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International consensus on (ICON) pediatric asthma

Identifieur interne : 002143 ( Istex/Curation ); précédent : 002142; suivant : 002144

International consensus on (ICON) pediatric asthma

Auteurs : N. G. Papadopoulos [Grèce] ; H. Arakawa [Japon] ; K. Carlsen [Norvège] ; A. Custovic [Royaume-Uni] ; J. Gern [États-Unis] ; R. Lemanske [États-Unis] ; P. Le Souef [Australie] ; M. M Kel [Finlande] ; G. Roberts [Royaume-Uni] ; G. Wong [République populaire de Chine] ; H. Zar [Afrique du Sud] ; C. A. Akdis [Suisse] ; L. B. Bacharier [États-Unis] ; E. Baraldi [Italie] ; H. P. Van Bever [Singapour] ; J. De Blic [France] ; A. Boner [Italie] ; W. Burks [États-Unis] ; T. B. Casale [États-Unis] ; J. A. Castro-Rodriguez [Chili] ; Y. Z. Chen [République populaire de Chine] ; Y. M. El-Gamal [Égypte] ; M. L. Everard [Royaume-Uni] ; T. Frischer [Autriche] ; M. Geller [Brésil] ; J. Gereda [Pérou] ; D. Y. Goh [Singapour] ; T. W. Guilbert [États-Unis] ; G. Hedlin [Suède] ; P. W. Heymann [États-Unis] ; S. J. Hong [Corée du Sud] ; E. M. Hossny [Égypte] ; J. L. Huang [Taïwan] ; D. J. Jackson [États-Unis] ; J. C. De Jongste [Pays-Bas] ; O. Kalayci [Turquie] ; N. Aït-Khaled [Algérie] ; S. Kling [Afrique du Sud] ; P. Kuna [Pologne] ; S. Lau [Allemagne] ; D. K. Ledford [États-Unis] ; S. I. Lee [Corée du Sud] ; A. H. Liu [États-Unis] ; R. F. Lockey [États-Unis] ; K. L Drup-Carlsen [Norvège] ; J. Lötvall [Suède] ; A. Morikawa [Japon] ; A. Nieto [Espagne] ; H. Paramesh [Inde] ; R. Pawankar [Japon] ; P. Pohunek [République tchèque] ; J. Pongracic [États-Unis] ; D. Price [Royaume-Uni] ; C. Robertson [Australie] ; N. Rosario [Brésil] ; L. J. Rossenwasser [États-Unis] ; P. D. Sly [Australie] ; R. Stein [Brésil] ; S. Stick [Australie] ; S. Szefler [États-Unis] ; L. M. Taussig [États-Unis] ; E. Valovirta [Finlande] ; P. Vichyanond [Thaïlande] ; D. Wallace [États-Unis] ; E. Weinberg [Afrique du Sud] ; G. Wennergren [Suède] ; J. Wildhaber [Suisse] ; R. S. Zeiger [États-Unis]

Source :

RBID : ISTEX:AF40E139898A0C5CACCF768F3A12BA693CE44237

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English descriptors

Abstract

Asthma is the most common chronic lower respiratory disease in childhood throughout the world. Several guidelines and/or consensus documents are available to support medical decisions on pediatric asthma. Although there is no doubt that the use of common systematic approaches for management can considerably improve outcomes, dissemination and implementation of these are still major challenges. Consequently, the International Collaboration in Asthma, Allergy and Immunology (iCAALL), recently formed by the EAACI, AAAAI, ACAAI, and WAO, has decided to propose an International Consensus on (ICON) Pediatric Asthma. The purpose of this document is to highlight the key messages that are common to many of the existing guidelines, while critically reviewing and commenting on any differences, thus providing a concise reference. The principles of pediatric asthma management are generally accepted. Overall, the treatment goal is disease control. To achieve this, patients and their parents should be educated to optimally manage the disease, in collaboration with healthcare professionals. Identification and avoidance of triggers is also of significant importance. Assessment and monitoring should be performed regularly to re‐evaluate and fine‐tune treatment. Pharmacotherapy is the cornerstone of treatment. The optimal use of medication can, in most cases, help patients control symptoms and reduce the risk for future morbidity. The management of exacerbations is a major consideration, independent of chronic treatment. There is a trend toward considering phenotype‐specific treatment choices; however, this goal has not yet been achieved.

