16May 2018

CORTICOSTEROID PHOBIA AMONG PARENTS OF ASTHMATIC CHILDREN AND ITS IMPACT ON ASTHMA MANAGEMENT IN HAIL REGION.

  • 4th year students at college of medicine, university of Hail.
  • MBBS, MD pediatrics and child health- Associate professor, college of medicine, Hail university, Hail, Saudi Arabia.
Crossref Cited-by Linking logo

  • Abstract
  • References
  • Cite This Article as
  • Corresponding Author

Asthma is one of the most common chronic diseases of childhood. ICS are the cornerstone of asthma treatment in adults and children. The aim of the study to detect and estimate the presence of phobia among parents of asthmatic children and to measure the impact of corticosteroid phobia on management and control of childhood asthma. 326 parents of asthmatic children were interviewed using structural questionnaire. The study showed that 84.53% have phobia due to use corticosteroid and 14.92% haven?t, and most of the parents who have corticosteroid phobia either minimized the prescribed dose of corticosteroid (49.7%) or completely stopped it (22.5%) which is significantly high when compared to those who have no phobia who minimize the dose of corticosteroid (23.5%) and those who completely stopped it (17.6%). Conclusion: This study aims to state the presence of phobia towards corticosteroid use in the management of asthma among parents of asthmatic children and its effect on their treatment. from the results It is clear that there is true fear of using corticosteroid. Multiple sources including medical staff are the main cause of parents? phobia towards corticosteroid use. The study also showed that there is a significant impact of this phobia on the adherence to prescribed corticosteroid for treatment or control of bronchial asthma, as considerable number of parents stopped or minimized the dose due to their phobia.

