Asthma admissions of children aged 5 years or younger to the Kaiser Foundation Hospital in Honolulu were analyzed for the years 1986-1989.
Admissions increased at an annual rate of 4.5% during the study period, in agreement with a worldwide trend.
Most children wheezed before their first admission, but their diagnosis was bronchitis rather than asthma.
This shows that physicians and it difficult to diagnose asthma in young children.
Pneumonia was the initial diagnosis in 25% of admissions, mainly due to overinterpretation of chest radiographs, and this contributed to the overuse of antibiotics.
Inpatient treatment with inhaled and systemic bronchodilators and anti-inflammatory agents conformed to standard practice.
Mots-clés Pascal : Appareil respiratoire pathologie, Immunopathologie, Allergie, Epidémiologie, Enfant, Homme, Asthme, Hospitalisation, Etats Unis, Amérique du Nord, Amérique, Hawaï, Polynésie, Océanie
Mots-clés Pascal anglais : Respiratory disease, Immunopathology, Allergy, Epidemiology, Child, Human, Asthma, Hospitalization, United States, North America, America, Hawaii, Polynesia, Oceania
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0166638
Code Inist : 002B06C02. Création : 199406.