The effect of sodium cromoglycate on upper and lower respiratory symptoms in children born prematurely
The aims of this study were to assess whether sodium cromoglycat (SCG) was an effective prophylaxis against both upper and lowr respiratory tract signs and to determine factors which affected the site and magnitude of the response to SCG. Sixteen children born prematurely were entered into a randomised placebocontrolled trial at 15 months of age (range 4–31 months). The patients received, in random order, either 3 weeks' treatment with SCG (5 mg) or placebo, both given four times a day by inhalation via a spacer device. Parents were asked to record the occurrence and severity of their child's upper respiratory tract signs; sneezing and runny nose and lower respiratory tract signs; day and night time cough and wheeze. During the active compared to the placebo period there was an overall reduction of 47% and 53% in upper and lower respiratory tract signs, respectively. The magnitude of response to SCG as assessed by either the change in upper or lower respiratory tract signs was not significantly related to the patient's gestational or postnatal age, the occurrence of neonatal chronic lung disease, family history of atopy or the order in which the therapy was administered. We conclude that inhaled SCG may be a useful prophylaxis for both upper and lower respiratory tract signs for children born prematurely and less than 3 years of age.
Key wordsAllergy Chronic lung disease Prematurity Sodium cromoglycate
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- 5.Holgate ST (1989) Reflections on the mechanism(s) of action of sodium cromoglycate (Intal) and the role of mast cells in asthma. Respir Med 83 [Suppl]:25S-31SGoogle Scholar
- 6.Miraglia del Giudice M, Capristo A, Maiello N, Apuzzo G (1982) Nebulised sodium cromoglycate for the treatment of asthma in children under 5 years of age. Mod Probl Pediatr 21:122–127Google Scholar
- 8.Patalano F, Ruggieri F (1989) Sodium cromoglycate: a review. Eur Respir J 2 [Suppl 6]:556S-560SGoogle Scholar
- 10.Stenmark KR, Eyzaguirre M, Remigio L, Seccombe J, Hensen PM (1985) Recovery of platelet activating factor and leukotrienes from infants with severe bronchopulmonary dysplasia: clinical improvement with cromolyn treatment. Am Rev Respir Dis 131:236AGoogle Scholar