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Clin Med Insights Pediatr. 2013 Apr 14;7:13-24. doi: 10.4137/CMPed.S7867. Print 2013.

Outpatient management of asthma in children.

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School of Paediatrics and Child Health, University of Western Australia, Perth, Australia. ; Department of Respiratory Medicine, Princess Margaret Hospital for Children, Perth, Australia. ; Department of Paediatric and Adolescent Medicine, Princess Margaret Hospital for Children, Perth, Australia.


The principal aims of asthma management in childhood are to obtain symptom control that allows individuals to engage in unrestricted physical activities and to normalize lung function. These aims should be achieved using the fewest possible medications. Ensuring a correct diagnosis is the first priority. The mainstay of asthma management remains pharmacotherapy. Various treatment options are discussed. Asthma monitoring includes the regular assessment of asthma severity and asthma control, which then informs decisions regarding the stepping up or stepping down of therapy. Delivery systems and devices for inhaled therapy are discussed, as are the factors influencing adherence to prescribed treatment. The role of the pediatric health care provider is to establish a functional partnership with the child and their family in order to minimize the impact of asthma symptoms and exacerbations during childhood.


asthma; children; management; wheeze

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