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Diagnosis and treatment of asthma in childhood: a PRACTALL consensus report
L B Bacharier1, A Boner, K-H Carlsen
1Department of Pediatrics, Washington University, St Louis, MO, USA.
Insights
This consensus report provides updated pediatric asthma guidelines for Europe and North America. It recommends integrated strategies including medication, trigger avoidance, and education for better childhood asthma management.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Medicine
Background:
- Childhood asthma is a prevalent chronic respiratory disease globally.
- Limited evidence and lack of recent international guidelines for pediatric asthma necessitate updated recommendations.
- Expert consensus is crucial for establishing evidence-based clinical practice guidelines.
Framework:
- Development of a consensus report by expert teams from the European Academy of Allergy and Clinical Immunology (EAACI) and the American Academy of Allergy, Asthma and Immunology (AAAAI).
- The PRACTALL initiative aims to provide comprehensive guidelines for pediatric asthma management.
- Focus on a multidisciplinary approach to pediatric asthma care.
Implementation:
- Recommendations encompass pharmacological interventions for asthma control.
- Strategies include comprehensive allergen and trigger avoidance protocols.
- Emphasis on patient and family asthma education for improved self-management.
Implications:
- Establishes a unified guideline for clinical practice in Europe and North America.
- Aims to improve therapeutic strategies and outcomes for children with asthma.
- Enhances the evidence base for pediatric asthma management through expert consensus.
Abstract:
Asthma is the leading chronic disease among children in most industrialized countries. However, the evidence base on specific aspects of pediatric asthma, including therapeutic strategies, is limited and no recent international guidelines have focused exclusively on pediatric asthma. As a result, the European Academy of Allergy and Clinical Immunology and the American Academy of Allergy, Asthma and Immunology nominated expert teams to find a consensus to serve as a guideline for clinical practice in Europe as well as in North America. This consensus report recommends strategies that include pharmacological treatment, allergen and trigger avoidance and asthma education. The report is part of the PRACTALL initiative, which is endorsed by both academies.
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