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Incorporating New Guidelines into School-Based Asthma Management
Jessica Michala Jindra1, Angela Duff Hogan2
1Department of Pediatrics, Division of Allergy and Immunology, University of Wisconsin School of Medicine and Public Health-Madison, Madison, WI, USA.
New asthma guidelines recommend inhaled corticosteroids-formoterol (ICS-formoterol) as rescue therapy. This review identifies school implementation barriers and offers solutions like updated action plans and education for effective ICS-formoterol use.
Area of Science:
- Pediatric Pulmonology
- School Health Policy
- Pharmacotherapy Implementation
Background:
- Recent asthma guidelines (GINA 2019, NAEPP 2020) favor inhaled corticosteroids-formoterol (ICS-formoterol) over short-acting beta-agonists for rescue inhalers.
- The shift in guidelines necessitates adaptation within school settings for optimal asthma management.
Purpose of the Study:
- To identify barriers hindering the implementation of ICS-formoterol as rescue therapy in schools.
- To propose actionable solutions for overcoming these identified barriers.
Main Methods:
- Review of current asthma management guidelines and school health policies.
- Analysis of practical challenges faced by schools in adopting new therapeutic recommendations.
Main Results:
- Key barriers include outdated asthma action plans, insufficient school nursing and parental education, and variations in dosing protocols.
- Identified solutions involve updating and individualizing asthma action plans.
- Comprehensive education for school staff, parents, and guardians on appropriate ICS-formoterol dosing is crucial.
Conclusions:
- Successful implementation of ICS-formoterol rescue therapy in schools requires addressing systemic and educational barriers.
- Proactive strategies focusing on policy updates and stakeholder education are essential for improving asthma care in educational environments.
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