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Published on: August 7, 2017
Intersocietal survey on real-world asthma management in Italian children
Maria Angela Tosca1, Antonio D'Avino2, Giuseppe Di Mauro3
1Vice President of SIAIP, Allergy Center, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Insights
Italian pediatricians generally manage childhood asthma well, showing consensus on diagnosis and medication. However, treatment duration and device selection vary, indicating areas for improvement in pediatric asthma care.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Medicine
- Primary Care Pediatrics
Background:
- A survey assessed real-world pediatric asthma management practices among Italian pediatricians.
- The study involved 404 pediatricians, with 72% being primary care providers.
Discussion:
- High adherence to general clinical management guidelines was observed.
- Consensus exists on diagnostic criteria and medication selection for pediatric asthma.
- Variability noted in treatment duration and inhaler device choices.
Key Insights:
- Pediatric asthma management is largely satisfactory among Italian pediatricians.
- Widespread use of inhaled corticosteroids (ICS) for acute asthma attacks is recommended.
- Clearer guidelines are needed for ICS and bronchodilator treatment duration.
Outlook:
- Enhancing hospital-primary care integration is crucial for improved asthma management.
- Further standardization of treatment duration and device selection could optimize outcomes.
- Continued focus on guideline adherence and evidence-based practices is essential.
Abstract:
Pediatric asthma management is a compelling challenge for every pediatrician. Different aspects require attention and definition. The present Intersocietal Survey aimed to collect real-world experiences from a sample of Italian pediatricians. A web platform was used to collect anonymous answers to the survey questions.Four hundred four pediatricians participated in this initiative promoted by the Italian Society of Pediatric Allergy and Immunology (SIAIP), the Society of Preventive and Social Pediatrics (SIPPS), and the Federation of Italian Pediatricians (FIMP).The results showed an extensive participation of primary care pediatricians (72%). There was a large consensus about diagnostic criteria and medication choice. However, treatment duration and device choice were various. Adherence to guidelines on general aspects of practical clinical management was high.In conclusion, the present Intersocietal Survey confirmed that pediatric asthma management is rather satisfactory, even if further improvement should concern a more widespread use of ICS for acute asthma/wheezing attacks, a better definition of the duration of ICS and bronchodilator use, and hospital-primary care integration.
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