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Figure 4-1a

Figure 4-1a

STEPWISE APPROACH FOR MANAGING ASTHMA IN CHILDREN 0–4 YEARS OF AGE

Notes:

[filled square] The stepwise approach is meant to assist, not replace, the clinical decisionmaking required to meet individual patient needs.

[filled square] If alternative treatment is used and response is inadequate, discontinue it and use the preferred treatment before stepping up.

[filled square] If clear benefit is not observed within 4–6 weeks and patient/family medication technique and adherence are satisfactory, consider adjusting therapy or alternative diagnosis.

[filled square] Studies on children 0–4 years of age are limited. Step 2 preferred therapy is based on Evidence A. All other recommendations are based on expert opinion and extrapolation from studies in older children.

From: Section 4, Managing Asthma Long Term in Children 0–4 Years of Age and 5–11 Years of Age

Cover of Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma
Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma.
National Asthma Education and Prevention Program, Third Expert Panel on the Diagnosis and Management of Asthma.

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