Url:
DOI: 10.1111/j.1398-9995.2012.02865.x

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ISTEX:AF40E139898A0C5CACCF768F3A12BA693CE44237

Le document en format XML

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<name sortKey="De Blic, J" sort="De Blic, J" uniqKey="De Blic J" first="J." last="De Blic">J. De Blic</name>
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<name sortKey="Boner, A" sort="Boner, A" uniqKey="Boner A" first="A." last="Boner">A. Boner</name>
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<name sortKey="Frischer, T" sort="Frischer, T" uniqKey="Frischer T" first="T." last="Frischer">T. Frischer</name>
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<name sortKey="Geller, M" sort="Geller, M" uniqKey="Geller M" first="M." last="Geller">M. Geller</name>
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<name sortKey="Goh, D Y" sort="Goh, D Y" uniqKey="Goh D" first="D. Y." last="Goh">D. Y. Goh</name>
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<mods:affiliation>Asthma and Allergic Diseases Center, University of Virginia, VA, Charlottesville, USA</mods:affiliation>
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<name sortKey="Hossny, E M" sort="Hossny, E M" uniqKey="Hossny E" first="E. M." last="Hossny">E. M. Hossny</name>
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<mods:affiliation>Pediatric Allergy and Immunology Unit, Children's Hospital, Ain Shams University, Cairo, Egypt</mods:affiliation>
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<name sortKey="Huang, J L" sort="Huang, J L" uniqKey="Huang J" first="J. L." last="Huang">J. L. Huang</name>
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<name sortKey="Jackson, D J" sort="Jackson, D J" uniqKey="Jackson D" first="D. J." last="Jackson">D. J. Jackson</name>
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<mods:affiliation>Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, WI, Madison, USA</mods:affiliation>
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<name sortKey="De Jongste, J C" sort="De Jongste, J C" uniqKey="De Jongste J" first="J. C." last="De Jongste">J. C. De Jongste</name>
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<mods:affiliation>Department of Pediatrics, Erasmus University Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands</mods:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Pediatrics, Erasmus University Medical Center, Sophia Children's Hospital, Rotterdam</wicri:regionArea>
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<name sortKey="Kalayci, O" sort="Kalayci, O" uniqKey="Kalayci O" first="O." last="Kalayci">O. Kalayci</name>
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<mods:affiliation>Pediatric Allergy and Asthma Unit, Ihsan Dogramaci Children's Hospital, Hacettepe University School of Medicine, Ankara, Turkey</mods:affiliation>
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<name sortKey="Ait Haled, N" sort="Ait Haled, N" uniqKey="Ait Haled N" first="N." last="Aït-Khaled">N. Aït-Khaled</name>
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<mods:affiliation>International Union Against Tuberculosis and Lung Disease (The Union), Algiers, Cheraga, Algeria</mods:affiliation>
<country xml:lang="fr">Algérie</country>
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<name sortKey="Kling, S" sort="Kling, S" uniqKey="Kling S" first="S." last="Kling">S. Kling</name>
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<mods:affiliation>Department of Paediatrics & Child Health, Tygerberg Children's Hospital, Stellenbosch University, Cape Town, South Africa</mods:affiliation>
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<wicri:regionArea>Department of Paediatrics & Child Health, Tygerberg Children's Hospital, Stellenbosch University, Cape Town</wicri:regionArea>
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<name sortKey="Kuna, P" sort="Kuna, P" uniqKey="Kuna P" first="P." last="Kuna">P. Kuna</name>
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<mods:affiliation>Second Department of Medicine, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland</mods:affiliation>
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<name sortKey="Lau, S" sort="Lau, S" uniqKey="Lau S" first="S." last="Lau">S. Lau</name>
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<mods:affiliation>Queensland Children's Medical Research Institute, The University of Queensland, Qld, Brisbane, Australia</mods:affiliation>
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<name sortKey="Stein, R" sort="Stein, R" uniqKey="Stein R" first="R." last="Stein">R. Stein</name>
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<mods:affiliation>Pediatric Pulmonary Service, Hospital São Lucas, Pontifícia Universidade Católica RGS, Porto Alegre, Brazil</mods:affiliation>
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<name sortKey="Stick, S" sort="Stick, S" uniqKey="Stick S" first="S." last="Stick">S. Stick</name>
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<mods:affiliation>Department of Respiratory Medicine, Princess Margaret Hospital for Children, WA, Perth, Australia</mods:affiliation>
<country xml:lang="fr">Australie</country>
