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OP-058 Asthma in school aged children: a retrospctive study of 200 cases
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  1. Khalsi Fatma1,
  2. Daoued Yasmine1,
  3. Soumaya Kbaier1,
  4. Trabelsi Ines1,
  5. Boussetta Khedija1
  1. 1Children’s Hospital of Tunis
  2. 2Faculty of Medicine of Tunis
  3. 3University Tunis El Manar

Abstract

Aim To describe the epidemiological, clinical and allergic profile of asthma in infant, study the asthma control level and the factors that influence it.

Material and Method A retrospective study of 120 cases of asthma in scholl-aged patients followed in pediatric department B. Diagnosis of allergy is based on the allergy skin test positivity. Asthma control evaluation at the last consultation was based on GINA 2023 recommendations.

Results The average age of our patients was 8 years 8 months. The mean age at diagnois was 4 years. A male predominance was noted (sex ratio = 1.5). Allergic rhinitis was present in 65.8% of cases. Tabacco exposure was noted in 72 cases. Asthma was allergic in 99 cases (50%). The main identified allergens are dust mites (83%). Pollens come second (15%) with predominance of olive trees, followed by molds (10.5%), animal dander (8.8%) and cockroaches (7%). The asthma control evaluation showed a controlled asthma in 54.6% of cases, partially controlled (30.3%) and not controlled (15.1%). Younger age (P = 0.01), low socioeconomic level (P = 0.02), presence of allergic rhinitis (P = 0.02), sensitization to molds (P = 0.0009) and bad treatment compliance (P < 0.001) were all significantly associated with a poor control of asthma. Allergen immunotherapy and the use of powder inhaler device were significantly associated with controlled asthma (P = 0.01).

Conclusions In the region of Tunis, mites are the predominant allergens followed by pollens. As a result of this study, we point out that the factors influencing the control of asthma are younger age, low socioeconomic level, presence of allergic rhinitis, sensitization to molds and bad treatment compliance.

  • Asthma
  • Children
  • Symptoms control
  • Sensitization

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