2013, Number 3
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Rev Cubana Med Gen Integr 2013; 29 (3)
Bronchial asthma clinical and epidemiological pattern in children younger 15 years
de la Vega PT, Pérez MVT, Castillo IL
Language: Spanish
References: 18
Page: 253-266
PDF size: 921.89 Kb.
ABSTRACT
Introduction: bronchial Asthma is the most common chronic disease of childhood
in Cuba whose estimated prevalence is 8.2%. The identification and control of its
risk factors is an important pillar in the management of this entity.
Objective: to characterize the clinical and epidemiological behavior of Asthma in
children younger 15 years at Ana Betancourt polyclinic.
Methods: a descriptive cross-sectional study was conducted from April 2010 to
March 2011. Initially the ISSAC questionnaire was used to identify a possible
asthma underreporting. 2007 Global Initiative for Asthma classification was used,
which allowed clinically grouping minors into four categories. Finally, a
questionnaire to identify risk factors was applied to the entire sample.
Results: a hidden morbidity of 9.3% was identified. With mild intermittent asthma:
30 patients; mild persistent: 21; persistent moderate 28; and severe asthma: 14.
All the patients had a family history of atopy, and crises were triggered by weather
changes. 95.0% were sensitive to respiratory inhalants and 64.0% was detected to
have smokers at home.
Conclusions: Bronchial Asthma persists as an underdiagnosed disease. Regarding
the epidemiological aspect, family history of atopy and weather changes, outdid the
other associated risk factors.
REFERENCES
Guía española para el manejo del asma. (GEMA) 2009. Madrid: Ed. Luzán:2009. [consultado 2012 enero 23]. Disponible en: http://www.gemasma.comaprox3p.com
Henry RL, Hodges IGC, Milner AD. Respiratory problems 2 years after acute bronchiolitis in infancy. J Pediatr. 2007;11:25-37.
Pan American Health Organization. Integrated Management of Childhood IIIness. Program on Comunicable Diseases. Division of Diseasse Prevention and Control; Asthma bibliography No 1 June 2004. Washington: PAHO;2004.
ATS/ERS 2005. American Thoracic Society/European Respiratory Society. Recommendations for standardized procedures for the online and offline measurement of exhaled lower respiratory nitric oxide and nasal nitric oxide. Am J RespirCrit Care Med. 2005;171:912-30.
The International Study of Asthma and Allergies in Childhood (ISAAC). Screening Committee Worldwide Variations in the prevalence of Asthma Symptoms. EurRespir J. 1998;12:315-35.
Ministerio de Salud Pública de Cuba. Anuario Estadístico 2010. La Habana: MINSAP: 2011.
Boletín de información diaria (UPI). Washington. Octubre 21/2011 [sitio en Internet].[citado: 2012 ene 23]. Disponible en: http://www.ipcc.ch/ipccreports/ar4-wg2.htm
GINA 2006. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention NHLBI/WHO Workshop Report. 2006.
Stanojevic S.; Wade A.; Lum S.; Stocks J. Reference equations for pulmonary function tests in preschool children: A review. Pediatric Pulmonology. 2007;42(10):962-72.
Beydon N, Davis SD, Lombardi E, Allen JL, Arets H, Aurora P, et al. On behalf of the American Thoracic Society/European Respiratory Society Working Group on Infant and Young Children Pulmonary Function Testing. An Official American Thoracic Society/European Respiratory Society Statement: Pulmonary Function Testing in Preschool Children. Am J RespirCritCareMed. 2007;175:1304-45.
González PY. Asma y Adolescencia Parte 1 [sitio en Internet].[ citado 2012 ene 23]. Disponible en: http://www.asmaonline.com.ar/default.asp?pagina=infoart91.asp
Heaton T, Rowe J, Turner S. Respirar. El Portal sobre asma en niños y adolescentes [sitio en Internet].[citado 2012 ene 23]. Disponible en: http://www.respirar.org
Rodríguez de la Vega A. Epidemiología del asma bronquial. Ponencia para XIV Congreso de la Sociedad Española de Alergología e Inmunología Clínica, 1992.
Prieto Herrera M.E.; Queipo Caballero A.J. Caracterización del asma bronquial en un área de salud. Rev Cubana Med Gen Integr. 2000;16(4):356-9.
Sconilk D. Changing trends in the treatment of Asthma in a tertiary CanadianPediatricHospital. J Asthma. 1993;301(4):277-83.
Fabré O.D. Indicadores de la situación de salud de la adolescencia en Cuba [sitio en Internet].[citado 2012 ene 23]. Disponible en: http://www.cubasolidarity.net/infomed/www.infomed.sld.cu/aldia/saluden.html
NAEPP-EP3 2007. Nacional Asthma Education and Prevention Program. Expert Panel Report 3: Guidelines for the diagnosis and management of asthma. Bethesda: National Institutes of Health, National Heart, Lung, and Blood Institute, 2007.
Centro para el Control y la Prevención de Enfermedades CDC: Kit de presentación sobre el asma para profesionales de la salud [sitio en Internet]. [citado 2012 ene 23]. Disponible en: http://www.cdc.gov/asthma/spanish/speakit/prevention.htm