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<mods:affiliation>Department of Pediatrics, National Jewish Health, CO, Denver, USA</mods:affiliation>
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<name sortKey="Taussig, L M" sort="Taussig, L M" uniqKey="Taussig L" first="L. M." last="Taussig">L. M. Taussig</name>
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<mods:affiliation>Office of the Provost, University of Denver, CO, Denver, USA</mods:affiliation>
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<mods:affiliation>Terveystalo Turku, Allergy Clinic, University of Turku, Turku, Finland</mods:affiliation>
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<mods:affiliation>International Affairs and Centers for Excellence, Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand</mods:affiliation>
<country xml:lang="fr">Thaïlande</country>
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<name sortKey="Wallace, D" sort="Wallace, D" uniqKey="Wallace D" first="D." last="Wallace">D. Wallace</name>
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<mods:affiliation>Nova Southeastern University, FL, Ft Lauderdale, USA</mods:affiliation>
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<name sortKey="Weinberg, E" sort="Weinberg, E" uniqKey="Weinberg E" first="E." last="Weinberg">E. Weinberg</name>
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<mods:affiliation>Allergy Unit, Red Cross Children's Hospital, University of Cape Town, Cape Town, South Africa</mods:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
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<name sortKey="Wennergren, G" sort="Wennergren, G" uniqKey="Wennergren G" first="G." last="Wennergren">G. Wennergren</name>
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<mods:affiliation>Department of Pediatrics, University of Gothenburg, Gothenburg, Sweden</mods:affiliation>
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<mods:affiliation>Department of Respiratory Medicine, University Children's Hospital, Zurich, Switzerland</mods:affiliation>
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<mods:affiliation>Department of Allergy, Kaiser Permanente Southern California, CA, San Diego, USA</mods:affiliation>
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<title level="a" type="main">International consensus on (ICON) pediatric asthma</title>
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<name sortKey="Papadopoulos, N G" sort="Papadopoulos, N G" uniqKey="Papadopoulos N" first="N. G." last="Papadopoulos">N. G. Papadopoulos</name>
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<mods:affiliation>Department of Allergy, 2nd Pediatric Clinic, University of Athens, Athens, Greece</mods:affiliation>
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<name sortKey="Arakawa, H" sort="Arakawa, H" uniqKey="Arakawa H" first="H." last="Arakawa">H. Arakawa</name>
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<mods:affiliation>Department of Pediatrics, Graduate School of Medicine, Gunma University, Gunma, Japan</mods:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Graduate School of Medicine, Gunma University, Gunma</wicri:regionArea>
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<name sortKey="Carlsen, K" sort="Carlsen, K" uniqKey="Carlsen K" first="K." last="Carlsen">K. Carlsen</name>
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<mods:affiliation>Department of Pediatrics, Oslo University Hospital, Oslo, Norway</mods:affiliation>
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<wicri:regionArea>Department of Pediatrics, Oslo University Hospital, Oslo</wicri:regionArea>
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<name sortKey="Custovic, A" sort="Custovic, A" uniqKey="Custovic A" first="A." last="Custovic">A. Custovic</name>
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<mods:affiliation>Respiratory Research Group, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK</mods:affiliation>
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<name sortKey="Gern, J" sort="Gern, J" uniqKey="Gern J" first="J." last="Gern">J. Gern</name>
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<mods:affiliation>Department of Pediatrics, University of Wisconsin Medical School, WI, Madison, USA</mods:affiliation>
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<mods:affiliation>Division of Pediatric Allergy, Immunology, and Rheumatology, University of Wisconsin School of Medicine and Public Health, WI, Madison, USA</mods:affiliation>
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<name sortKey="Le Souef, P" sort="Le Souef, P" uniqKey="Le Souef P" first="P." last="Le Souef">P. Le Souef</name>
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<mods:affiliation>School of Pediatrics and Child Health, University of Western Australia, Princess Margaret Hospital, WA, Perth, Australia</mods:affiliation>
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<name sortKey="M Kel, M" sort="M Kel, M" uniqKey="M Kel M" first="M." last="M Kel">M. M Kel</name>
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<name sortKey="Roberts, G" sort="Roberts, G" uniqKey="Roberts G" first="G." last="Roberts">G. Roberts</name>
