Management of Asthma in the Preschool Child

Christina G. Kwong, Leonard B. Bacharier

Research output: Contribution to journalReview article

Abstract

The management of asthma in the preschool population is challenging because disease phenotypes are heterogeneous and evolving. Available therapies aimed at preventing persistent symptoms and recurrent exacerbations include inhaled corticosteroids and leukotriene receptor antagonists; episodic use of inhaled corticosteroids and azithromycin may result in a decrease in exacerbations among children with intermittent disease. This article reviews an approach using patient characteristics for selecting initial treatment approaches based on disease phenotype, such as symptom patterns or evidence of atopic markers. Evidence for and against the use of oral corticosteroids during acute episodes and barriers to adherence and effective treatment are discussed.

Original languageEnglish
Pages (from-to)177-190
Number of pages14
JournalImmunology and Allergy Clinics of North America
Volume39
Issue number2
DOIs
StatePublished - May 2019

Keywords

  • Antibacterial agents
  • Asthma
  • Preschool child
  • Therapy

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