Preschool Wheezing: Trajectories and Long-Term Treatment

Frontiers in Pediatrics

article

Valentina Fainardi¹  Angelica Santoro¹  Carlo Caffarelli¹ 

[1] Clinica Pediatrica, Department of Medicine and Surgery, University of Parma

关键词: preschool wheezing;    phenotype;    asthma;    therapy;    inhaled corticosteroids;    skin prick test;    allergy;    infection;   

DOI  :  10.3389/fped.2020.00240

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Wheezing is very common in infancy affecting one in three children during the first 3 years of life. Several wheeze phenotypes have been identified and most rely on temporal pattern of symptoms. Assessing the risk of asthma development is difficult. Factors predisposing to onset and persistence of wheezing such as breastfeeding, atopy, indoor allergen exposure, environmental tobacco smoke and viral infections are analyzed. Inhaled corticosteroids are recommended as first choice of controller treatment in all preschool children irrespective of phenotype, but they are particularly beneficial in terms of fewer exacerbations in atopic children. Other therapeutic options include the addition of montelukast or the intermittent use of inhaled corticosteroids. Overuse of inhaled steroids must be avoided. Therefore, adherence to treatment and correct administration of the medications need to be checked at every visit.

【 授权许可】

CC BY