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<name sortKey="Wong, G" sort="Wong, G" uniqKey="Wong G" first="G." last="Wong">G. Wong</name>
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<name sortKey="Zar, H" sort="Zar, H" uniqKey="Zar H" first="H." last="Zar">H. Zar</name>
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<country xml:lang="fr">Afrique du Sud</country>
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<name sortKey="Akdis, C A" sort="Akdis, C A" uniqKey="Akdis C" first="C. A." last="Akdis">C. A. Akdis</name>
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<name sortKey="Baraldi, E" sort="Baraldi, E" uniqKey="Baraldi E" first="E." last="Baraldi">E. Baraldi</name>
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<name sortKey="Van Bever, H P" sort="Van Bever, H P" uniqKey="Van Bever H" first="H. P." last="Van Bever">H. P. Van Bever</name>
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<name sortKey="De Blic, J" sort="De Blic, J" uniqKey="De Blic J" first="J." last="De Blic">J. De Blic</name>
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<name sortKey="Boner, A" sort="Boner, A" uniqKey="Boner A" first="A." last="Boner">A. Boner</name>
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<name sortKey="Burks, W" sort="Burks, W" uniqKey="Burks W" first="W." last="Burks">W. Burks</name>
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<country xml:lang="fr">États-Unis</country>
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<name sortKey="Casale, T B" sort="Casale, T B" uniqKey="Casale T" first="T. B." last="Casale">T. B. Casale</name>
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<mods:affiliation>Division of Allergy and Immunology, Department of Medicine, Creighton University, NE, Omaha, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Allergy and Immunology, Department of Medicine, Creighton University, NE, Omaha</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Castro Odriguez, J A" sort="Castro Odriguez, J A" uniqKey="Castro Odriguez J" first="J. A." last="Castro-Rodriguez">J. A. Castro-Rodriguez</name>
<affiliation wicri:level="1">
<mods:affiliation>School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile</mods:affiliation>
<country xml:lang="fr">Chili</country>
<wicri:regionArea>School of Medicine, Pontificia Universidad Catolica de Chile, Santiago</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Chen, Y Z" sort="Chen, Y Z" uniqKey="Chen Y" first="Y. Z." last="Chen">Y. Z. Chen</name>
<affiliation wicri:level="1">
<mods:affiliation>Capital Institute of Pediatrics, Beijing, China</mods:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Capital Institute of Pediatrics, Beijing</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="El Amal, Y M" sort="El Amal, Y M" uniqKey="El Amal Y" first="Y. M." last="El-Gamal">Y. M. El-Gamal</name>
<affiliation wicri:level="1">
<mods:affiliation>Pediatric Allergy and Immunology Unit, Ain Shams University, Cairo, Egypt</mods:affiliation>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Pediatric Allergy and Immunology Unit, Ain Shams University, Cairo</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Everard, M L" sort="Everard, M L" uniqKey="Everard M" first="M. L." last="Everard">M. L. Everard</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Respiratory Medicine, Sheffield Children's Hospital, Western Bank, Sheffield, UK</mods:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Respiratory Medicine, Sheffield Children's Hospital, Western Bank, Sheffield</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Frischer, T" sort="Frischer, T" uniqKey="Frischer T" first="T." last="Frischer">T. Frischer</name>
<affiliation wicri:level="1">
<mods:affiliation>University Children's Hospital Vienna, Vienna, Austria</mods:affiliation>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>University Children's Hospital Vienna, Vienna</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Geller, M" sort="Geller, M" uniqKey="Geller M" first="M." last="Geller">M. Geller</name>
<affiliation wicri:level="1">
<mods:affiliation>Geller Allergy and Immunology Clinic, Rio de Janeiro, Brazil</mods:affiliation>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Geller Allergy and Immunology Clinic, Rio de Janeiro</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Gereda, J" sort="Gereda, J" uniqKey="Gereda J" first="J." last="Gereda">J. Gereda</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Allergy and Immunology, Clinica Ricardo Palma, Lima, Peru</mods:affiliation>
<country xml:lang="fr">Pérou</country>
<wicri:regionArea>Department of Allergy and Immunology, Clinica Ricardo Palma, Lima</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Goh, D Y" sort="Goh, D Y" uniqKey="Goh D" first="D. Y." last="Goh">D. Y. Goh</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Paediatrics, National University Hospital, Singapore, Singapore</mods:affiliation>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Paediatrics, National University Hospital, Singapore</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Guilbert, T W" sort="Guilbert, T W" uniqKey="Guilbert T" first="T. W." last="Guilbert">T. W. Guilbert</name>
<affiliation wicri:level="1">
