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Article selected to email to friend/s or colleague/sPrescribing of asthma medication in primary care for
children aged under 10 Schokker S, Groenhof F, van der Veen WJ, van der Molen T (2010) Prim Care Resp J 19 (1), pp. 28-34.
DOI: http://dx.doi.org/10.4104/pcrj.2009.00039
Article web page: http://www.thepcrj.org/journ/view_article.php?article_id=651
PDF url: http://www.thepcrj.org/journ/vol19/19_1_28_36.pdf
Abstract: OBJECTIVE: To evaluate prescriptions of asthma medication for children in primary care.
METHODS: Data on prescriptions of asthma medication for children aged 0-9 years were collected from a general practice-based network
in the north eastern part of the Netherlands. Prevalence, incidence, indications, continuation beyond the age of 6 years, and predictors of
continuation, were determined.
RESULTS: Prevalence of prescriptions was about 80 per 1000 person years. An asthma diagnosis was registered in 40% of the children with
a first prescription and in 70% of the children with six or more prescriptions. Discontinuation of asthma medication was between 60 and
90%. Continuation was more likely in children with a first prescription at age 2 or 3 as compared to children starting treatment at age
=1 year. Children with prescriptions for beta2-agonists and inhaled corticosteroids were more likely to continue treatment than children with
beta2-agonist monotherapy prescriptions.
CONCLUSION: Continuation of asthma medication in children is low. Age at first prescription and the type of asthma medication are
predictors of continuation of asthma medication from preschool into school-age.
Keywords: Asthma, paediatrics, primary care, medications, prescriptions
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