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Management of childhood asthma in general practice

Joan Henderson1, Janice Charles, Ying Pan

  • 1(HIM) (Hons), PhD (Med), Senior Research Fellow, Family Medicine Research Centre, University of Sydney, Sydney, NSW.

Australian Family Physician
|July 27, 2015
PubMed

Insights

Childhood asthma management rates remained unchanged between 2004-14. While many children use inhaled corticosteroids (ICS), over a third experience uncontrolled asthma, indicating a need for improved treatment strategies.

Area of Science:

  • Pediatric Pulmonology
  • General Practice Research
  • Public Health

Background:

  • Inhaled corticosteroids (ICS) are recommended for moderate to severe persistent childhood asthma.
  • Current trends in asthma management and control in children attending general practice require investigation.

Purpose of the Study:

  • To determine changes in childhood asthma management rates from 2004 to 2014.
  • To examine current medication use and asthma control levels in pediatric patients in general practice settings.

Main Methods:

  • Utilized National BEACH data for a cohort of children under 15 years old.
  • Assessed asthma prevalence, medication usage (including ICS), and control levels based on Global Initiative for Asthma guidelines.

Main Results:

  • No significant change in childhood asthma management rates was observed between 2004 and 2014.
  • Asthma prevalence was 13.7%, with 42.8% of children using ICS.
  • Only 51.8% of children achieved well-controlled asthma; 17.9% had uncontrolled asthma.

Conclusions:

  • The study underscores the persistent challenge of achieving optimal asthma control in children.
  • Monitoring appropriate medication use, especially ICS/long-acting β-agonist combinations, is crucial for improving pediatric asthma management.
Abstract

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