Isles A F, Robertson C F
Department of Respiratory Medicine, Royal Children's Hospital, Herston, Qld.
Med J Aust. 1993 Jun 7;158(11):761-3. doi: 10.5694/j.1326-5377.1993.tb121958.x.
To provide a concise, balanced summary of the principles of management of asthma in children and adolescents.
Current medical literature and the clinical experience considered during the deliberations of the Australian Paediatric Asthma Special Interest Group.
There is evidence of both under-treatment and over-treatment of childhood asthma in Australia. The spectrum of asthma severity is very broad, most children with asthma having mild infrequent episodes that do not require regular preventive therapy. The guidelines presented here provide a framework for accurately assessing the pattern and severity of asthma, identifying those children who require preventive therapy and making a rational decision about the appropriate preventive agent and delivery device.
When prescribing preventive therapy, a careful assessment of the relative risks and benefits should be made in the light of the underlying asthma severity. The level of therapy should be reconsidered regularly to ensure control is maintained with minimum dosages, particularly for inhaled corticosteroids. Recommendations are provided to ensure a normal quality of life for children with asthma, with guidelines to minimise adverse effects of therapy.
对儿童及青少年哮喘管理原则进行简明、全面的总结。
澳大利亚儿科学会哮喘特别兴趣小组讨论期间参考的当前医学文献及临床经验。
有证据表明澳大利亚存在儿童哮喘治疗不足和过度治疗的情况。哮喘严重程度范围很广，大多数哮喘儿童发作轻微且不频繁，无需常规预防性治疗。此处提出的指南为准确评估哮喘模式和严重程度、确定需要预防性治疗的儿童以及合理选择合适的预防药物和给药装置提供了框架。
在开具预防性治疗药物时，应根据潜在哮喘严重程度仔细评估相对风险和益处。应定期重新评估治疗水平，以确保用最低剂量维持控制，尤其是吸入性糖皮质激素。提供了相关建议，以确保哮喘儿童的正常生活质量，并给出了将治疗不良反应降至最低的指南。
