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How do we treat wheezing infants? Evidence or anecdote
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  1. R J Chavasse,
  2. Y Bastian-Lee,
  3. P Seddon
  1. The Royal Alexandra Hospital for Sick Children, Brighton BN1 3JN, UK
  1. Dr R J Chavasse, SpR Paediatric Respiratory Medicine, King’s College Hospital, Denmark Hill, London SE5 6RS, UK;
    chavasse{at}madasafish.com

Abstract

Consultant paediatricians were questioned about their management of wheezing disorders in infants. Salbutamol was the preferred bronchodilator for recurrent wheeze, whereas ipratropium was preferred in viral bronchiolitis. Doses of both medications varied widely. Both inhaled and oral corticosteroids were considered by most respondents. Practice does not clearly follow guidelines or evidence and presumably continues to be based on anecdote.

  • recurrent wheeze
  • bronchiolitis
  • bronchodilator
  • corticosteroid
  • BTS, British Thoracic Society
  • CI, confidence interval
  • GINA, Global Initiative for Asthma
  • ICS, inhaled corticosteroid
  • OR, odds ratio
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