Asthma Management in Pediatric Patients

Strengths and Weaknesses in Medical Students' Knowledge

Authors

  • Letícia Edwiges Machado Abrahão
  • Laura de Souza Corrêa Netto
  • Raphaela Naara Sizinia da Silva Monteiro
  • Monica Couto Guedes Sejanes da Rocha

Keywords:

Therapeutics, Asthma, Pediatrics, Bronchodilator, Inhalation

Abstract

Objective: To assess medical students' knowledge of asthma management and management in pediatric patients. Randomized controlled clinical trials and meta-analyses in humans published in English over the past five years were analyzed in the MedLine database. Inclusion and exclusion criteria were used in this study. The survey consisted of a questionnaire addressing asthma treatment; associated clinical repercussions; appropriate medication use; and nebulizer use techniques. The questionnaire was administered to medical students from the first to eighth semesters by the researchers themselves after approval by the Research Ethics Committee. The study identified that although students are able to recognize signs and symptoms of the disease, there are weaknesses in their knowledge of current asthma management guidelines and nebulizer use.

References

Zhou Y, Jackson D, Bacharier LB, Mauger D, Boushey H, Castro M, et al. The upper-airway microbiota and loss of asthma control among asthmatic children. Nat Commun. 2019 Dec 16;10(1):5714.

Sekerel BE, Nell H, Laki I, Park T, Contreras E, Kolarz A, et al. Efficacy, Safety, and Systemic Exposure of Once-Daily Indacaterol Acetate in Pediatric Asthma: A Randomized, Double-Blind, Controlled Dose-Finding Study. Clin Drug Investig. 2023 Set;43(9):719-728.

Debiazzi MS, Bonatto RC, Campos FJ, Martin JG, Fioretto JR, Hansen MLDN, et al. Inhaled magnesium versus inhaled salbutamol in rescue treatment for moderate and severe asthma exacerbations in pediatric patients. J Pediatr (Rio J). 2024 Oct;100(5):539-543.

Moody GB, Luckett PM, Shockley CM, Huang R, Ari A. Clinical Efficacy of Vibrating Mesh and Jet Nebulizers With Different Interfaces in Pediatric Subjects With Asthma. Respir Care. 2020 Oct;65(10):1451-1463.

Chipps BE, Albers FC, Reilly L, Johnsson E, Cappelletti C, Papi A. Efficacy and safety of as-needed albuterol/budesonide versus albuterol in adults and children aged ≥4 years with moderate-to-severe asthma: rationale and design of the randomised, double-blind, active-controlled MANDALA study. BMJ Open Respir Res. 2021 Dec;8(1):e001077.

Zhou XJ, Qin Z, Lu J, Hong JG. Efficacy and safety of salmeterol/fluticasone compared with montelukast alone (or add-on therapy to fluticasone) in the treatment of bronchial asthma in children and adolescents: a systematic review and meta-analysis. Chin Med J (Engl). 2021 Nov;134(24):2954-2961.

Kumar J, Kumar P, Goyal JP, Rajvanshi N, Prabhakaran K, Meena J, et al. Role of nebulised magnesium sulfate in treating acute asthma in children: a systematic review and meta-analysis. BMJ Paediatr Open. 2024 May;8(1):e002638.

Boeschoten SA, Buysse CMP, de Winter BCM, van Posmalen J, de Jongste JC, de Jonge RC, et al. Efficacy of a loading dose of IV salbutamol in children with severe acute asthma admitted to a PICU: a randomized controlled trial. Eur J Pediatr. 2022 Oct;181(10):3701-3709.

Global Initiative for Asthma. Relatório de estratégia da Gina 2025. Available from: URL: https://ginasthma.org/wp-content/uploads/2025/05/GINA-2025_tracked-for-archive-WMSA.pdf&ved=2ahUKEwjQ36C718mPAxXIqpUCHfz6JJ8QFnoECDkQAQ&usg=AOvVaw30VIwJ0Wih8kYBwuuu8PUn.Accessed September 7, 2025.

Schuh S, Freedman SB, Zemek R, Plínio AC, Johnson DW, Ducharme F, et al. Association Between Intravenous Magnesium Therapy in the Emergency Department and Subsequent Hospitalization Among Pediatric Patients With Refractory Acute Asthma: Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2021 Jul;4(7):e2117542.

Goulden N, Cousins M, Hart K, Jenkins A, Willetts G, Yendle L, et al. Inhaled Corticosteroids Alone and in Combination With Long-Acting β2 Receptor Agonists to Treat Reduced Lung Function in Preterm-Born Children: A Randomized Clinical Trial [published correction appears in JAMA Pediatr. 2023 Feb 1;177(2):213.

Published

2026-03-24

How to Cite

Abrahão, L. E. M., Corrêa Netto, L. de S., Monteiro, R. N. S. da S., & Rocha, M. C. G. S. da. (2026). Asthma Management in Pediatric Patients: Strengths and Weaknesses in Medical Students’ Knowledge. Revista De Divulgação Científica Sena Aires, 15(Esp.2), 97–103. Retrieved from https://rdcsa.emnuvens.com.br/revista/article/view/1162