Oral corticosteroids for wheezing attacks under 18 months.

In a double blind, partial crossover trial we compared treatment with prednisolone with treatment with placebo (56 treatments) in 38 children aged less than 18 months (mean age 9.8 months, range 3-17 months), 30 of whom had required previous admission to hospital. Placebo or oral prednisolone 2 mg/kg/day in two divided doses for five days was given during acute exacerbations of symptoms on an outpatient basis. Daily symptom scores of cough, wheeze, and breathlessness did not show any significant difference in rate of improvement or overall outcome, either between the two whole groups or within subgroups aged less than 6 months, 6-12 months, and 12-18 months. Parental preference failed to indicate superiority of treatment with prednisolone over treatment with placebo in the 18 crossover patients, and parents were equally as likely to feel that treatment with either placebo or prednisolone had had positive effect in non-crossover patients. Two children required admission to hospital during treatment, one aged 5 1/2 months being treated with prednisolone, and one aged 14 months being treated with placebo

Damp housing and childhood asthma; respiratory effects of indoor air temperature and relative humidity.

In a questionnaire survey of a random sample of 1000 children aged 7 years, a significantly greater proportion of those living in homes reported as damp were affected by wheeze (22% v 11%), day cough, night cough, and chesty colds. Simultaneous estimation of relative humidity in the bedrooms of 778 children and continuous 7 day recordings of ambient temperature and humidity in a stratified sample of 317 bedrooms showed no association with the same respiratory symptoms. No correlation was found between bedroom conditions and baseline ventilatory function or exercise induced reduction in FEV1. These results run counter to the widely held belief that indoor temperature and humidity are important determinants of respiratory ill health, although they do not directly exclude effects due to mites or moulds, whose survival is determined by the humidity of their respective microenvironments