Screening for asthma in children.

The primary health care team is at the forefront of asthma management and there is evidence of improved delivery of care via nurse run, audited, general practice clinics. However, hospital admissions for asthma continue to rise. Screening for childhood asthma would appear to have advantages for patient care. This review looks critically at the literature that addresses important issues in screening for childhood asthma, including the problem of defining asthma, its prevalence rate and the importance of dealing with asthma as part of a spectrum of illnesses of the upper respiratory tract. The fundamental principles of screening in relation to asthma are addressed, and five screening procedures are described and debated. Questionnaire studies are concluded to be relatively cheap and reliable, and a compilation of validated questions is described. Such questions could be tailored to individual practice needs and used in the early detection of asthma, giving the potential for early intervention and improved quality of life.