title: Outpatient management of asthma in children.
abstract: 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.
authors: 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.
authors: André
authors: A
authors: Schultz
authors: Andrew C
authors: AC
authors: Martin
keywords: asthma; children; management; wheeze
references: J Allergy Clin Immunol. 2007 Feb;119(2):314-21
references: 17140648
references: Respir Med. 2013 Jan;107(1):37-46
references: 23098685
references: Am J Respir Crit Care Med. 2012 Sep 15;186(6):508-13
references: 22798322
references: BMJ. 2003 Jun 14;326(7402):1308-9
references: 12805167
references: N Engl J Med. 2010 Mar 18;362(11):975-85
references: 20197425
references: Paediatr Respir Rev. 2012 Dec;13(4):236-43; quiz 243
references: 23069123
references: J Pediatr. 2012 May;160(5):736-42
references: 22133422
references: J Asthma. 2011 Aug;48(6):632-9
references: 21627405
references: Am J Respir Crit Care Med. 2009 May 1;179(9):765-71
references: 19179486
references: Am J Respir Crit Care Med. 2000 Oct;162(4 Pt 1):1403-6
references: 11029352
references: Allergy. 2004 May;59(5):469-78
references: 15080825
references: J Allergy Clin Immunol. 2007 Apr;119(4):811-6
references: 17320942
references: J Allergy Clin Immunol. 2010 Jul;126(1):52-8.e5
references: 20538327
references: Lancet. 2008 Sep 20;372(9643):1039-48
references: 18805332
references: Arch Pediatr Adolesc Med. 2001 Dec;155(12):1329-34
references: 11732951
references: Ther Adv Respir Dis. 2012 Jun;6(3):137-46
references: 22438265
references: J Med Econ. 2009;12(4):348-55
references: 19827992
references: J Allergy Clin Immunol. 2011 Dec;128(6):1165-74
references: 22133317
references: Am J Respir Crit Care Med. 2004 Aug 15;170(4):426-32
references: 15172893
references: Immunol Allergy Clin North Am. 2005 Feb;25(1):107-30
references: 15579367
references: Allergy. 2001 Nov;56(11):1087-90
references: 11703224
references: J Asthma. 1998;35(4):347-53
references: 9669828
references: J Allergy Clin Immunol. 2012 Mar;129(3 Suppl):S24-33
references: 22386507
references: Pediatr Pulmonol. 2005 May;39(5):447-51
references: 15765541
references: Thorax. 2007 Dec;62(12):1039-42
references: 17573445
references: Eur Respir J. 1994 Sep;7(9):1707-9
references: 7995401
references: Lancet. 2008 Sep 20;372(9643):1065-72
references: 18805335
references: Chest. 2010 Aug;138(2 Suppl):18S-24S
references: 20668014
references: Cochrane Database Syst Rev. 2006 Apr 19;(2):CD003559
references: 16625585
references: Arch Dis Child. 2012 Dec;97(12):1092-6
references: 23100609
references: Chest. 2011 Jan;139(1):28-35
references: 20688929
references: J Paediatr Child Health. 2012 Jan;48(1):52-6
references: 22040259
references: Eur Respir J. 2006 Mar;27(3):483-94
references: 16507847
references: Eur Respir J. 1999 Sep;14(3):659-68
references: 10543290
references: J Asthma. 2012 Nov;49(9):918-25
references: 22974226
references: Allergy. 2012 Aug;67(8):976-97
references: 22702533
references: Am J Respir Crit Care Med. 2011 Jan 15;183(2):195-203
references: 20802165
references: N Engl J Med. 1995 Mar 30;332(13):868-75
references: 7870143
references: JAMA. 2012 Jan 25;307(4):373-81
references: 22274684
references: J Adolesc Health. 2006 May;38(5):607.e9-16
references: 16635775
references: Pediatr Pulmonol. 2000 Jan;29(1):39-42
references: 10613785
references: Am J Respir Crit Care Med. 2009 Nov 1;180(9):817-22
