Survey on the Current Status of Asthma Maintenance Therapy and the Impact of Asthma on Children and Family Life / 소아알레르기및호흡기학회지

PURPOSE: In spite of the development of asthma management guidelines, there are discrepancies between the guidelines and real management. We surveyed the insights and the real management of asthma to assess the current status of its management in Korea. METHODS: The objects of the survey were 266 parents with asthmatic children, who attended an educational lecture by the Korean World Asthma Day Project Office (KWADPO). Face to face interviews with questionnaires of 11 questions about understanding of asthma maintenance therapy, actual conditions of taking medicine and the impact of asthma on the family life were undertaken. RESULTS: The Median age of the patients was 5.2 years old and their parents' age ranged from those in their twenties to those in their forties. The number of the patients actually taking asthma maintenance medicine (40.6 percent) was a little bit lower than the level of awareness (53.0 percent). As a controller, patients are using short-acting beta2 inhalers (35.3 percent), steroid inhalers (including combination inhaler) (31.6 percent), leukotriene receptor antagonists (24.8 percent), antihistamines (25.6 percent), theophylline (2.3 percent), etc. Regular visits to hospital or clinic were done in 53.0 percent of the patients. As a controllers, oral medications (69.2 percent) was preferred to inhalers (18.0 percent) due to better compliance and easier dosage adjustment. CONCLUSION: According to the survey, asthma had negative effects on the life quality of patients and their families. Remarkable discrepancies were noticed between the guidelines and the real-world status of taking medicine in asthmatic children. It is necessary to have patients participate actively in making asthma management plans to raise their efficacy.

Comparison of Lactobacillus casei in Stool between Children with Atopic Dermatitis and Normal Controls / 소아알레르기및호흡기학회지

PURPOSE: As allergy diseases including atopic dermatitis are increasing lately, many kinds of studies about the cause and the pathogenesis are in progress and the secrets of the of organization intestinal microflora and the relationship with inflammatory are reaction actively being revealed. METHODS: In this study, the subjects included 32 atopic dermatitis patients and 23 normal controls who visited the allergy clinics of the pediatrics department in Soonchunhyang University Hospital from June to October, 2003. Lactobacillus casei were cultured and counted. And serum total IgE, IgA and AST/ALT were examined. Also, the differences in lactobacillus counts between the atopic dermatitis patients and normal controls were analyzed. RESULTS: We were not able to find out a statistically significant differences between the atopic dermatitis patients and the control group. We were able to find out a statistically significant inverse correlation of serum total IgE and the number of Lactobacillus casei. CONCLUSION: The significant inverse correlations of serum total IgE and the number of Lactobacillus casei are expected to contribute to precognition and treatment of atopic dermatitis. It is hoped that more researches on the relationship between atopic dermatitis and intestinal flora should be carried out in the future.