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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.

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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.
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    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]