Pediatr. praxi. 2011;12(1):8-11

Specific aspects of reccurent wheeze and bronchial asthma in children

MUDr.Jiřina Chládková, Ph.D.

Dětská klinika LF UK a FN Hradec Králové

Prevalence of reccurent wheeze in infants and toddlers is high. For clinical purposes, reccurent wheeze in children below the age of 5 years

is classified as episodic (viral) or multiple-trigger wheeze. Due to the heterogenity of childhood asthma, different phenotypes of disease

were recognized in preschool and school-age children. In school-age children with persistent asthma, treatment with inhaled corticosteroid

is associated with significant improvements in lung function, bronchial hyperresponsiveness and quality of life. In children younger than

5 years with recurrent wheezing at high-risk for development of asthma preventive inhaled corticosteroid therapy has also multiple clinical

benefits. Appropriate education including asthma management plan and regular assessment of symptoms, lung function and exhaled nitric

oxide enhance good adherence to recommended therapy. In complicated cases multidisciplinary approach is needed.

Keywords: bronchial asthma, children, phenotypes, inhaled corticosteroids

Published: February 23, 2011  Show citation