Wheeze attacks in preschool children account for at least 75% of all childhood emergency department attendances and hospitalisations for acute wheezing and asthma. The rate of hospitalisation has remained unchanged for over 2 decades and our management of both acute episodes and approaches to prevent attacks needs to improve.
Recent trials have been published relating to the management of acute episodes and use of objective biomarkers to direct maintenance therapy, these need to be translated in an appropriate manner to ensure there is no inappropriate use of steroids or antibiotics in this age group. Current management is based mainly on symptoms and clinical history, the aim of this webinar is to emphasise the need to make objective assessments prior to deciding treatment.
- To have a clearer idea about the optimal management of acute attacks of preschool wheeze.
- To understand the role and utility of objective tests that can be used to help define preschool wheeze phenotypes to guide management.
- To outline an approach to phenotype based management to prevent preschool wheeze attacks.
Discussion around the topic using clinical case based scenarios.
- Management of acute wheeze attacks in preschool children aged 1-5 years
- Use of objective tests and symptom pattern to phenotype patients
- Phenotype based management to prevent attacks of wheeze and achieve symptom control
- Definition of “severe / difficult” preschool wheeze and the need for further investigations
- Understand the need to make objective assessments of airway inflammation and infection to help diagnose phenotypes of preschool wheeze and guide management.
- Learn about performance of induced sputum and make measurements of exhaled nitric oxide and lung function in preschool wheezers.
- Learn about the role of invasive investigations, including bronchoscopy in this age group.
- Have an update on the biomarkers currently used to direct treatment.
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