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Outpatient management of asthma in children age 5-11 years: guidelines for practice

Barbara Watts1

  • 1Tri-County Internal Medicine, 807 Jackson Trace Road, Wetumpka, AL 36092, USA. barbarajwatts@yahoo.com

Journal of the American Academy of Nurse Practitioners
|May 13, 2009
PubMed

Insights

Pediatric asthma is often underdiagnosed and undertreated in children aged 5-11. Adhering to updated National Asthma Education Prevention Program-Expert Panel 3 (NAEPP-EPR3) guidelines improves diagnosis and management for better child health outcomes.

Area of Science:

  • Pediatric Pulmonology
  • Clinical Practice Guidelines
  • Healthcare Professional Education

Background:

  • Asthma affects a significant number of children in the United States.
  • Recent research indicates underdiagnosis and poor asthma control in pediatric populations.
  • Effective management strategies are crucial for improving quality of life and reducing health risks.

Purpose of the Study:

  • To enhance awareness among nurse practitioners (NPs) about updated diagnostic and treatment guidelines for pediatric asthma.
  • To disseminate the latest National Asthma Education Prevention Program-Expert Panel 3 (NAEPP-EPR3) recommendations for the 5-11 year age group.
  • To promote evidence-based asthma care for young children.

Main Methods:

  • Review of the NAEPP-EPR3 guidelines for asthma diagnosis and management (published August 2007).
  • Inclusion of relevant clinical trials, meta-analyses, and clinical reviews.
  • Focus on guidelines applicable to children aged 5-11 years.

Main Results:

  • Evidence suggests children with persistent asthma benefit from daily inhaled corticosteroid therapy as per NAEPP-EPR3 guidelines.
  • A significant proportion of children with persistent asthma are currently misclassified and undertreated.
  • Underdiagnosis and suboptimal control of asthma are prevalent issues in US children.

Conclusions:

  • Implementing current NAEPP-EPR3 guidelines enables NPs to improve asthma assessment, diagnosis, and treatment in children aged 5-11.
  • NPs can foster collaborative self-management plans for pediatric asthma patients.
  • Adherence to updated guidelines leads to enhanced quality of life and reduced health risks for young asthmatics.
Abstract

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