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Published on: November 4, 2010
Asthma in infants and children
1Capital Allergy & Respiratory Disease Center, Sacramento, California 95819, USA. bchipps@capitalallergy.com
Insights
Childhood asthma is a common chronic illness that can persist into adulthood. Current management focuses on diagnosis, severity assessment, and inhaled corticosteroids, with ongoing research to improve inhalant drug delivery and safety.
Area of Science:
- Pediatric Pulmonology
- Allergy and Immunology
Background:
- Asthma is the most prevalent chronic childhood illness, posing a significant burden on healthcare and education.
- A substantial proportion of childhood asthma cases (25-67%) continue into adulthood.
- Diagnosing childhood asthma can be challenging due to overlapping symptoms with common childhood illnesses like upper respiratory infections.
Purpose of the Study:
- To summarize current national and worldwide guidelines for childhood asthma management.
- To highlight the central role of inhaled corticosteroids in long-term asthma treatment for children.
- To discuss recent research advancements aimed at optimizing inhaled medication delivery and safety profiles.
Main Methods:
- Review and synthesis of updated national and international asthma management guidelines.
- Analysis of current therapeutic strategies for pediatric asthma.
- Examination of recent research focusing on inhalant drug delivery and bioavailability.
Main Results:
- Guidelines emphasize accurate diagnosis, severity assessment, and tailored pharmacologic therapy.
- Inhaled corticosteroids are the primary long-term treatment for pediatric asthma across all age groups.
- Research is actively exploring methods to enhance lung drug delivery and reduce systemic side effects.
Conclusions:
- Effective childhood asthma management requires adherence to updated guidelines and individualized treatment plans.
- Optimizing inhaled corticosteroid therapy is crucial for improving the benefit:risk ratio in pediatric asthma patients.
- Continued research into drug delivery systems holds promise for better asthma control and reduced adverse effects.
Abstract:
Asthma is the most common chronic illness in childhood and represents a significant burden to health care and educational systems. Between one quarter and two thirds of childhood asthma cases persist into adulthood. Childhood asthma may be particularly difficult to diagnose because of the high prevalence of episodic wheezing and cough in childhood illnesses such as upper respiratory tract infections. National and worldwide guidelines for the management of asthma in children are continually being updated. These guidelines recommend first establishing a diagnosis and assessing the severity of disease, initiating pharmacologic therapy based on symptoms and lung function, and adjusting doses and agents as required based on the level of asthma control. Inhaled corticosteroids are the cornerstone of long-term asthma management in children of all ages. Recent research efforts have focused on ways to improve inhalant drug delivery to the lungs and minimize oral and systemic bioavailability so as to improve the therapeutic benefit:risk ratio.
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