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Japanese Guideline for Childhood Asthma 2014

Yuhei Hamasaki1, Yoichi Kohno2, Motohiro Ebisawa3

  • 1Department of Pediatrics, Faculty of Medicine, Saga University, Saga, Japan.

Allergology International : Official Journal of the Japanese Society of Allergology
|September 3, 2014
PubMed

Insights

The Japanese Guideline for the Diagnosis and Treatment of Allergic Diseases 2013 offers clear guidance for childhood asthma management. It emphasizes early diagnosis and intervention, providing a practical framework for non-specialist physicians.

Area of Science:

  • Pediatric Allergy and Immunology
  • Respiratory Medicine

Background:

  • Childhood asthma requires specific diagnostic and management strategies.
  • Existing guidelines like the Japanese Pediatric Guideline for the Treatment and Management of Asthma 2012 (JPGL 2012) provide a foundation.
  • The Japanese Society of Pediatric Allergy and Clinical Immunology developed comprehensive guidelines.

Purpose of the Study:

  • To present the Japanese Guideline for the Diagnosis and Treatment of Allergic Diseases 2013 (JAGL 2013).
  • To provide a reference for non-specialist physicians in managing childhood asthma.
  • To highlight key differences and advancements compared to international guidelines like GINA.

Main Methods:

  • The guideline covers diagnosis across age groups (infancy to puberty, 0-15 years).
  • It details treatment for acute exacerbations and long-term management with anti-inflammatory drugs.
  • Includes guidance on daily life, patient education, and asthma control assessment.

Main Results:

  • JAGL 2013 emphasizes early diagnosis and intervention for children under 5 years.
  • It proposes a clear, step-up/step-down management approach based on asthma control levels.
  • Recommends using control tests for children to achieve complete asthma control.

Conclusions:

  • JAGL 2013 offers a practical and understandable framework for routine medical treatment of childhood asthma.
  • The guideline facilitates early intervention and aims for complete asthma control through targeted management.
  • It serves as a valuable resource for physicians managing pediatric allergic diseases, particularly asthma.

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