Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\C7152489
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Kendig's+Disorders+of+the+Respiratory+Tract+in+Children
2019 ; ä (ä): 677-685.e2
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Asthma in the Preschool Age Child
#MMPMIDC7152489
Grigg J
; Ducharme FM
Kendig's Disorders of the Respiratory Tract in Children
2019[]; ä (ä): 677-685.e2
PMIDC7152489
show ga
Wheeze in preschool children (5 years of age and younger) is common. The majority
of severe episodes are triggered by viral colds. Unlike atopic asthma in adults
and young people, the underlying pathology of this condition is poorly
understood, and the label of ?preschool wheeze? should therefore not be regarded
as a diagnosis but a description of symptoms. It is important to consider other
causes of wheeze, but, for the most part, serious conditions such as cystic
fibrosis and foreign body aspiration are associated with atypical features on
careful history and examination. There remain significant uncertainties about the
optimal management of children with this condition. Short-acting bronchodilators
are indicated for the acute treatment of wheeze, and current evidence suggests
that daily inhaled corticosteroid therapy is an effective preventive therapy, at
least in a subgroup of children. Some trials suggest that preemptive therapy with
inhaled corticosteroids may be as effective as regular inhaled corticosteroids.
Since wheeze is intermittent for the majority of children, preemptive therapy is
a logical approach. However, more studies are needed to confirm whether
preemptive inhaled corticosteroids are as, or more, effective than regular
preventer therapy.