BMJ 2007;335:253-257 (4 August), doi:10.1136/bmj.39255.692222.AE
Clinical Review
Management of asthma in children
J Townshend, registrar in respiratory paediatrics,
S Hails, paediatric respiratory nurse specialist,
M Mckean, consultant in respiratory paediatrics
Paediatric Respiratory Unit, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP
Correspondence to: M Mckean m.c.mckean@ncl.ac.uk
| The first 150 words of the full text of this article appear below. |
- Inhaled corticosteroids, although safe if given at the recommended dose, can have important adverse effects if given above it, including adrenal suppression
- Long acting
2 antagonists can be used as add-on treatment to avoid further increases in the dose of inhaled corticosteroid but can be associated with increased risk of exacerbations and hospital admission
- Long acting
2 antagonists should therefore be continued only if a demonstrable response to treatment occurs
- Inhaled corticosteroids do not prevent the development of asthma
- Low dose inhaled corticosteroid should not be used as preventive treatment for episodic viral wheeze
- Referral to a specialist centre should be considered when a child reaches step 4 of the British Thoracic Society/Scottish Intercollegiate Guidelines Network guideline or earlier, depending on the expertise of the general practitioner and the resources available
| |
This review on childhood asthma focuses on acute and chronic management in relation to the asthma phenotypes reviewed in our previous . . . [Full text of this article]

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