What are the goals of treating pediatric asthma?

被引:0
|
作者
Pedersen, S
机构
关键词
pediatric asthma; symptoms; exacerbations; asthma control; treatment goals;
D O I
暂无
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
For many years improvement in symptoms and normalization of lung function have been the main goals in treatment of pediatric asthma. Recently, other parameters, such as reductions in frequency and severity of exacerbations, reduced mortality, normalization of airway hyperresponsiveness, reduction in chronic inflammation of the airways and airway remodeling, normal development of lung function, and normal psychosocial development, are thought to be of similar, or possibly greater, importance. The present understanding of the effects of various drugs used for asthma control is at an early stage. For example, excellent control of one outcome measure may be achieved by a particular drug without any effect on other outcome measures, and the dose of drug needed to control one outcome measure may be quite different from the dose required to control others. Furthermore, the time course of the effect of a drug on the various parameters can differ for each parameter. Improvements in lung function and symptoms often precede, and even reach a plateau, before the maximum reduction in responsiveness is observed. This makes it difficult to determine whether all the goals have been achieved. Therefore, treatments and doses that have been shown in controlled trials to improve most outcome measures are preferred, but their side-effect profiles must also be considered, The majority of parameters seem to be related to the degree of airway inflammation, Unfortunately, at present, the tools to measure all aspects of airway inflammation in the day-to-day management of asthma are not available. Also, the degree to which the inflammatory process must be suppressed, or which aspects of inflammation need to be controlled, to influence the various parameters is not known. (C) 1997 Wiley Liss, Inc.
引用
收藏
页码:22 / 26
页数:5
相关论文
共 50 条
  • [1] What are the considerations for treating pediatric asthma during the COVID-19 pandemic?
    Licari, Amelia
    Marseglia, Gian Luigi
    [J]. EXPERT OPINION ON PHARMACOTHERAPY, 2021, 22 (06) : 651 - 653
  • [2] Treating Pediatric Asthma According Guidelines
    Tesse, Riccardina
    Borrelli, Giorgia
    Mongelli, Giuseppina
    Mastrorilli, Violetta
    Cardinale, Fabio
    [J]. FRONTIERS IN PEDIATRICS, 2018, 6
  • [3] Challenges to treatment goals and outcomes in pediatric asthma
    Becker, AB
    [J]. JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2002, 109 (06) : S533 - S538
  • [4] Challenges in Treating Pediatric Asthma in Developing Countries
    Zar, Heather J.
    Levin, Michael E.
    [J]. PEDIATRIC DRUGS, 2012, 14 (06) : 353 - 359
  • [5] Commentary: Treating Pediatric Asthma According Guidelines
    Szefler, Stanley
    Vogelberg, Christian
    Jugovic, Branko
    de la Hoz, Alberto
    Hamelmann, Eckard
    [J]. FRONTIERS IN PEDIATRICS, 2019, 7
  • [6] Challenges in Treating Pediatric Asthma in Developing Countries
    Heather J. Zar
    Michael E. Levin
    [J]. Pediatric Drugs, 2012, 14 (6) : 353 - 359
  • [7] Recommendations for Treating Hypertension What Are the Right Goals and Purposes?
    Peterson, Eric D.
    Gaziano, J. Michael
    Greenland, Philip
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2014, 311 (05): : 474 - 476
  • [8] WHAT IS THE DISORDER? WHAT IS THE OUTCOME? THOUGHTS ON GOALS AND OUTCOMES FOR TREATING HEAVY DRINKING
    Willenbring, M. L.
    [J]. ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2010, 34 (08) : 71A - 71A
  • [9] Asthma admissions to ICU, what are we really treating?
    Forster, Sarah
    Mansour, Mohamed
    Bonnington, James
    Shaw, Dominick
    [J]. EUROPEAN RESPIRATORY JOURNAL, 2018, 52
  • [10] Pediatric asthma evaluation: What's to be considered?
    Verini, Marcello
    Tancredi, Giancarlo
    Lombardi, Enrico
    Midulla, Fabio
    [J]. EARLY HUMAN DEVELOPMENT, 2013, 89 : S53 - S57