Vice President of SIAIP, Allergy Center, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
President of FIMP (Italian Federation of Primary Care Pediatricians), Naples, Italy.
Ital J Pediatr. 2024 Aug 1;50(1):140. doi: 10.1186/s13052-024-01718-6.
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.
儿科哮喘管理是每一位儿科医生面临的巨大挑战。需要关注和定义的方面有很多。本次跨学会调查旨在从意大利儿科医生样本中收集真实世界的经验。使用网络平台收集对调查问题的匿名回答。404 名儿科医生参加了由意大利儿童过敏和免疫学学会（SIAIP）、预防和社会儿科学会（SIPPS）和意大利儿科学会联合会（FIMP）发起的这项倡议。结果显示，基层保健儿科医生的参与度非常广泛（72%）。关于诊断标准和药物选择有很大的共识。然而，治疗持续时间和设备选择存在差异。对实用临床管理一般方面的指南的遵循程度很高。总之，本次跨学会调查证实，儿科哮喘管理相当令人满意，即使进一步的改进应关注更广泛地使用 ICS 治疗急性哮喘/喘息发作，更好地定义 ICS 和支气管扩张剂的使用持续时间，以及医院-基层保健一体化。
