Source:http://linkedlifedata.com/resource/pubmed/id/15305946
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2004-8-12
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pubmed:abstractText |
Asthma severity can be judged by measurements of symptoms, lung function, and medication requirements. The objective was to compare the effect of a 4-wk monotherapy with low-dose triamcinolone, montelukast and nedocromil on asthma control, lung function, eosinophil blood count, and bronchial hyper-reactivity in children with mild to moderate asthma allergic to dust mite. Two hundred fifty-six children, aged 6-18 yr, with mild to moderate asthma, participated in an 8-wk study. This was a three-arm, randomized no blinding or placebo pragmatic trial comparing the effect of triamcinolone acetonide (400 microg/day), inhaled nedocromil and montelukast sodium on clinical parameters of asthma [score, forced expiratory volume in 1 s (FEV(1))], PC20H, and eosinophil blood count. Two hundred forty-six children completed the study. After 4 wk of treatment with triamcinolone and montelukast, FEV(1) and PC20H significantly increased, and mean total symptoms score and mean number of eosinophil count in serum significantly decreased. Triamcinolone had a stronger effect on PC20H than montelukast. Nedocromil improved total asthma symptoms score and lung function. There was a reduction in the daytime and night-time symptom scores after treatment with all three drugs. Triamcinolone and montelukast had a stronger effect on asthma symptoms than nedocromil. There were statistically significant differences in reduction of nocturnal asthma symptoms between the triamcinolone and nedocromil groups (p < 0.001) and between montelukast and nedocromil (p = 0.001) groups, but not between the triamcinolone and montelukast groups. There was a reduction in beta-agonists use after treatment with all three drugs, with the strongest effect of triamcinolone. The study showed the strongest effect of low-dose inhaled steroids on clinical symptoms, lung function, bronchial hyper-reactivity and eosinophil blood count when compared to other asthma medications.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Acetates,
http://linkedlifedata.com/resource/pubmed/chemical/Adrenergic beta-Agonists,
http://linkedlifedata.com/resource/pubmed/chemical/Anti-Inflammatory Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Nedocromil,
http://linkedlifedata.com/resource/pubmed/chemical/Quinolines,
http://linkedlifedata.com/resource/pubmed/chemical/Triamcinolone,
http://linkedlifedata.com/resource/pubmed/chemical/montelukast
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0905-6157
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
359-64
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pubmed:dateRevised |
2008-5-28
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pubmed:meshHeading |
pubmed-meshheading:15305946-Acetates,
pubmed-meshheading:15305946-Administration, Inhalation,
pubmed-meshheading:15305946-Adolescent,
pubmed-meshheading:15305946-Adrenergic beta-Agonists,
pubmed-meshheading:15305946-Anti-Inflammatory Agents,
pubmed-meshheading:15305946-Asthma,
pubmed-meshheading:15305946-Bronchial Hyperreactivity,
pubmed-meshheading:15305946-Child,
pubmed-meshheading:15305946-Eosinophils,
pubmed-meshheading:15305946-Female,
pubmed-meshheading:15305946-Humans,
pubmed-meshheading:15305946-Male,
pubmed-meshheading:15305946-Nedocromil,
pubmed-meshheading:15305946-Quinolines,
pubmed-meshheading:15305946-Respiratory Function Tests,
pubmed-meshheading:15305946-Triamcinolone
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pubmed:year |
2004
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pubmed:articleTitle |
Comparative effect of triamcinolone, nedocromil and montelukast on asthma control in children: A randomized pragmatic study.
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pubmed:affiliation |
The M Curie Hospital, Department of Pediatrics and Allergy, Zgierz, Poland. interna@wss.zgierz.pl
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
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