J Clin Outcomes Manage
Applying the 2007 expert panel report in caring for young children with asthma
Abstract Objective: To review recommendations contained in the 2007 National Asthma Education and Prevention Programís guidelines and describe how they may be applied in caring for patients with asthma aged 0 to 11 years. Methods: Case presentations and discussion. Results: Asthma is the most common chronic childhood disease cared for by primary care physicians and imposes a significant burden on patients and society. The new guidelines emphasize selecting treatment based on a patientís individual needs and level of asthma control. Assessment and monitoring require using multiple measures of current impairment as well as future risk. Multiple approaches should be implemented to address environmental factors and other conditions that can affect asthma. The guidelines continue to recommend a stepwise approach to pharmacotherapy, with treatment adjusted based on level of asthma control. Inhaled corticosteroids are still the best long-term control treatment for asthma patients. Conclusion: Level of control should be monitored on a regular basis. Educational opportunities should be expanded.
Case-Based Review, CME
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