Infantile and preschool asthma

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).

• Autores: Castro Rodriguez, Jose A.; Rodriguez Martinez, Carlos E.; Custovic, Adnan
• Tipo de recurso: Article of journal
• Fecha de publicación: 2012
• Institución: Universidad El Bosque
• Repositorio: Repositorio U. El Bosque
• Idioma: eng
• OAI Identifier: oai:repositorio.unbosque.edu.co:20.500.12495/5416
• Acceso en línea: http://hdl.handle.net/20.500.12495/5416; https://doi.org/10.1183/1025448x.10000212
• Palabra clave: Asthma; Infants; Predictive index; Preschoolers; Treatment
• Rights: openAccess
• License: Acceso abierto