Environmental tobacco smoke exposure in pediatric asthma: overview and recommendations for practice.
Environmental tobacco smoke exposure in pediatric asthma: overview and recommendations for practice.
复制标题
小儿哮喘中的环境烟草烟雾暴露:概述和实践建议。
DOI:
10.1177/000992280304200903
复制
发表时间:
2003
影响因子:
1.6
通讯作者:
Borrelli,Belinda
中科院分区:
文献类型:
--
作者:
McQuaid,ElizabethL;Walders,Natalie;Borrelli,Belinda
At sthma has become the most common pediatric chronic illness in the United States, affecting an estimated 4.8 million children and adolescents, and it has been iden-tified as a priority for public health research and interven-tion. i Pediatric asthma is linked to extensive functional morbidity and is a leading cause of pediatric acute care visits, emergency de-partment use, and hospital admissions. 2 Management of the pedi-atric asthma patient can be challenging due to the multiple medical, behavioral, and environmental factors that contribute to asthma symptoms and exacerba-tions. Of these factors, exposure to environmental tobacco smoke (ETS) is a critical clinical problem for many children with asthma. ETS not only triggers asthma episodes, but also has deleterious effects on airway reactivity, 3 which makes the airways more respon-sive to other irritants and aller-gens that affect asthma. Health care providers (HCPs) can use medical encounters as" teachable moments" to advise parents to quit smoking and/or reduce ETS exposure in the home. The purpose of the present paper is to re-view the empirical research re-garding the effects of exposure to on children with asthma and to provide a brief overview of interventions to reduce ETS exposure. We also offer guidelines for HCPs on how to use medical contacts