<mods:affiliation>School of Medicine and Public Health, University of Wisconsin, WI, Madison, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>School of Medicine and Public Health, University of Wisconsin, WI, Madison</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Hedlin, G" sort="Hedlin, G" uniqKey="Hedlin G" first="G." last="Hedlin">G. Hedlin</name>
<affiliation wicri:level="1">
<mods:affiliation>Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden</mods:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Heymann, P W" sort="Heymann, P W" uniqKey="Heymann P" first="P. W." last="Heymann">P. W. Heymann</name>
<affiliation wicri:level="1">
<mods:affiliation>Asthma and Allergic Diseases Center, University of Virginia, VA, Charlottesville, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Asthma and Allergic Diseases Center, University of Virginia, VA, Charlottesville</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Hong, S J" sort="Hong, S J" uniqKey="Hong S" first="S. J." last="Hong">S. J. Hong</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Pediatrics, Childhood Asthma Atopy Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea</mods:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Pediatrics, Childhood Asthma Atopy Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Hossny, E M" sort="Hossny, E M" uniqKey="Hossny E" first="E. M." last="Hossny">E. M. Hossny</name>
<affiliation wicri:level="1">
<mods:affiliation>Pediatric Allergy and Immunology Unit, Children's Hospital, Ain Shams University, Cairo, Egypt</mods:affiliation>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Pediatric Allergy and Immunology Unit, Children's Hospital, Ain Shams University, Cairo</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Huang, J L" sort="Huang, J L" uniqKey="Huang J" first="J. L." last="Huang">J. L. Huang</name>
<affiliation wicri:level="1">
<mods:affiliation>Division of Allergy, Asthma and Rheumatology, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan</mods:affiliation>
<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Division of Allergy, Asthma and Rheumatology, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jackson, D J" sort="Jackson, D J" uniqKey="Jackson D" first="D. J." last="Jackson">D. J. Jackson</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, WI, Madison, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, WI, Madison</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="De Jongste, J C" sort="De Jongste, J C" uniqKey="De Jongste J" first="J. C." last="De Jongste">J. C. De Jongste</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Pediatrics, Erasmus University Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands</mods:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Pediatrics, Erasmus University Medical Center, Sophia Children's Hospital, Rotterdam</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kalayci, O" sort="Kalayci, O" uniqKey="Kalayci O" first="O." last="Kalayci">O. Kalayci</name>
<affiliation wicri:level="1">
<mods:affiliation>Pediatric Allergy and Asthma Unit, Ihsan Dogramaci Children's Hospital, Hacettepe University School of Medicine, Ankara, Turkey</mods:affiliation>
<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Pediatric Allergy and Asthma Unit, Ihsan Dogramaci Children's Hospital, Hacettepe University School of Medicine, Ankara</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ait Haled, N" sort="Ait Haled, N" uniqKey="Ait Haled N" first="N." last="Aït-Khaled">N. Aït-Khaled</name>
<affiliation wicri:level="1">
<mods:affiliation>International Union Against Tuberculosis and Lung Disease (The Union), Algiers, Cheraga, Algeria</mods:affiliation>
<country xml:lang="fr">Algérie</country>
<wicri:regionArea>International Union Against Tuberculosis and Lung Disease (The Union), Algiers, Cheraga</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kling, S" sort="Kling, S" uniqKey="Kling S" first="S." last="Kling">S. Kling</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Paediatrics & Child Health, Tygerberg Children's Hospital, Stellenbosch University, Cape Town, South Africa</mods:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Department of Paediatrics & Child Health, Tygerberg Children's Hospital, Stellenbosch University, Cape Town</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kuna, P" sort="Kuna, P" uniqKey="Kuna P" first="P." last="Kuna">P. Kuna</name>
<affiliation wicri:level="1">
<mods:affiliation>Second Department of Medicine, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland</mods:affiliation>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Second Department of Medicine, Barlicki University Hospital, Medical University of Lodz, Lodz</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lau, S" sort="Lau, S" uniqKey="Lau S" first="S." last="Lau">S. Lau</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Pediatric Pneumology and Immunology, Charité Medical University Berlin, Berlin, Germany</mods:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Pediatric Pneumology and Immunology, Charité Medical University Berlin, Berlin</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ledford, D K" sort="Ledford, D K" uniqKey="Ledford D" first="D. K." last="Ledford">D. K. Ledford</name>
