Widger J, Elnazir B
Ir Med J. 2009 Nov-Dec;102(10):341-2.
Acute asthma is one of the most common reasons for children presenting to the emergency department. International guidelines for the management of acute paediatric asthma are widely available. In this study we examined how acute asthma in children is managed across hospitals in Ireland and compared Irish practice with standard international guidelines. We surveyed 54 paediatricians across 18 centres in Ireland. A total of 30 (55.5%) individual paediatricians across 17 (94%) centres replied. The majority of centres had a written protocol for the management of acute asthma. A large number of centres use MDI and spacer devices in acute management although doses used varied widely. Only 29% of centres had written asthma action plans available from the emergency department and 53% had plans available from the ward. Irish practice is largely inline with established guidelines. A national asthma strategy could further help to improve asthma care.
急性哮喘是儿童前往急诊科就诊的最常见原因之一。国际儿童急性哮喘管理指南广泛可得。在本研究中，我们调查了爱尔兰各医院对儿童急性哮喘的管理情况，并将爱尔兰的做法与国际标准指南进行了比较。我们对爱尔兰18个中心的54名儿科医生进行了调查。共有来自17个（94%）中心的30名（55.5%）儿科医生回复。大多数中心都有急性哮喘管理的书面方案。大量中心在急性管理中使用定量吸入器（MDI）和储雾罐装置，尽管使用剂量差异很大。只有29%的中心在急诊科备有书面哮喘行动计划，53%的中心在病房备有相关计划。爱尔兰的做法在很大程度上符合既定指南。一项全国哮喘战略可能会进一步有助于改善哮喘护理。
