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J Paediatr Child Health. 2003 Sep-Oct;39(7):548-51.

Long and short-term effect of prednisolone in hospitalized infants with acute bronchiolitis.

Author information

1
Department of Maternal and Child Health, Federal University of Rio Grande, Rio Grande-RS, Brazil. zhanglinjieb@yahoo.com.br

Abstract

OBJECTIVE:

To assess long and short-term effect of prednisolone in hospitalized infants with bronchiolitis.

METHODOLOGY:

A randomized and controlled trial was carried out at the Federal University of Rio Grande, Rio Grande-RS, Brazil. Twenty-eight patients were randomly allocated prednisolone (1 mg/kg/day for 5 days) plus standard care, and 24 patients allocated standard care alone. The primary endpoint was the prevalence of post-bronchiolitis wheezing at 1, 3, 6 and 12 months after hospital discharge. The secondary endpoints were: length of hospital stay, duration of oxygen therapy and time to clinical improvement during the hospitalization.

RESULTS:

There were no significant differences between the prednisolone and control group in the prevalence of post-bronchioltis wheezing at 1 month (73.1 vs 83.3%, P = 0.5), 3 months (73.1 vs 79.2%, P = 0.7), 6 months (65.4 vs 66.7%, P = 0.9) and 12 months (50.0 vs 58.3%, P = 0.5) after hospital discharge. No reduction was observed in the prednisolone group, compared with the control group, in terms of length of hospital stay (6.0 vs 5.0 days, P = 0.7), duration of oxygen therapy (24.0 vs 24.0 h, P = 0.4) and time to clinical resolution (4.0 vs 4.0 days, P = 0.8).

CONCLUSIONS:

Prednisolone has no significant effect on reducing the prevalence of post-bronchiolitis wheezing and on improving the acute course of illness in hospitalized infants with bronchiolitis.

PMID:
12969212
[Indexed for MEDLINE]

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