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Advances in pediatric asthma in 2009: gaining control of childhood asthma
1Divisions of Pediatric Clinical Pharmacology and Allergy and Immunology, Department of Pediatrics, National Jewish Health, 1400 Jackson St, Rm J304, Molly Blank Building, Denver, CO 80206, USA. szeflers@njhealth.org
Insights
This summary reviews 2009 advances in pediatric asthma management, focusing on implementing National Asthma Education and Prevention Program guidelines. It highlights gaps in care, including disparities and school-based programs, to improve childhood asthma control.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Medicine
- Public Health
Background:
- The 2007 National Asthma Education and Prevention Program guidelines emphasized asthma control.
- Two years of clinical experience provide insights into guideline implementation.
- Advances in pediatric asthma management require ongoing review.
Purpose of the Study:
- To summarize recent advances in pediatric asthma management from 2009.
- To identify and address gaps in current asthma care for children.
- To improve the implementation of asthma control guidelines in clinical practice.
Main Methods:
- Review of publications in the Journal of Allergy and Clinical Immunology from 2009.
- Analysis of clinical practice insights regarding asthma guidelines.
- Identification of key areas for improvement in pediatric asthma management.
Main Results:
- New insights into implementing asthma control guidelines are presented.
- Gaps in pediatric asthma management, including health disparities, were identified.
- The role of school-based asthma programs in improving management was explored.
Conclusions:
- Addressing identified gaps can lead to better management of childhood asthma.
- Improved communication and healthcare systems are crucial for early intervention.
- The ultimate goal is to achieve clinical remission in most children with asthma.
Abstract:
This year's summary will focus on recent advances in pediatric asthma as reported in Journal of Allergy and Clinical Immunology publications in 2009. New National Asthma Education and Prevention Program asthma guidelines were released in 2007, with a particular emphasis on asthma control. Now that we have worked with the principals of the guidelines for 2 years, new insights are reported on how to implement the guidelines into clinical practice. This year's report will focus on gaps in management that need to be addressed, including health disparities, methods to improve asthma management through opportunities available in school-based asthma programs, and more information on the development of asthma in childhood. This information brings us closer to the point of managing children with controllable asthma and understanding reasons why asthma is not controlled in the remaining children. If we can close these gaps through better communication, improvements in the health care system, and new insights into treatment, we will move closer to better methods to intervene early in the course of the disease and induce clinical remission as quickly as possible in most children.
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