title: Japanese pediatric guideline for the treatment and management of bronchial asthma 2012.
abstract: A new version of the Japanese pediatric guideline for the treatment and management of bronchial asthma was published in Japanese at the end of 2011. The guideline sets the pragmatic goal for clinicians treating childhood asthma as maintaining a "well-controlled level" for an extended period in which the child patient can lead a trouble-free daily life, not forgetting the ultimate goal of obtaining remission and/or cure. Important factors in the attainment of the pragmatic goal are: (i) appropriate use of anti-inflammatory drugs; (ii) elimination of environmental risk factors; and (iii) educational and enlightening activities for the patient and caregivers regarding adequate asthma management in daily life. The well-controlled level refers to a symptom-free state in which no transient coughs, wheezing, dyspnea or other symptoms associated with bronchial asthma are present, even for a short period of time. As was the case in the previous versions of the guideline, asthmatic children younger than 2 years of age are defined as infantile asthma patients. Special attention is paid to these patients in the new guideline: they often have rapid exacerbation and easily present chronic asthmatic conditions after the disease is established.
authors.affiliation: Department of Pediatrics, Faculty of Medicine, Saga University, Saga, Japan; Japanese Society of Pediatric Allergy and Clinical Immunology, Gifu, Japan.
authors.forename: Yuhei
authors.initials: Y
authors.lastname: Hamasaki
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Kohno
authors.forename: Motohiro
authors.initials: M
authors.lastname: Ebisawa
authors.forename: Naomi
authors.initials: N
authors.lastname: Kondo
authors.forename: Sankei
authors.initials: S
authors.lastname: Nishima
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Nishimuta
authors.forename: Akihiro
authors.initials: A
authors.lastname: Morikawa
authors.forename: Yukoh
authors.initials: Y
authors.lastname: Aihara
authors.forename: Akira
authors.initials: A
authors.lastname: Akasawa
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Adachi
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Arakawa
authors.forename: Toshiichi
authors.initials: T
authors.lastname: Ikebe
authors.forename: Kunio
authors.initials: K
authors.lastname: Ichikawa
authors.forename: Toshishige
authors.initials: T
authors.lastname: Inoue
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Iwata
authors.forename: Atsuo
authors.initials: A
authors.lastname: Urisu
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Ohya
authors.forename: Kenji
authors.initials: K
authors.lastname: Okada
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Odajima
authors.forename: Toshio
authors.initials: T
authors.lastname: Katsunuma
authors.forename: Makoto
authors.initials: M
authors.lastname: Kameda
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Kurihara
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Sakamoto
authors.forename: Naoki
authors.initials: N
authors.lastname: Shimojo
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Suehiro
authors.forename: Kenichi
authors.initials: K
authors.lastname: Tokuyama
authors.forename: Mitsuhiko
authors.initials: M
authors.lastname: Nambu
authors.forename: Takao
authors.initials: T
authors.lastname: Fujisawa
authors.forename: Takehiko
authors.initials: T
authors.lastname: Matsui
authors.forename: Tomoyo
authors.initials: T
authors.lastname: Matsubara
authors.forename: Mitsufumi
authors.initials: M
authors.lastname: Mayumi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Mochizuki
authors.forename: Koichi
authors.initials: K
authors.lastname: Yamaguchi
authors.forename: Shigemi
authors.initials: S
authors.lastname: Yoshihara
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D017410:Practice Guidelines as Topic
keywords: asthma; asthma exacerbation; guideline; long-term management