Managing Asthma during Coronavirus Disease-2019: An Example for Other Chronic Conditions in Children and Adolescents

Abrams, Elissa M.; Szefler, Stanley J.

doi:10.1016/j.jpeds.2020.04.049

Cited by 82 publications

(110 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, with increasing community transmission of COVID-19, the likelihood of obtaining a history of a known contact with a confirmed case becomes very unlikely. Although the screening for COVID-19 is necessary for any child who comes to medical attention with worsening cough or shortness of breath [44], in most Nigerian healthcare facilities, this is not readily available and may contribute to undue delays in care, referrals and even death.…”

Section: Discussionmentioning

confidence: 99%

COVID-19: Parents’ Healthcare-Seeking Behaviour for their Sick Children in Nigeria - An Online Survey

Briggs

Kattey

2020

IJTDH

View full text Add to dashboard Cite

Introduction: The current COVID-19 pandemic has greatly affected the wellbeing of children, either directly or through the effects of the response. Measures are in place to curb the spread of the virus in Nigeria, but little is known of the effect these stringent measures have on the healthcare-seeking behaviour of parents for their sick children. Aim: This survey sought to describe parents’ healthcare-seeking behaviour for their sick children during the COVID-19 lockdown in Nigeria. Study Design: Descriptive cross-sectional. Methods: A cross-sectional survey was conducted among Nigerian parents with children less than 18 years of age, via an online Google doc questionnaire administered through WhatsApp instant messaging. Using snowball sampling technique, 260 respondents from affected Nigerian states were recruited over one month. Chi-square tested differences between variables in assessing if healthcare-seeking behaviour was affected; statistical significance level was set at p-value <0.05. Results: The median age was 38 years (IQR:9); 155 (59.7%) were females, 167 (64.2%) had tertiary education, while 83 (31.9%) had low income. Half (50%) of the respondents cited that the lockdown had affected their healthcare-seeking behaviour for their sick children; this did not significantly differ by geopolitical zone of residence (χ2=3.90, p-value=0.42), and other variables. Thirty-seven 37 (14.3%) agreed their children couldn’t get routine immunizations as scheduled. Conclusion: The COVID-19 pandemic lockdown considerably affected parents’ healthcare-seeking behaviour for their sick children in Nigeria. Contextual strategies aimed at health system strengthening and improved accessibility are needed to mitigate the effect of COVID-19 on parental access and utilization of healthcare facilities.

show abstract

Section: Discussionmentioning

confidence: 99%

COVID-19: Parents’ Healthcare-Seeking Behaviour for their Sick Children in Nigeria - An Online Survey

Briggs

Kattey

2020

IJTDH

View full text Add to dashboard Cite

show abstract

“…However, it has been noted that this classification is “based more on common sense rather than mounting evidence.” 2 In a systematic review of whether asthma is associated with higher COVID‐19 risk or severity in children, only two reports described asthma or recurrent wheeze as a COVID‐19 risk factor 9 . The conclusion of the systematic review was that “there is scarcely any data on whether childhood asthma…constitute risk factors for SARS‐CoV‐2 infection or COVID19 severity.” 9 There is also a theoretical risk that COVID‐19 could trigger viral‐induced asthma exacerbations 10 . There are no data to support or refute this to date.…”

Section: Coronavirus Disease‐2019 In Children With Asthmamentioning

confidence: 99%

“…There are no data to support or refute this to date. There are data on the risk of asthma exacerbations from other coronavirus infections—severe acute respiratory syndrome, due to human coronaviruses HCoV‐229E and HCoV‐OC43 was not associated with an increased risk of asthma exacerbations and in fact during that time asthma exacerbations decreased (possibly due to increased hygiene measures) 10,11 . In contrast, seasonal coronavirus infection is associated with asthma exacerbations annually, albeit less than other viruses such as influenzae 12–14 …”

Section: Coronavirus Disease‐2019 In Children With Asthmamentioning

confidence: 99%

“…Anecdotally, some centers are actually seeing an overuse of aerosol medications in particular in patients with COVID‐19 36 . However, a metered‐dose inhaler (MDI) with valved holding chamber or dry powder inhaler is strongly preferred over nebulizers, and nebulization should only be considered for a child who is unable to follow directions for MDI use or in the rare case of medication shortages 10,20,31,35 …”

Section: Implications For Asthma Managementmentioning

confidence: 99%

See 1 more Smart Citation

Pediatric asthma and COVID‐19: The known, the unknown, and the controversial

Abrams

Sinha

Fernandes

et al. 2020

Pediatric Pulmonology

Self Cite

View full text Add to dashboard Cite

The novel coronavirus disease‐2019 (COVID‐19), caused by the pathogen severe acute respiratory syndrome‐CoV‐2, is causing a global pandemic, with over 26.9 million cases and 880,000 deaths as of September 6, 2020. While there has been speculation and observational research about the impact of COVID‐19 on asthma, much remains unknown. The goal of this article is to provide a scoping review on pediatric asthma and COVID‐19 and summarize what we do and do not know from the first wave of the pandemic.

show abstract

“…These recommendations are consistent and recommend staying on the same maintenance and exacerbation medications during the COVID-19 pandemic. 29 , 30 , 40 , 53 It is also recommended to take additional precautions including avoiding asthma exacerbation triggers, ensuring proper inhaler techniques, maintaining physical distancing and practicing proper hand hygiene. 53 It is not recommended to step down from any current asthma management plans, unless proven beneficial to a specific patient’s situation.…”

Section: Should Treatment Guidelines Change During the Covid-19 Pandementioning

confidence: 99%

Asthma and COVID-19: What do we know now

Hughes-Visentin

Paul

2020

Clin Med Insights Circ Respir Pulm Med

View full text Add to dashboard Cite

The COVID-19 pandemic has presented challenges in symptomology identification, diagnosis, management and follow-up in common respiratory diseases, and in particular asthma. Research is rapidly ongoing to try and understand how the SARS-CoV-2 virus affects individuals with asthma, as well as, how underlying asthma affects Covid-19 risk, symptomology and prognosis. In light of this unique medical challenge, clinicians are faced with case-by-case based decisions to implement or continue current asthma therapy. This review will discuss the current literature regarding asthma and COVID-19 based on best available evidence at this time (See box 1).

show abstract

Managing Asthma during Coronavirus Disease-2019: An Example for Other Chronic Conditions in Children and Adolescents

Cited by 82 publications

References 39 publications

COVID-19: Parents’ Healthcare-Seeking Behaviour for their Sick Children in Nigeria - An Online Survey

COVID-19: Parents’ Healthcare-Seeking Behaviour for their Sick Children in Nigeria - An Online Survey

Pediatric asthma and COVID‐19: The known, the unknown, and the controversial

Asthma and COVID-19: What do we know now

Contact Info

Product

Resources

About