Asthma Update
| Autor: | Margaret F. Guill |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Pathophysiology of asthma Pediatrics Alternative medicine Mild intermittent asthma immune system diseases Intervention (counseling) Epidemiology Humans Medicine Albuterol Anti-Asthmatic Agents Child Glucocorticoids Web site Asthma American Lung Association business.industry Beclomethasone Adrenergic beta-Agonists medicine.disease Anti-Bacterial Agents Bronchodilator Agents Respiratory Function Tests respiratory tract diseases Child Preschool Family medicine Pediatrics Perinatology and Child Health Drug Therapy Combination business Algorithms |
| Zdroj: | Pediatrics in Review. 25:335-344 |
| ISSN: | 1526-3347 0191-9601 |
| Popis: | 1. Margaret F. Guill, MD* 1. *Professor of Pediatrics; Chief, Pediatric Pulmonology, Medical College of Georgia, Augusta, Ga After completing this article, readers should be able to: 1. Discuss the treatment of children who have mild asthma. 2. Know that exercise-induced asthma often represents poorly controlled persistent asthma rather than mild intermittent asthma. 3. Discuss how to assess the severity of asthma and the progress of therapy. 4. Describe the most effective treatment for persistent asthma of any severity. 5. Know the most appropriate second-line therapeutic intervention for children who have moderate and severe asthma. This is the second of a two-part article on asthma. Readers should consider both parts for a complete review. More than 26 million Americans have been diagnosed with asthma in their lifetime, with more than 9 million being younger than 18 years of age. Asthma deaths increased by 109% between 1979 and 1998, rising to 5,348 deaths in 1998 (American Lung Association, 2001). In light of these recent trends, the underdiagnosis and undertreatment of asthma is disturbing. In the first part of this update, we explored the epidemiology and pathophysiology of asthma. The second part examines diagnosis and management. The National Asthma Education and Prevention Program (NAEPP), a committee of the National Heart, Lung, and Blood Institute (NHLBI), has convened three expert panels on the diagnosis and management of asthma. From these expert panels, two sets of guidelines were published in 1991 and in 1997. In November 2002, an Update on Selected Topics was published. It is anticipated that guidelines will be updated rather than rewritten for the foreseeable future to aid in the diagnosis and management of asthma using the latest in evidence-based medicine (see article on evidence-based medicine on page 358). The 1997 guidelines and the 2002 update can be found on the NHLBI Web site at www.nhlbi.nih.gov. Much of the information for this review is taken from these two documents and is supported by … |
| Databáze: | OpenAIRE |
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