Management of acute respiratory diseases in the pediatric population: the role of oral corticosteroids

被引：33

作者：

Cutrera, Renato ^{[1
]}

Baraldi, Eugenio ^{[2
]}

Indinnimeo, Luciana ^{[3
]}

Del Giudice, Michele Miraglia ^{[4
]}

Piacentini, Giorgio ^{[5
]}

Scaglione, Francesco ^{[6
]}

Ullmann, Nicola ^{[1
]}

Moschino, Laura ^{[2
]}

Galdo, Francesca ^{[4
]}

Duse, Marzia ^{[3
]}

机构：

[1] Acad Dept Pediat Hosp Bambino Gesu, Pulmonol & Sleep & Long Term Ventilat Unit, Piazza S Onofrio 4, I-00165 Rome, Italy

[2] Univ Padua, Womens & Childrens Hlth Dept, Via Giustiniani 3, I-35128 Padua, Italy

[3] Univ Rome Sapienza, Gender Med Polyclin, Dept Maternal & Child Care & Urol, Piazzale Aldo Moro 5, I-00185 Rome, Italy

[4] Univ Naples 2, Dept Woman Child & Gen & Specialized Surg, Via Luigi De Crecchio 4, I-80138 Naples, Italy

[5] Univ Verona, Dept Surg Dent Paediat & Gynecol, Policlin GB Rossi, Piazzale LA Scuro 10, I-37134 Verona, Italy

[6] Univ Milan, Dept Oncol & Oncohematol, Via Vanvitelli 32, I-20129 Milan, Italy

来源：

ITALIAN JOURNAL OF PEDIATRICS | 2017年 / 43卷

关键词：

Acute respiratory diseases; Asthma; Bronchiolitis; Croup; Respiratory failure; Wheezing; FLOW NASAL CANNULA; NONINVASIVE MECHANICAL VENTILATION; ACUTE ASTHMA; PRESCHOOL-CHILDREN; WHEEZING EPISODES; CLINICAL-PRACTICE; VIRAL-INFECTIONS; TRACT INFECTION; OXYGEN-THERAPY; 1ST YEAR;

D O I：

10.1186/s13052-017-0348-x

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Respiratory diseases account for about 25% of all pediatric consultations, and 10% of these are for asthma. The other main pediatric respiratory diseases, in terms of incidence, are bronchiolitis, acute bronchitis and respiratory infections. Oral corticosteroids, in particular prednisolone, are often used to treat acute respiratory diseases given their anti-inflammatory effects. However, the efficacy of treatment with oral corticosteroids differs among the various types of pediatric respiratory diseases. Notably, also the adverse effects of corticosteroid treatment can differ depending on dosage, duration of treatment and type of corticosteroid administered -a case in point being growth retardation in long-course treatment. A large body of data has accumulated on this topic. In this article, we have reviewed the data and guidelines related to the role of oral corticosteroids in the treatment and management of pediatric bronchiolitis, wheezing, asthma and croup in the attempt to provide guidance for physicians. Also included is a section on the management of acute respiratory failure in children.

引用

页数：21