Challenges in assessing the efficacy of systemic corticosteroids for severe wheezing episodes in preschool children
- PMID: 30660645
- PMCID: PMC6504562
- DOI: 10.1016/j.jaci.2018.10.071
Challenges in assessing the efficacy of systemic corticosteroids for severe wheezing episodes in preschool children
Abstract
This letter addresses the controversial issue of the use of oral corticosteroids during wheezing exacerbations in preschool-aged children by demonstrating findings of a prematurely terminated multi-center clinical trial, discussing lessons learned, and suggesting future directions.
Figures

References
-
- Beigelman A, Durrani S, Guilbert TW. Should a Preschool Child with Acute Episodic Wheeze be Treated with Oral Corticosteroids? A Pro/Con Debate. J Allergy Clin Immunol Pract 2016; 4:27–35. - PubMed
-
- Tal A, Levy N, Bearman JE. Methylprednisolone therapy for acute asthma in infants and toddlers: a controlled clinical trial. Pediatrics 1990; 86:350–6. - PubMed
-
- Bacharier LB, Guilbert TW, Mauger DT, Boehmer S, Beigelman A, Fitzpatrick AM, et al. Early Administration of Azithromycin and Prevention of Severe Lower Respiratory Tract Illnesses in Preschool Children With a History of Such Illnesses: A Randomized Clinical Trial. JAMA 2015; 314:2034–44. - PMC - PubMed
-
- Ducharme FM, Chalut D, Plotnick L, Savdie C, Kudirka D, Zhang X, et al. The Pediatric Respiratory Assessment Measure: a valid clinical score for assessing acute asthma severity from toddlers to teenagers. J Pediatr 2008; 152:476–80, 80 e1. - PubMed
Publication types
MeSH terms
Substances
Grants and funding
- U10 HL098107/HL/NHLBI NIH HHS/United States
- UL1 TR002548/TR/NCATS NIH HHS/United States
- U10 HL098075/HL/NHLBI NIH HHS/United States
- U10 HL074208/HL/NHLBI NIH HHS/United States
- U10 HL074204/HL/NHLBI NIH HHS/United States
- U10 HL098115/HL/NHLBI NIH HHS/United States
- U10 HL064305/HL/NHLBI NIH HHS/United States
- UL1 TR000439/TR/NCATS NIH HHS/United States
- UL1 TR002345/TR/NCATS NIH HHS/United States
- U10 HL098098/HL/NHLBI NIH HHS/United States
- U10 HL064313/HL/NHLBI NIH HHS/United States
- U10 HL098096/HL/NHLBI NIH HHS/United States
- UL1 TR002535/TR/NCATS NIH HHS/United States
- R01 ES030100/ES/NIEHS NIH HHS/United States
- U10 HL098102/HL/NHLBI NIH HHS/United States
- U10 HL109250/HL/NHLBI NIH HHS/United States
- U10 HL098177/HL/NHLBI NIH HHS/United States
- UL1 TR001422/TR/NCATS NIH HHS/United States
- UL1 TR000454/TR/NCATS NIH HHS/United States
- U10 HL098103/HL/NHLBI NIH HHS/United States
- P01 AI148104/AI/NIAID NIH HHS/United States
- UL1 TR000448/TR/NCATS NIH HHS/United States
- UL1 TR001082/TR/NCATS NIH HHS/United States
- UL1 TR001102/TR/NCATS NIH HHS/United States
- U10 HL098090/HL/NHLBI NIH HHS/United States
- U10 HL098112/HL/NHLBI NIH HHS/United States