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A Suggested Approach for Management of Pediatric Asthma During the COVID-19 Pandemic
1Department of Pediatrics, South Hospital of Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Insights
Pediatric asthma management requires attention during the COVID-19 pandemic. Recommendations include using digital platforms for follow-ups and focusing on lifestyle factors to maintain asthma control.
Area of Science:
- Pediatric Pulmonology
- Infectious Diseases
- Public Health
Background:
- Asthma is a common childhood illness with significant global impact.
- Respiratory infections frequently trigger asthma attacks in children.
- The COVID-19 pandemic poses challenges to pediatric asthma management.
Purpose of the Study:
- To summarize key considerations for pediatricians managing childhood asthma during the COVID-19 pandemic.
- To provide recommendations for maintaining asthma control amidst pandemic-related disruptions.
Main Methods:
- Review of asthma pathophysiology and treatment protocols.
- Analysis of pandemic-specific challenges to asthma care.
- Integration of digital health tools (e.g., WeChat) for patient follow-up.
- Inclusion of lifestyle modification strategies.
Main Results:
- Standardized asthma management is crucial but a cure remains elusive.
- Children with airway diseases are vulnerable to severe illness from infections.
- Digital platforms can enhance patient compliance and follow-up.
- Stress reduction, diet, exercise, and trigger avoidance are vital.
Conclusions:
- Integrated management strategies are necessary for pediatric asthma during pandemics.
- Utilizing technology and lifestyle interventions can improve asthma control.
- Pediatricians must adapt care to address pandemic-related risks and disruptions.
Abstract:
Asthma is a prevalent pediatric disease causing important health, economic, and emotional burdens around the world. Asthma attacks can be controlled with standardized management, but no cure exists for the disease. Many attacks are triggered by respiratory tract infections and children with basic airway diseases are at high risk for developing severe or critical illnesses. The new COVID-19 pandemic threatens to disrupt children's asthma control management and we have set out to summarize the main factors that need to be considered by pediatricians treating children with asthma at times like these. We discuss the intrinsic nature of asthma and its treatment, and the effects of irregular treatment giving recommendations such as the use of the WeChat platform and WeChat Official Accounts for follow-ups to improve children's asthma compliance during the pandemic. We also cover the COVID-19 protection strategies, and the importance of stress reduction, a balanced diet, exercise, and the avoidance of known attack triggers for maintaining good control of asthma during the pandemic.
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