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International consensus on (ICON) pediatric asthma

International consensus on (ICON) pediatric asthma
International consensus on (ICON) pediatric asthma
Asthma is the most common chronic lower respiratory disease in childhood throughout the world. Several guidelines and/or consensus documents are available to support medical decisions on pediatric asthma. Although there is no doubt that the use of common systematic approaches for management can considerably improve outcomes, dissemination and implementation of these are still major challenges. Consequently, the International Collaboration in Asthma, Allergy and Immunology (iCAALL), recently formed by the EAACI, AAAAI, ACAAI, and WAO, has decided to propose an International Consensus on (ICON) Pediatric Asthma. The purpose of this document is to highlight the key messages that are common to many of the existing guidelines, while critically reviewing and commenting on any differences, thus providing a concise reference. The principles of pediatric asthma management are generally accepted. Overall, the treatment goal is disease control. To achieve this, patients and their parents should be educated to optimally manage the disease, in collaboration with healthcare professionals. Identification and avoidance of triggers is also of significant importance. Assessment and monitoring should be performed regularly to re-evaluate and fine-tune treatment. Pharmacotherapy is the cornerstone of treatment. The optimal use of medication can, in most cases, help patients control symptoms and reduce the risk for future morbidity. The management of exacerbations is a major consideration, independent of chronic treatment. There is a trend toward considering phenotype-specific treatment choices; however, this goal has not yet been achieved.
asthma, children, consensus, guidelines, wheeze
0105-4538
976-997
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Arakawa, H.
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Baraldi, E.
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Papadopoulos, N.G., Arakawa, H., Carlsen, K-H., Custovic, A., Gern, J., Lemanske, R., Le Souef, P., Mäkelä, M., Roberts, Graham, Wong, G., Zar, H., Akdis, C.A., Bacharier, L.B., Baraldi, E., van Bever, H.P., de Blic, J., Boner, A., Burks, W., Casale, T.B., Castro-Rodriguez, J.A., Chen, Y.Z., El-Gamal, Y.M., Everard, M.L., Frischer, T., Geller, M., Gereda, J., Goh, D.Y., Guilbert, T.W., Hedlin, G., Heymann, P.W., Hong, S.J., Hossny, E.M., Huang, J.L., Jackson, D.J., de Jongste, J.C., Kalayci, O., Aït-Khaled, N., Kling, S., Kuna, P., Lau, S., Ledford, D.K., Lee, S.I., Liu, A.H., Lockey, R.F., Lødrup-Carlsen, K., Lötvall, J., Morikawa, A., Nieto, A., Paramesh, H., Pawankar, R., Pohunek, P., Pongracic, J., Price, D., Robertson, C., Rosario, N., Rossenwasser, L.J., Sly, P.D., Stein, R., Stick, S., Szefler, S., Taussig, L.M., Valovirta, E., Vichyanond, P., Wallace, D., Weinberg, E., Wennergren, G., Wildhaber, J. and Zeiger, R.S. (2012) International consensus on (ICON) pediatric asthma. Allergy, 67 (8), 976-997. (doi:10.1111/j.1398-9995.2012.02865.x). (PMID:22702533)

Record type: Article

Abstract

Asthma is the most common chronic lower respiratory disease in childhood throughout the world. Several guidelines and/or consensus documents are available to support medical decisions on pediatric asthma. Although there is no doubt that the use of common systematic approaches for management can considerably improve outcomes, dissemination and implementation of these are still major challenges. Consequently, the International Collaboration in Asthma, Allergy and Immunology (iCAALL), recently formed by the EAACI, AAAAI, ACAAI, and WAO, has decided to propose an International Consensus on (ICON) Pediatric Asthma. The purpose of this document is to highlight the key messages that are common to many of the existing guidelines, while critically reviewing and commenting on any differences, thus providing a concise reference. The principles of pediatric asthma management are generally accepted. Overall, the treatment goal is disease control. To achieve this, patients and their parents should be educated to optimally manage the disease, in collaboration with healthcare professionals. Identification and avoidance of triggers is also of significant importance. Assessment and monitoring should be performed regularly to re-evaluate and fine-tune treatment. Pharmacotherapy is the cornerstone of treatment. The optimal use of medication can, in most cases, help patients control symptoms and reduce the risk for future morbidity. The management of exacerbations is a major consideration, independent of chronic treatment. There is a trend toward considering phenotype-specific treatment choices; however, this goal has not yet been achieved.

This record has no associated files available for download.

More information

Published date: August 2012
Keywords: asthma, children, consensus, guidelines, wheeze
Organisations: Human Development & Health

Identifiers

Local EPrints ID: 351112
URI: http://eprints.soton.ac.uk/id/eprint/351112
ISSN: 0105-4538
PURE UUID: f7ad1c22-e9f3-43ac-8a11-9738568b20be
ORCID for Graham Roberts: ORCID iD orcid.org/0000-0003-2252-1248

Catalogue record

Date deposited: 15 Apr 2013 15:42
Last modified: 15 Mar 2024 03:22

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Contributors

Author: N.G. Papadopoulos
Author: H. Arakawa
Author: K-H. Carlsen
Author: A. Custovic
Author: J. Gern
Author: R. Lemanske
Author: P. Le Souef
Author: M. Mäkelä
Author: Graham Roberts ORCID iD
Author: G. Wong
Author: H. Zar
Author: C.A. Akdis
Author: L.B. Bacharier
Author: E. Baraldi
Author: H.P. van Bever
Author: J. de Blic
Author: A. Boner
Author: W. Burks
Author: T.B. Casale
Author: J.A. Castro-Rodriguez
Author: Y.Z. Chen
Author: Y.M. El-Gamal
Author: M.L. Everard
Author: T. Frischer
Author: M. Geller
Author: J. Gereda
Author: D.Y. Goh
Author: T.W. Guilbert
Author: G. Hedlin
Author: P.W. Heymann
Author: S.J. Hong
Author: E.M. Hossny
Author: J.L. Huang
Author: D.J. Jackson
Author: J.C. de Jongste
Author: O. Kalayci
Author: N. Aït-Khaled
Author: S. Kling
Author: P. Kuna
Author: S. Lau
Author: D.K. Ledford
Author: S.I. Lee
Author: A.H. Liu
Author: R.F. Lockey
Author: K. Lødrup-Carlsen
Author: J. Lötvall
Author: A. Morikawa
Author: A. Nieto
Author: H. Paramesh
Author: R. Pawankar
Author: P. Pohunek
Author: J. Pongracic
Author: D. Price
Author: C. Robertson
Author: N. Rosario
Author: L.J. Rossenwasser
Author: P.D. Sly
Author: R. Stein
Author: S. Stick
Author: S. Szefler
Author: L.M. Taussig
Author: E. Valovirta
Author: P. Vichyanond
Author: D. Wallace
Author: E. Weinberg
Author: G. Wennergren
Author: J. Wildhaber
Author: R.S. Zeiger

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