Prednisolone plus albuterol versus albuterol alone in mild to moderate bronchiolitis

被引:45
作者
Goebel, J [1 ]
Estrada, B [1 ]
Quinonez, J [1 ]
Nagji, N [1 ]
Sanford, D [1 ]
Boerth, RC [1 ]
机构
[1] Univ S Alabama, Dept Pediat, Mobile, AL 36688 USA
关键词
D O I
10.1177/000992280003900404
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
To evaluate combination therapy of mild to moderate bronchiolitis with bronchiodilators and corticosteroids, we treated 51 young children with first-time wheezing and symptoms of respiratory tract infection with albuterol plus either prednisolone or placebo for 5 days. Disease severity was scored on days 0, 2, 3, and 6, On day 2, prednisolone resulted in significantly lower scores (2.7 +/- 1.4 vs. 4.0 +/- 1.5 in all patients evaluated, p<0.05) than placebo, whereas there was no detectable difference on day 6, suggesting that addition of prednisolone to albuterol transiently accelerates recovery from bronchiolitis. The clinical significance of this effect needs to be evaluated in further studies.
引用
收藏
页码:213 / 220
页数:8
相关论文
共 28 条
[1]   AN UNSUCCESSFUL COTININE-ASSISTED INTERVENTION STRATEGY TO REDUCE ENVIRONMENTAL TOBACCO-SMOKE EXPOSURE DURING INFANCY [J].
CHILMONCZYK, BA ;
PALOMAKI, GE ;
KNIGHT, GJ ;
WILLIAMS, J ;
HADDOW, JE .
AMERICAN JOURNAL OF DISEASES OF CHILDREN, 1992, 146 (03) :357-360
[2]  
ETZEL RA, 1992, PEDIATRICS, V90, P228
[3]   Efficacy of beta(2)-agonists in bronchiolitis: A reappraisal and meta-analysis [J].
Flores, G ;
Horwitz, RI .
PEDIATRICS, 1997, 100 (02) :233-239
[4]   ORAL VERSUS NEBULIZED ALBUTEROL IN THE MANAGEMENT OF BRONCHIOLITIS IN EGYPT [J].
GADOMSKI, AM ;
AREF, GH ;
ELDIN, OB ;
ELSAWY, IH ;
KHALLAF, N ;
BLACK, RE .
JOURNAL OF PEDIATRICS, 1994, 124 (01) :131-138
[5]  
Hall CB, 1993, CONT PEDIAT, V10, P92
[6]   Efficacy of bronchodilator therapy in bronchiolitis - A meta-analysis [J].
Kellner, JD ;
Ohlsson, A ;
Gadomski, AM ;
Wang, EEL .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 1996, 150 (11) :1166-1172
[7]   Treatment of respiratory syncytial virus bronchiolitis: 1995 poll of members of the European Society for Paediatric Infectious Diseases [J].
Kimpen, JLL ;
Schaad, UB .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1997, 16 (05) :479-481
[8]   Dexamethasone in salbutamol-treated inpatients with acute bronchiolitis: A randomized, controlled trial [J].
Klassen, TP ;
Sutcliffe, T ;
Watters, LK ;
Wells, GA ;
Allen, UD ;
Li, MM .
JOURNAL OF PEDIATRICS, 1997, 130 (02) :191-196
[9]  
KUPPERMANN N, 1996, ARCH PEDIAT ADOLESC, V12, P329
[10]  
LAVIA WV, 1992, J PEDIATR-US, V121, P503