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Study on level of control of bronchial asthma in a peripheral paediatric unit in Sri Lanka

Authors:

D C N Amarasiri ,

Base Hospital, Kanthale, LK
About D C N
Acting Consultant Paediatrician, Base Hospital, Kanthale
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Deepthi Samarage,

Department of Paediatrics, University of Sri Jayawardenapura, LK
About Deepthi
Senior Lecturer, Department of Paediatrics, University of Sri Jayawardenapura
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Guwani Liyanage,

Department of Paediatrics, University of Sri Jayawardenapura, LK
About Guwani
Senior Lecturer, Department of Paediatrics, University of Sri Jayawardenapura
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P M R S N Pallemulla,

Calderdale Hospital, United Kingdom, LK
About P M R S N
Specialty Registrar in Paediatrics, Calderdale Hospital, United Kingdom
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P K B Mahesh

Department of Community Medicine, University of Colombo, LK
About P K B

Registrar in Community Medicine, Department of Community Medicine, University of Colombo

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Abstract

Objectives: To describe the level of control of asthma and the factors associated with poorly controlled asthma in children registered at the Paediatric Clinic at Base Hospital, Kanthale in the Trincomalee District of the Eastern Province of Sri Lanka and to identify co-morbid factors associated with poorly controlled asthma..

Method: It was a prospective cross sectional study conducted in the Paediatric Clinic at Base Hospital Kanthale. Data was collected using an interviewer administered questionnaire from 88 physician diagnosed asthma patients. Asthma Therapy Assessment Questionnaire (ATAQ) was used to assess asthma control.

Results: Majority of patients (75%) had poorly controlled asthma. Statistically significant associations were noted between poorly controlled asthma and incorrect inhaler technique (p <0.001), poor compliance of steroid inhalers (p <0.001), allergic rhinitis (p <0.01), clinical evidence of gastro-oesophageal reflux disease (p<0.01) and exposure to second-hand smoke at home (p<0.05).

Conclusions: In our study 75% had poorly controlled bronchial asthma. Poor control of bronchial asthma was significantly associated with incorrect inhaler technique, poor compliance to steroid inhaler, allergic rhinitis, gastro-oesophageal reflux disease and exposure to cigarette smoke at home.

(Key words: Bronchial asthma; level of control; ATAQ questionnaire)

Sri Lanka Journal of Child Health, 2014; 43(4): 208-211

DOI: http://dx.doi.org/10.4038/sljch.v43i4.7763

How to Cite: Amarasiri, D.C.N., Samarage, D., Liyanage, G., Pallemulla, P.M.R.S.N. and Mahesh, P.K.B., 2014. Study on level of control of bronchial asthma in a peripheral paediatric unit in Sri Lanka. Sri Lanka Journal of Child Health, 43(4), pp.205–207. DOI: http://doi.org/10.4038/sljch.v43i4.7763
Published on 12 Dec 2014.
Peer Reviewed

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