Division of Allergy, Department of Paediatrics and Child Health, University of Cape Town and Red Cross War Memorial Children's Hospital, Cape Town.
S Afr Med J. 2009 Dec;99(12 Pt 2):898-912.
To revise the guideline for the diagnosis and management of chronic asthma in children in view of the following considerations: the existing South African Childhood Asthma Working Group (SACAWG) guideline was produced 10 years ago; diagnosis of asthma in young children remains a challenge; evidence-based treatment is the new paradigm; new treatment approaches to achieving and maintaining control; therapeutic roles of several medications have evolved; more studies and data on treatment in young children; new medications and formulations; a change of emphasis in assessing asthma control to guide treatment changes. The main aim of the guideline is to promote a better standard of treatment based on understanding of the pathophysiology and pharmacotherapy of asthma, and encouraging uniformity in asthma management.
A detailed literature review by a working group of clinicians from relevant disciplines. The strategies recommended are classified according to the evidence category in Appendix B, and denoted as Evidence A, B, C and D.
These include an appropriate diagnostic approach, environmental control measures, treatment options, definition of asthma control, and strategies to achieve control.
The guideline document was endorsed by the South African Thoracic Society (SATS), the National Asthma Education Programme (NAEP), the South African Paediatric Association (SAPA) and the South African Academy of Family Practice.
鉴于以下考虑因素，修订儿童慢性哮喘诊断和管理指南：现有的南非儿童哮喘工作组（SACAWG）指南是 10 年前制定的；幼儿哮喘的诊断仍然是一个挑战；循证治疗是新的范例；实现和维持控制的新治疗方法；几种药物的治疗作用已经演变；更多关于幼儿治疗的研究和数据；新的药物和配方；评估哮喘控制以指导治疗变化的重点发生了变化。该指南的主要目的是促进更好的治疗标准，基于对哮喘病理生理学和药物治疗的理解，并鼓励哮喘管理的一致性。
来自相关学科的临床医生工作组进行了详细的文献回顾。建议的策略根据附录 B 中的证据类别进行分类，并表示为证据 A、B、C 和 D。
这些建议包括适当的诊断方法、环境控制措施、治疗选择、哮喘控制的定义以及实现控制的策略。
该指南文件得到了南非胸科学会（SATS）、国家哮喘教育计划（NAEP）、南非儿科学会（SAPA）和南非家庭医学学会的认可。
