Reference of this article: Sacristán Martín AM, González Méndez A, Diego Núñez MA. The adolescent with asthma in Primary Care. Rev Pediatr Aten Primaria. 1999;1:545-552.
Published in Internet: 31-12-1999
Objectives: To asses the prevalence of asthma in our children, is grade, follow up and
management by the paediatrician. 979 clinic histories are reviewed finding 45 adolescents
between 10 and 14 years of age with the diagnosis of asthma.
Results: The cumulated prevalence of asthma was 4.6%, male to female ratio 1.6:1.
Age of onset 4.8±3 years, age at diagnosis 7.9±3 years. Atopic familiar antecedents in
35.6% and personal antecedents 75,6%, pneumonia 17,8%, ORL illness 40.0%, bronchiolitis
6,7%, gastro-oesofageal reflux 2.2% and igA deficiency 8.3%. Neumoallergens
sensitivity 84,6% (84,8% gramineae pollens). Exercise induced asthma 31,0%. 62,2% were classified as mild asthma, 37.8% as moderate and none as severe. At 8 years of age
20% of children are asinthomatic, 48.9% had a better situation, 20% stayed equal and
only 11.1% had worsened: 71.1% were being managed by the specialist in Allergology,
28.9% by the paediatrician of Primary Care. Only 21.6% of children had undergone
function test and 504% had home PEM control. Among the children still under control at
present nearly 11.1% were treated with oral bronchodilators, 60.9% were under or had
been under inmunotherapy, 80.4% were under maintaining therapy (56.7% inhaled corticosteroids,
40.5% cromones, 24.3% long duration inhaled beta-agonists and 24.3%
Conclusions: There is a similar prevalence of asthma compared to other studies, it is
preponderant in our environment the sensitivity to gramineae pollens. We are worried
about the poor implication of Primary Care in the follow up of these patients as well as the
scarce realisation of functional test.
Keywords● Adolescent ● Asthma ● Pediatric Primary Care