BLACK CYBER WEEK! Publikacje i multimedia nawet do 80% taniej i darmowa dostawa od 350 zł! Sprawdź >
ABSTRACT
Management of exacerbations of asthma in children under 5 years old
Asthma is the most common chronic lower airway disease in children. While it may develop at any age, most patients experience their first symptoms before the age of 5 years. In view of the different clinical course and limited diagnostic methods, early childhood asthma is a separate and difficult problem in clinical practice.
A risk of asthma exacerbation exists even if the asthma is well controlled. Assessment of severity of an exacerbation is a key element in the diagnostic and therapeutic process, determining further patient management. Accordingly, this article presents criteria for assessing the degree of severity of an asthma exacerbation in children based on Polish and foreign guidelines and an algorithm for the management of a mild and severe exacerbation of asthma in early childhood according to GINA 2020.
Piśmiennictwo
1. Bręborowicz A, Emeryk A, Kulus M i wsp. Postępowanie diagnostyczne i terapeutyczne w astmie oskrzelowej u dzieci. Stanowisko Sekcji Pediatrycznej Polskiego Towarzystwa Alergologii Dziecięcej. Alerg Astma Immun 2007;12(3):129-41
2. Droszcz W. Astma. Warszawa: Wydawnictwo Lekarskie PZWL, 2007:155-6
3. Tagiyeva N, Devereux G, Fielding S, et al. Outcomes of childhood asthma and wheezy bronchitis. A 50-year cohort study. Am J Respir Crit Care Med 2016;193(1):23-30
4. Skoner DP. Outcome measures in childhood asthma. Pediatrics 2002;109(2):393-8
5. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2020. https://ginasthma.org/reports/. Dostęp 7.08.2020
6. Papadopoulos NG, Arakawa H, Carlsen KH, et al. International consensus on (ICON) pediatric asthma. Allergy 2012;67(8):976-97
7. Doniec Z, Mastalerz-Migas A, Bręborowicz A i wsp. Rekomendacje postępowania w astmie wczesnodziecięcej dla lekarzy podstawowej opieki zdrowotnej. Fam Med Primary Care Rev 2016;18(2):181-92
8. Krenke K, Kulus M. Choroby układu oddechowego. W: Kawalec W, Grenda R, Kulus M. Pediatria. t. 1. Warszawa: Wydawnictwo Lekarskie PZWL, 2018:304-6
9. Papadopoulos NG, Christodoulou I, Rohde G, et al. Viruses and bacteria in acute asthma exacerbations – a GA²LEN-DARE systematic review. Allergy 2011;66:458-68
10. Cates CJ, Welsh EJ, Rowe BH. Holding chambers (spacers) versus nebulisers for beta-agonist treatment of acute asthma. Cochrane Database Syst Rev 2013;2013(9):CD000052
11. SIGN Guideline development group. SIGN158 British guideline on the management of asthma. Scottish Intercollegiate Guidelines Network. file:///C:/Users/user/Downloads/ BTS_SIGN%20Guideline%20for%20the%20management%20of%20asthma%202019.pdf
12. Rowe BH, Spooner C, Ducharme FM, et al. Early emergency department treatment of acute asthma with systemic corticosteroids. Cochrane Database Syst Rev 2001;(1):CD002178
13. Truhlar A, Deakin C, Soar J, et al. Zatrzymanie krążenia – postępowanie w sytuacjach szczególnych. Wytyczne resuscytacji 2015. https://www.prc.krakow.pl/wytyczne.html. Dostęp 7.08.2020