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Misuse of Glucocorticoids Short Courses in an Ambulatory Pediatric Facility: A Case Series of Forced Prescriptions for Common Wheezing or Rashes

2025/02/01 by Sergio Verd, Alicia-Esther Tur, Ana Ferragut +3 · 2 voices
Medicine · #Adrenal Hormones and Disorders #Asthma and respiratory diseases #Respiratory and Cough-Related Research

paper · doi:10.1177/30502225251391900

openalex publication_date 2025/02/01 · openalex created_date 2025/11/20 · openalex updated_date 2026/05/21

Abstract

Background and Purpose: Glucocorticoids bursts may be harmful. We aimed to explore their prescribing patterns in our pediatric ambulatory setting. Methods: All children scheduled for their well-child checkups from May to November 2022, upon entering and leaving primary school, were included. In parallel, case notes were reviewed for glucocorticoid prescriptions due to wheezing or acute skin conditions from birth to the consultation date. Results: We recruited 79 children, 34 (43%) received at least 1 glucocorticoid burst. Most children were prescribed glucocorticoids against wheezing, it accounted for 48 short courses of glucocorticoids, divided into 40 (83%) for preschoolers up to 6 years of age, and 8 (17%) for schoolchildren beyond age 6. Thirteen children have been prescribed glucocorticoids bursts due to acute skin conditions, mainly dermatitis or insect bites. Conclusion: Pediatric glucocorticoids overuse is a common finding in our community.

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