Parent-initiated oral corticosteroid therapy for acute asthma: a survey of current practice

J Paediatr Child Health. 2007 Jun;43(6):443-5. doi: 10.1111/j.1440-1754.2007.01108.x.

Abstract

Aim: To determine (i) the proportion of doctors who recommend parent-initiated oral corticosteroids (PIOCS) for acute asthma; and (ii) the proportion of parents who have received this advice.

Methods: (i) An internet-based survey of doctors involved in the care of children with asthma; and (ii) a questionnaire-based survey of parents of children aged 4-13 years who were identified from a random sample of primary schools within the Barwon region of Victoria.

Results: Eight-five per cent (95% confidence interval 80.0-89.1%) of responding doctors reported recommending PIOCS to parents of children with asthma. However, only 16.5% (95% confidence interval 14.2-18.7%) of parents of children with recent asthma symptoms report that they have received such advice.

Conclusion: The majority of responding doctors involved in the care of children with asthma report recommending PIOCS to parents. By contrast, a minority of parents of children with asthma report that they have received such advice.

MeSH terms

  • Administration, Oral
  • Asthma / drug therapy*
  • Female
  • Glucocorticoids / administration & dosage*
  • Hospitalization
  • Humans
  • Male
  • Parents*
  • Practice Patterns, Physicians' / statistics & numerical data
  • Prednisolone / administration & dosage*
  • Randomized Controlled Trials as Topic
  • Respiratory Sounds

Substances

  • Glucocorticoids
  • Prednisolone