Infantile and preschool asthma
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Fecha
2012
Título de la revista
Publicado en
European Respiratory Monograph, 2075-6674, Vol. 56, 2012, p. 10-21
Publicado por
European Respiratory Society
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Resumen
Descripción
Abstract
In infants and preschool children the symptoms suggestive of asthma (e.g. wheeze) may be a clinical expression of a number of diseases with different aetiologies. If this is true, then it is unlikely that these different diseases would respond to the same treatment. Consequently, implementation of a management strategy which is effective for each individual patient is challenging, and controversies remain with respect to which patients should be given anti-asthma treatment, and when the treatment should be started and for how long. Whilst acknowledging these uncertainties, practicing physicians may use the Asthma Predictive Index (API) as a guide in clinical practice to identify young children with recurrent wheezing who are at risk of the subsequent development of persistent asthma, and who may benefit from preventative anti-asthma medica-tion. We acknowledge that a number of questions on the most appropriate management strategy remain unanswered, includ-ing which type of medication is the best for individual patients (e.g. short-acting b-agonist versus inhaled corticosteroid (ICS) versus leukotriene receptor antagonist (LTRA)), dose (high versus low) and schedule (regular versus as needed).
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Keywords
Asthma, Infants, Predictive index, Preschoolers, Treatment