[Epidemiology and ambulatory care of chronic and recurring bronchitis in school-children].
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Biomedical subjects
Publications and source records attributed to W Leupold.
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PURPOSE: To describe the use of anti-asthma drugs in children in the general population and in children with asthma using data from two large surveys in Germany. METHODS: Community-based random sample of 5-7 and 9-11-year-old children in Dresden and Munich were studied in 1995/96 by parental questionnaires using the Phase II protocol of the International Study of Asthma and Allergies in Childhood (ISAAC). A total of 11,094 children participated in the surveys (response rate 83%). RESULTS: In all children, inhaled beta 2-agonists were used most frequently during the last 12 months (2.6%), followed by inhaled cromolyns (2.5%), oral beta 2-agonists (1.5%), and inhaled steroids (0.9%). Drug use was significantly higher among boys than girls and in older children compared to younger ones (P < 0.05 for both). Among children with current asthma, 47% had used inhaled beta 2-agonists, 43% inhaled cromolyns, 22% oral beta 2-agonists, and 16% inhaled steroids. Inhaled steroids were used significantly more often in Dresden (21.7%) than in Munich (11.2%) (P < 0.05). CONCLUSIONS: Among anti-asthma drugs, agents used for symptomatic relief were the most frequently reported followed by inhaled anti-inflammatory agents. Most of the anti-inflammatory drugs used were SCG, which may indicate under-treatment with inhaled steroids.
The authors attempt to give a short review of key problems of paediatrics in tropical countries. The contribution is based on their experience with teaching and as practicing paediatricians in Ethiopia. The profound differences of background and general conditions lead to different priorities of practical work as well as of teaching students (particularly from developing countries). Basic information on the children's situation in developing countries, where the vast majority of today's children live and are immediately affected by so-called global problems, should be known to all paediatricians.
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