Asthma management

作者：Gappa M^*; Schuster A; Bauer C P; Friedrichs F; Kamin W; Paul K; Rietschel E; Steinkamp G; von Mutius E; Wahn U

来源：Monatsschrift Kinderheilkunde, 2010, 158(10): 976-985.

DOI：10.1007/s00112-010-2296-z

• Concept of asthma control
• Asthma control test
• Long-acting therapy
• Inhaled corticosteroids
• Long-acting beta 2-agonist

The current article presents the concept of asthma control introduced in national and international guidelines, which envisages treatment according to a step-wise plan depending on the degree of asthma control. To assess the latter, short and simple questionnaires, such as the Asthma Control Test, are available and also validated for use in children. Inhaled corticosteroids (ICS) are still considered the basis of antiinflammatory therapy. Children with poorly controlled asthma under monotherapy with safely dosed ICS may be treated concurrently with a long-acting inhaled beta 2-agonist. In this context, fixed combinations of active substances should be preferred for reasons of compliance, while type and quantity should be adjusted to asthma control regularly in order to avoid long-term overtreatment.

• 出版日期2010-10