Management of Asthma in the Preschool Child

Christina G. Kwong; Leonard B. Bacharier

doi:10.1016/j.iac.2018.12.003

Management of Asthma in the Preschool Child

Christina G. Kwong, Leonard B. Bacharier

Research output: Contribution to journal › Review article › peer-review

2 Scopus citations

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 language	English
Pages (from-to)	177-190
Number of pages	14
Journal	Immunology and Allergy Clinics of North America
Volume	39
Issue number	2
DOIs	https://doi.org/10.1016/j.iac.2018.12.003
State	Published - May 2019

Keywords

Antibacterial agents
Asthma
Preschool child
Therapy

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10.1016/j.iac.2018.12.003

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title = "Management of Asthma in the Preschool Child",

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.",

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AU - Bacharier, Leonard B.

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AB - 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.

KW - Antibacterial agents

KW - Asthma

KW - Preschool child

KW - Therapy

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AN - SCOPUS:85063725659

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JO - Immunology and Allergy Clinics of North America

JF - Immunology and Allergy Clinics of North America

IS - 2

ER -

Management of Asthma in the Preschool Child

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Keywords

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