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Challenges in uncontrolled asthma in pediatrics: important considerations for the clinician

Beatrice Andrenacci1, Giuliana Ferrante2, Giulia Roberto1

  • 1Pediatric Unit, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.

Expert Review of Clinical Immunology
|June 22, 2022
PubMed

Insights

Uncontrolled pediatric asthma poses significant risks to children

Area of Science:

  • Pediatric Pulmonology
  • Asthma Management
  • Public Health

Background:

  • Uncontrolled asthma is a global health issue with substantial economic and mortality burdens.
  • Poor asthma control in children can lead to irreversible lung damage and negatively impact family well-being.

Purpose of the Study:

  • To review modifiable causes of uncontrolled pediatric asthma.
  • To provide practical insights on family involvement and monitoring tools for asthma control and medication adherence.
  • To incorporate recent guidelines and evidence, including the impact of the COVID-19 pandemic.

Main Methods:

  • Literature review referencing the latest Global Initiative for Asthma (GINA) guidelines.
  • Analysis of current evidence on asthma control management.
  • Consideration of the COVID-19 pandemic's effects on asthma care.

Main Results:

  • Identified key modifiable factors contributing to uncontrolled asthma in children.
  • Highlighted the essential role of family engagement in asthma management.
  • Emphasized the utility of remote monitoring tools for adherence and control.

Conclusions:

  • A multidisciplinary, personalized approach involving families and schools is crucial for pediatric asthma management.
  • Emerging strategies like e-health, new control tools, and biomarkers can enhance tailored therapies for better asthma control.
Abstract

Keywords:
Pediatricsadherenceasthma and SARS-CoV-2 pandemicasthma controlcomorbiditiesdifficult-to-treat asthmalung function teststelehealth

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