  1. https://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20369653
  2. http://www.who.int/mediacentre/factsheets/fs307/en/
  3. Al Moamary MS, Alhaider SA, Al-Hajjaj MS, Al-Ghobain MO, Idrees MM, Zeitouni MO et al. (2012): The Saudi initiative for asthma 2012 update: Guidelines for the diagnosis and management of asthma in adults and children. Ann. Thorac. Med., 7:175-204.
  4. Mohamed S. Al-Moamary,?Sami A. Alhaider,1?Majdy M. Idrees,2?Mohammed O. Al Ghobain,Mohammed O. Zeitouni,3?Adel S. Al-Harbi,4?Abdullah A. Yousef,5?Hussain Al-Matar,6?Hassan S. Alorainy,7and?Mohamed S. Al-Hajjaj8 The Saudi Initiative for Asthma - 2016 update: Guidelines for the diagnosis and management of asthma in adults and children Ann. Thorac. Med., 2016 Jan-Mar; 11(1): 3?42
  5. Al-Kabbaa AF, Al-Shamrani KM, Salih MA. Does the management of bronchial asthma by family physicians meet standards of the national protocol??J Family Community Med.?2002;9:21?5.?[PMC free article]?[PubMed]
  6. Al-Jahdali HH, Al-Hajjaj MS, Alanezi MO, Zeitoni MO, Al-Tasan TH. Asthma control assessment using asthma control test among patients attending 5 tertiary care hospitals in Saudi Arabia.?Saudi Med J.?2008;29:714?7.?[PubMed]
  7. al Frayh AR. Asthma patterns in Saudi Arabian children.?J R Soc Health.?1990;110:98?100.[PubMed]
  8. al Frayh AR, al Nahdi M, Bener AR, Jawadi TQ. Epidemiology of asthma and allergic rhinitis in two coastal regions of Saudi Arabia.?Allerg Immunol (Paris)?1989;21:389?93.[PubMed]
  9. Bener A, al-Jawadi TQ, Ozkaragoz F, Anderson JA. Prevalence of asthma and wheeze in two different climatic areas of Saudi Arabia.?Indian J Chest Dis Allied Sci.?1993;35:9?15.[PubMed]
  10. Hijazi N, Abalkhail B, Seaton A. Asthma and respiratory symptoms in urban and rural Saudi Arabia.?Eur Respir J.?1998;12:41?4.?[PubMed]
  11. Alshehri MA, Abolfotouh MA, Sadeg A, Al Najjar YM, Asindi AA, Al Harthi AM, et al. Screening for asthma and associated risk factors among urban school boys in Abha city.?Saudi Med J.?2000;21:1048?53.?[PubMed]
  12. Global strategy for asthma management and prevention (2015 update). Global Initiative for Asthma. http://www.ginasthma.org/documents/4. Accessed April 27, 2015.
  13. Asthma?Guidelines Classification Guidelines Updated: Nov 19, 2017 https://emedicine.medscape.com/article/296301-guidelines#g2
  14. Asthma?Guidelines Classification Guidelines Updated: Nov 19, 2017 https://emedicine.medscape.com/article/296301-guidelines#g3
  15. Suisa S, Ernst P. Inhaled corticosteroids: impact on asthma morbidity and mortality.?J Allergy Clin Immunol.?2001;107:937?944. doi: 10.1067/mai.2001.115653.?[PubMed][Cross Ref]
  16. Wim M. C. van Aalderenand?Aline B. Sprikkelman Inhaled corticosteroids in childhood asthma: the story continues Eur J Pediatr. 2011 Jun; 170(6): 709?718.
  17. Soroka Medical Center, Ben-Gurion University, Beer Sheva, Israel,Sympictor : controlling asthma in children,respiratory medicine,vol.96(2002).S23-S28-http://www.resmedjournal.com/article/S0954-6111(02)80056-7/pdf
  18. G W Chalmers, et al. Influence of cigarette smoking on inhaled corticosteroid treatment in mild asthma. Thorax.2002;57:226?230
  19. Nicholas J. Roland , et al. The Local Side Effects of Inhaled Corticosteroids. Chestnet .2004. ; 126: 213?219
  20. van Asperen PP, Mellis CM, Sly PD, Robertson C.?The role of corticosteroids in the management of childhood asthma. The Thoracic Society of Australia and New Zealand, 2010. Available from:?http://www.thoracic.org.au/clinical-documents/area?command=record&id=14
  21. Guide to systemic corticosteroids http://www.asthmahandbook.org.au/resources/medicines-guide/systemic-corticosteroids
  22. Ghosh A, Sengupta S, Coondoo A, Jana AK. Topical Corticosteroid Addiction and Phobia.?Indian Journal of Dermatology. 2014;59(5):465-468.
  23. Ip KI,?Hon KL,?Tsang KYC,?Leung TNH. Steroid phobia, Chinese medicine and asthma control. Clin Respir J.2018 Apr;12(4):1559-1564.
  24. Magdy M Zedan, Mohammed Ezz El Regal, Engy A Osman, and Ashraf E Fouda, Steroid Phobia among Parents of Asthmatic Children: Myths and Truth Iran J Allergy Asthma ImmunolSeptember 2010; 9(3): 163-168.
  25. Lieu TA1,?Quesenberry CP Jr,?Capra AM,?Sorel ME,?Martin KE,?Mendoza GR.Outpatient management practices associated with reduced risk of pediatric asthma hospitalization and emergency department visit PediatricsSeptember 1997, VOLUME 100 / ISSUE 3From the American Academy of Pediatrics.
  26. Louis-philippeBoulet , perception of the role and potential side effect of inhaled corticosteroids among asthmatic patients , chest journal , march 1998 volume 113 issue 3 pages 587-592

[Hawreyah J Alshamary, Shamma M Alaezaimee, Bayan D Aldokheel, Maram S Alnabri, Saleh A Alammari and Nawaf K Almuzaini and Somaia Ibrahim Bashir. (2018); CORTICOSTEROID PHOBIA AMONG PARENTS OF ASTHMATIC CHILDREN AND ITS IMPACT ON ASTHMA MANAGEMENT IN HAIL REGION. Int. J. of Adv. Res. 6 (May). 390-398] (ISSN 2320-5407). www.journalijar.com

Somaia Ibrahim Bashir
MBBS, MD pediatrics and child health- Associate professor, college of medicine, Hail university, Hail, Saudi Arabia

DOI:

Article DOI: 10.21474/IJAR01/7045      
DOI URL: https://dx.doi.org/10.21474/IJAR01/7045

Download Full Paper

Download PDF No. of Downloads: 36 | No. of Views: 179