 2.6 and 2.4), or score/episode (mean value 30 and 31). Four months of treatment with inhaled budesonide had no effect on acute episodes of wheeze in this group of children.

Full text

PDF
319

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson H. R. Increase in hospital admissions for childhood asthma: trends in referral, severity, and readmissions from 1970 to 1985 in a health region of the United Kingdom. Thorax. 1989 Aug;44(8):614–619. doi: 10.1136/thx.44.8.614. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bisgaard H., Munck S. L., Nielsen J. P., Petersen W., Ohlsson S. V. Inhaled budesonide for treatment of recurrent wheezing in early childhood. Lancet. 1990 Sep 15;336(8716):649–651. doi: 10.1016/0140-6736(90)92147-a. [DOI] [PubMed] [Google Scholar]
  3. Carlsen K. H., Leegaard J., Larsen S., Orstavik I. Nebulised beclomethasone dipropionate in recurrent obstructive episodes after acute bronchiolitis. Arch Dis Child. 1988 Dec;63(12):1428–1433. doi: 10.1136/adc.63.12.1428. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Conner W. T., Dolovich M. B., Frame R. A., Newhouse M. T. Reliable salbutamol administration in 6- to 36-month-old children by means of a metered dose inhaler and Aerochamber with mask. Pediatr Pulmonol. 1989;6(4):263–267. doi: 10.1002/ppul.1950060410. [DOI] [PubMed] [Google Scholar]
  5. Connett G. J., Warde C., Wooler E., Lenney W. Use of budesonide in severe asthmatics aged 1-3 years. Arch Dis Child. 1993 Sep;69(3):351–355. doi: 10.1136/adc.69.3.351. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Connett G., Lenney W. Prevention of viral induced asthma attacks using inhaled budesonide. Arch Dis Child. 1993 Jan;68(1):85–87. doi: 10.1136/adc.68.1.85. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Everard M. L., Clark A. R., Milner A. D. Drug delivery from holding chambers with attached facemask. Arch Dis Child. 1992 May;67(5):580–585. doi: 10.1136/adc.67.5.580. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Gleeson J. G., Price J. F. Controlled trial of budesonide given by the nebuhaler in preschool children with asthma. BMJ. 1988 Jul 16;297(6642):163–166. doi: 10.1136/bmj.297.6642.163. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Ilangovan P., Pedersen S., Godfrey S., Nikander K., Noviski N., Warner J. O. Treatment of severe steroid dependent preschool asthma with nebulised budesonide suspension. Arch Dis Child. 1993 Mar;68(3):356–359. doi: 10.1136/adc.68.3.356. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Maayan C., Itzhaki T., Bar-Yishay E., Gross S., Tal A., Godfrey S. The functional response of infants with persistent wheezing to nebulized beclomethasone dipropionate. Pediatr Pulmonol. 1986 Jan-Feb;2(1):9–14. doi: 10.1002/ppul.1950020106. [DOI] [PubMed] [Google Scholar]
  11. Noble V., Ruggins N. R., Everard M. L., Milner A. D. Inhaled budesonide for chronic wheezing under 18 months of age. Arch Dis Child. 1992 Mar;67(3):285–288. doi: 10.1136/adc.67.3.285. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Pool J. B., Greenough A., Gleeson J. G., Price J. F. Inhaled bronchodilator treatment via the nebuhaler in young asthmatic patients. Arch Dis Child. 1988 Mar;63(3):288–291. doi: 10.1136/adc.63.3.288. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Storr J., Barrell E., Lenney W. Rising asthma admissions and self referral. Arch Dis Child. 1988 Jul;63(7):774–779. doi: 10.1136/adc.63.7.774. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Storr J., Lenney C. A., Lenney W. Nebulised beclomethasone dipropionate in preschool asthma. Arch Dis Child. 1986 Mar;61(3):270–273. doi: 10.1136/adc.61.3.270. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Strachan D. P. The prevalence and natural history of wheezing in early childhood. J R Coll Gen Pract. 1985 Apr;35(273):182–184. [PMC free article] [PubMed] [Google Scholar]
  16. Van Bever H. P., Schuddinck L., Wojciechowski M., Stevens W. J. Aerosolized budesonide in asthmatic infants: a double blind study. Pediatr Pulmonol. 1990;9(3):177–180. doi: 10.1002/ppul.1950090310. [DOI] [PubMed] [Google Scholar]
  17. Vathenen A. S., Knox A. J., Wisniewski A., Tattersfield A. E. Time course of change in bronchial reactivity with an inhaled corticosteroid in asthma. Am Rev Respir Dis. 1991 Jun;143(6):1317–1321. doi: 10.1164/ajrccm/143.6.1317. [DOI] [PubMed] [Google Scholar]
  18. Waalkens H. J., Van Essen-Zandvliet E. E., Hughes M. D., Gerritsen J., Duiverman E. J., Knol K., Kerrebijn K. F. Cessation of long-term treatment with inhaled corticosteroid (budesonide) in children with asthma results in deterioration. The Dutch CNSLD Study Group. Am Rev Respir Dis. 1993 Nov;148(5):1252–1257. doi: 10.1164/ajrccm/148.5.1252. [DOI] [PubMed] [Google Scholar]
  19. Webb M. S., Milner A. D., Hiller E. J., Henry R. L. Nebulised beclomethasone dipropionate suspension. Arch Dis Child. 1986 Nov;61(11):1108–1110. doi: 10.1136/adc.61.11.1108. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Wilson N. M., Silverman M. Treatment of acute, episodic asthma in preschool children using intermittent high dose inhaled steroids at home. Arch Dis Child. 1990 Apr;65(4):407–410. doi: 10.1136/adc.65.4.407. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES