Intended for healthcare professionals

Rapid response to:

Clinical Review

Managing wheeze in preschool children

BMJ 2014; 348 doi: (Published 04 February 2014) Cite this as: BMJ 2014;348:g15

Rapid Response:

Re: Managing wheeze in preschool children

Well designed document to manage preschool children with wheezing.

Simple classification will be helpful & the evidence based results of the unnecessary use of steroids either orally or by inhalation is significant. I agree totally, if some Doctor in the past has prescribed steroids for wheezing episode & the child presents with another such attack even secondary to viral infection, we tend to repeat the same treatment. Each episode needs to be evaluated as a new illness and with proper history, examination and classification keeping in mind the multiple trigger origin, accordingly the treatment must be reviewed. The prescribing of too much steroids in preschool age group due to old habits or pressures from the parents or carers needs to be addressed in every primary care setting & emergency department. As already discussed in this document, a lot more work is needed to get all the unanswered questions.

Competing interests: No competing interests

05 February 2014
AQ Qadri
Retired GP