Asthma is one of the most common paediatric presentations to general practice. Some children demonsrate persistent symptoms despite appropriate use of medications. This review provides a user-friendly approach to managing difficult to control asthma in children.
- Difficult to control asthma carries significant morbidity to children and their families.
- It is important to ensure that the diagnosis of asthma is correct.
- Patients’ medications, drug delivery method, adherence to treatment, home environment and psychosocial factors should be assessed. Precipitating factors, particularly exposure to tobacco smoke, should be minimised.
- Inhaled corticosteroids are the cornerstone of therapy. The dose should be titrated to control symptoms, maximise efficacy and minimise adverse effects.
- GP’s should regularly review patients and establish a partnership of care.