Diagnosis and treatment of childhood asthma – Related resources
26.02.2016 • Sonuncu dəyişiklik 23.09.2015
This article is created and updated by the EBMG Editorial Team
Cochrane reviews
Long acting beta2-agonists (LABA) appear to be associated with more serious adverse events than placebo in children with asthma. Combination of corticosteroids to LABA appears to reduce adverse events .- Supplementation of diet with marine n-3 fatty acids seems not to improve asthma symptoms, although the evidence is insufficient .
- Nedocromil sodium used before exercise reduces the severity and duration of exercise-induced bronchoconstriction .
- Anticholinergic drugs may not be effective in the treatment of chronic asthma in children over two years of age .
- Ketotifen alone or in combination with other interventions appears to improve control of asthma and wheezing in children with mild and moderate asthma, with sedation and weight gain as minor side effects .
- There is no evidence on the role of psychological interventions for children with asthma .
- Family therapy may have some limited effect in asthma management in children .
- Bronchodilators to treat infants with bronchiolitis may not improve oxygen saturation, reduce hospital admission after outpatient treatment, or shorten the duration of hospitalization compared to placebo.
."?>
- There may not be a difference between commercial versus home-made spacers for delivering bronchodilator therapy to children with acute asthma or lower airways obstruction attacks .
- Nedocromil may be effective for improving lung function and symptom scores in children with chronic asthma .
- Multifaceted interventions, characterised by dietary allergen reduction and environmental remediation, may reduce the odds of a physician diagnosis of asthma later in childhood .
Inhaled ipratropium bromide in addition to beta-2-agonist may improve FEV1 but there is no evidence of clinical improvement .
Clinical guidelines
-
Pediatric asthma: clinical practice guideline. Oakland (CA): Kaiser Permanente Care Management Institute; 2006 .
- Managing asthma long term in children 0-4 years of age and 5-11 years of age. In: National Asthma Education and Prevention Program (NAEPP). Expert panel report 3: guidelines for the diagnosis and management of asthma. Bethesda (MD): National Heart, Lung, and Blood Institute; 2007 Aug. p. 281-325
Literature
- Townshend J, Hails S, Mckean M. Management of asthma in children. BMJ 2007;335:253–257
- Martinez FD, Wright AL, Taussig LM, Holberg CJ, Halonen M, Morgan WJ. Asthma and wheezing in the first six years of life. The Group Health Medical Associates. N Engl J Med 1995 Jan 19;332(3):133-8.
- Säynäjäkangas O, Valmari P, Tuuponen T, Keistinen T. Trends in hospitalization for childhood asthma in Finland in 1996-2004. Acta Paediatr 2007 Jun;96(6):919-23.
- Cole A. New cases of asthma in children in England and Wales has fallen by two thirds. BMJ 2005;330:691