references: 19644048
references: N Engl J Med. 2009 Jan 22;360(4):339-53
references: 19164187
references: Am J Respir Crit Care Med. 2009 Jan 1;179(1):19-24
references: 18990678
references: Allergy. 2005 Sep;60(9):1112-5
references: 16076293
references: Eur Respir J. 2005 Aug;26(2):319-38
references: 16055882
references: Thorax. 1996 Oct;51(10):985-8
references: 8977597
references: J Allergy Clin Immunol. 2007 Nov;120(5 Suppl):S94-138
references: 17983880
references: Respir Med. 2009 Dec;103(12):1791-5
references: 19646855
references: Eur Respir J. 1998 Dec;12(6):1340-5
references: 9877488
references: Thorax. 2012 Dec;67(12):1040-5
references: 23154987
references: N Engl J Med. 2012 Sep 6;367(10):904-12
references: 22938716
references: Am J Respir Crit Care Med. 2001 Jul 15;164(2):273-6
references: 11463600
references: BMJ. 2010 Mar 01;340:c843
references: 20194353
references: Pediatr Pulmonol. 2011 Sep;46(9):842-8
references: 21465681
references: Am J Respir Crit Care Med. 1995 Jun;151(6):1907-14
references: 7767539
references: Am J Respir Crit Care Med. 2011 Apr 15;183(8):998-1006
references: 21139088
references: Thorax. 2004 Feb;59(2):94-9
references: 14760143
references: J Pediatr. 2005 Feb;146(2):171-6
references: 15689901
references: Lancet. 2003 Nov 1;362(9394):1433-8
references: 14602435
references: J Allergy Clin Immunol. 2007 Jan;119(1):64-72
references: 17140647
references: J Allergy Clin Immunol. 1999 Dec;104(6):1323-4
references: 10589019
references: Pediatr Allergy Immunol. 2010 Feb;21(1 Pt 2):e149-54
references: 19594853
references: Clin Exp Allergy. 2001 Mar;31(3):400-8
references: 11260151
references: Med J Aust. 2010 Apr 19;192(8):458-60
references: 20402610
references: Chest. 2006 Jan;129(1):15-26
references: 16424409
references: Pediatrics. 2010 Dec;126(6):e1493-8
references: 21078734
references: Respir Care. 2005 Sep;50(9):1177-90
references: 16122401
references: Allergy. 2010 Oct;65(10):1212-21
references: 20887423
references: Pediatr Pulmonol. 1990;8(4):263-7
references: 2196513
references: Arch Dis Child. 2008 Aug;93(8):701-4
references: 18337282
references: Cochrane Database Syst Rev. 2008 Apr 16;(2):CD006340
references: 18425949
references: Thorax. 2000 Apr;55(4):266-70
references: 10722764
references: Pediatr Pulmonol. 2011 Sep;46(9):913-8
references: 21465680
references: J Allergy Clin Immunol. 1996 Dec;98(6 Pt 1):1016-8
references: 8977499
references: Ann Allergy Asthma Immunol. 2011 Jul;107(1):71-8
references: 21704888
references: J Aerosol Med. 2004 Spring;17(1):1-6
references: 15120007
references: Thorax. 1995 Dec;50(12):1274-9
references: 8553301
references: J Allergy Clin Immunol. 2006 Jan;117(1):45-52
references: 16387583
references: Thorax. 2008 May;63 Suppl 4:iv1-121
references: 18463203
references: Am J Respir Crit Care Med. 2010 May 15;181(10):1042-8
references: 20110554
references: Am J Respir Crit Care Med. 2007 Jun 15;175(12):1304-45
references: 17545458
references: N Engl J Med. 2011 Nov 24;365(21):1990-2001
references: 22111718
references: Pediatrics. 2012 Sep;130(3):576-84
references: 22926173
references: Cochrane Database Syst Rev. 2012 Oct 17;10:CD010005
references: 23076961
references: J Allergy Clin Immunol. 2003 Feb;111(2):278-84
references: 12589345
references: BMJ. 1994 Feb 26;308(6928):572-4
references: 8148680
references: J Asthma. 2002 Apr;39(2):135-42
references: 11990228