Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Apr 1;23(2):132-136.
doi: 10.1097/ACI.0000000000000892. Epub 2023 Jan 12.

Applying the new guidelines to asthma management in children

Riccardo Castagnoli  1   2 , Ilaria Brambilla  1   2 , Michele Miraglia Del Giudice  3 , Gian Luigi Marseglia  1   2 , Amelia Licari  1   2
Affiliations
Review

Applying the new guidelines to asthma management in children

Riccardo Castagnoli et al. Curr Opin Allergy Clin Immunol. .

Abstract

Purpose of review: This review aims to provide paediatricians with novel concepts from scientific evidence applicable to treating children with asthma. The latest guideline updates on paediatric asthma are discussed here, with a focus on the 2022 update of the GINA document.

Recent findings: Mild asthma remains to be an important challenge for the paediatrician, and the introduction of new evidence-based treatment strategies, particularly those symptom-driven, could have a significant impact on the paediatric population. The identification of predictive biomarkers, the definition of biological treatment response, the possible duration of these therapies in this age group, as well as their potential action on airway remodelling are desirable in the short term. As the number of available biological treatment options expands, paediatricians should be supported by further evidence in decision-making.

Summary: There is an urgent need to implement at multiple levels the latest therapeutic strategies proposed for asthma at all severities.

PubMed Disclaimer

Similar articles

  • Pediatric asthma treatment: What to do when international guideline recommendations do not agree.
    Larenas Linnemann DES, Fernández Vega M, Luna Pech JA, Villaverde Rosas J, Ortega Martell JA, Del Río Navarro BE, Cano Salas MDC, Romero Lombard J, López Estrada EDC, Rodriguez-González M, Mayorga Butrón JL, Salas Hernández J, Vázquez García JC, Ortiz Aldana I, Vargas Becerra MH, Bedolla Barajas M, Rodríguez Pérez N, Aguilar Aranda A, Jiménez González CA, García Bolaños C, Garrido Galindo C, Mendoza Hernández DA, Mendoza López E, López Pérez G, Wakida Kuzonoki GH, Ruiz Gutiérrez HH, León Molina H, Martínez de la Lanza H, Stone Aguilar H, Gómez Vera J, Olvera Salinas J, Oyoqui Flores JJ, Gálvez Romero JL, Lozano Saenz JS, Salgado Gama JI, Jiménez Chobillon MA, García Avilés MA, Guinto Balanzar MP, Medina Ávalos MA, Camargo Angeles R, García Torrentera R, Toral Freyre S, Montes Narvaez G, Solorio Gómez H, Rosas Peña J, Romero Tapia SJ, Reyes Herrera A, Cuevas Schacht F, Esquer Flores J, Sacre Hazouri JA, Compean Martínez L, Medina Sánchez PJ, Garza Salinas S, Baez Loyola C, Romero Alvarado I, Miguel Reyes JL, Huerta Espinosa LE, Correa Flores MÁ, Castro Martínez R. Larenas Linnemann DES, et al. Ann Allergy Asthma Immunol. 2018 Jul;121(1):7-13.e4. doi: 10.1016/j.anai.2018.03.008. Epub 2018 Mar 15. Ann Allergy Asthma Immunol. 2018. PMID: 29551403
  • Introduction of a new paediatric asthma guideline: Effects on asthma control levels.
    Hammer SC, Sonneveld LJH, van de Kant KDG, Hendriks HJ, Heynens JW, Droog R, Dompeling E, Jöbsis Q. Hammer SC, et al. Pediatr Allergy Immunol. 2017 May;28(3):266-272. doi: 10.1111/pai.12697. Epub 2017 Mar 28. Pediatr Allergy Immunol. 2017. PMID: 28107572
  • Use of Global initiative for asthma (GINA) guidelines in asthma management among paediatric residents in a Sub Saharan African country: a cross-sectional descriptive study.
    Chikaodinaka Ayuk A, Ubesie A, Laura Odimegwu C, Iloh K. Chikaodinaka Ayuk A, et al. Pan Afr Med J. 2017 Jun 15;27:120. doi: 10.11604/pamj.2017.27.120.9260. eCollection 2017. Pan Afr Med J. 2017. PMID: 28819540 Free PMC article.
  • Clinical Practice Guideline: Tonsillectomy in Children (Update)-Executive Summary.
    Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA, Friedman NR, Giordano T, Hildrew DM, Kim TW, Lloyd RM, Parikh SR, Shulman ST, Walner DL, Walsh SA, Nnacheta LC. Mitchell RB, et al. Otolaryngol Head Neck Surg. 2019 Feb;160(2):187-205. doi: 10.1177/0194599818807917. Otolaryngol Head Neck Surg. 2019. PMID: 30921525 Review.
  • The Global Initiative for Asthma (GINA): 25 years later.
    Boulet LP, Reddel HK, Bateman E, Pedersen S, FitzGerald JM, O'Byrne PM. Boulet LP, et al. Eur Respir J. 2019 Aug 29;54(2):1900598. doi: 10.1183/13993003.00598-2019. Print 2019 Aug. Eur Respir J. 2019. PMID: 31273040 Review.
See all similar articles

Cited by

References

    1. 2022 GINA Report, Global Strategy for Asthma Management and Prevention. https://ginasthma.org/gina-reports/ [Accessed 8 December 2022]
    1. Cloutier MM, Baptist AP, et al. Expert Panel Working Group of the National Heart, Lung, and Blood Institute (NHLBI) administered and coordinated National Asthma Education and Prevention Program Coordinating Committee (NAEPPCC). 2020 Focused Updates to the Asthma Management Guidelines: a report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group. J Allergy Clin Immunol 2020; 146:1217–1270.
    1. Chipps BE, Murphy KR, Oppenheimer J. 2020 NAEPP Guidelines Update and GINA 2021: asthma care differences, overlap, and challenges. J Allergy Clin Immunol Pract 2022; 10:S19–S30.
    1. Tan LD, Alismail A, Ariue B. Asthma guidelines: comparison of the National Heart, Lung, and Blood Institute Expert Panel Report 4 with Global Initiative for Asthma. Curr Opin Pulm Med 2022; 28:234–244.
    1. Scottish Intercollegiate Guidelines Network, British Thoracic Society. British Guideline on the Management of Asthma. 2019. www.brit-thoracic.org.uk/quality-improvement/guidelines/asthma/ [Accessed 8 December 2022]