<affiliation wicri:level="1">
<mods:affiliation>Division of Allergy/Immunology, University of South Florida, FL, Tampa, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Allergy/Immunology, University of South Florida, FL, Tampa</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lee, S I" sort="Lee, S I" uniqKey="Lee S" first="S. I." last="Lee">S. I. Lee</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Pediatrics, Environmental Health Center, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea</mods:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Pediatrics, Environmental Health Center, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Liu, A H" sort="Liu, A H" uniqKey="Liu A" first="A. H." last="Liu">A. H. Liu</name>
<affiliation wicri:level="1">
<mods:affiliation>National Jewish Health and University of Colorado Denver School of Medicine, CO, Denver, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>National Jewish Health and University of Colorado Denver School of Medicine, CO, Denver</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lockey, R F" sort="Lockey, R F" uniqKey="Lockey R" first="R. F." last="Lockey">R. F. Lockey</name>
<affiliation wicri:level="1">
<mods:affiliation>Division of Allergy/Immunology, University of South Florida, FL, Tampa, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Allergy/Immunology, University of South Florida, FL, Tampa</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="L Drup Arlsen, K" sort="L Drup Arlsen, K" uniqKey="L Drup Arlsen K" first="K." last="L Drup-Carlsen">K. L Drup-Carlsen</name>
<affiliation wicri:level="1">
<mods:affiliation>Woman and Child Division, Department of Paediatrics, Ulleval University Hospital, Oslo, Norway</mods:affiliation>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Woman and Child Division, Department of Paediatrics, Ulleval University Hospital, Oslo</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lotvall, J" sort="Lotvall, J" uniqKey="Lotvall J" first="J." last="Lötvall">J. Lötvall</name>
<affiliation wicri:level="1">
<mods:affiliation>Krefting Research Centre, University of Gothenburg, Gothenburg, Sweden</mods:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Krefting Research Centre, University of Gothenburg, Gothenburg</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Morikawa, A" sort="Morikawa, A" uniqKey="Morikawa A" first="A." last="Morikawa">A. Morikawa</name>
<affiliation wicri:level="1">
<mods:affiliation>Kita Kanto Allergy Institute, Gunma University, Gunma, Maebashi, Japan</mods:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Kita Kanto Allergy Institute, Gunma University, Gunma, Maebashi</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Nieto, A" sort="Nieto, A" uniqKey="Nieto A" first="A." last="Nieto">A. Nieto</name>
<affiliation wicri:level="1">
<mods:affiliation>Pediatric Allergy Unit, Children's Hospital La Fe, Valencia, Spain</mods:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Pediatric Allergy Unit, Children's Hospital La Fe, Valencia</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Paramesh, H" sort="Paramesh, H" uniqKey="Paramesh H" first="H." last="Paramesh">H. Paramesh</name>
<affiliation wicri:level="1">
<mods:affiliation>Lakeside Medical Center and Hospital, Bangalore, India</mods:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Lakeside Medical Center and Hospital, Bangalore</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Pawankar, R" sort="Pawankar, R" uniqKey="Pawankar R" first="R." last="Pawankar">R. Pawankar</name>
<affiliation wicri:level="1">
<mods:affiliation>Division of Allergy & Immunology, Department of Pediatrics, Nippon Medical School, Tokyo, Japan</mods:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Division of Allergy & Immunology, Department of Pediatrics, Nippon Medical School, Tokyo</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Pohunek, P" sort="Pohunek, P" uniqKey="Pohunek P" first="P." last="Pohunek">P. Pohunek</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Pediatrics, University Hospital Motol, Charles University, Prague, Czech Republic</mods:affiliation>
<country xml:lang="fr">République tchèque</country>
<wicri:regionArea>Department of Pediatrics, University Hospital Motol, Charles University, Prague</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Pongracic, J" sort="Pongracic, J" uniqKey="Pongracic J" first="J." last="Pongracic">J. Pongracic</name>
<affiliation wicri:level="1">
<mods:affiliation>Division of Allergy & Immunology, Children's Memorial Hospital, IL, Chicago, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Allergy & Immunology, Children's Memorial Hospital, IL, Chicago</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Price, D" sort="Price, D" uniqKey="Price D" first="D." last="Price">D. Price</name>
<affiliation wicri:level="1">
<mods:affiliation>Primary Care Respiratory Society UK, University of Aberdeen, Aberdeen, UK</mods:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Primary Care Respiratory Society UK, University of Aberdeen, Aberdeen</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Robertson, C" sort="Robertson, C" uniqKey="Robertson C" first="C." last="Robertson">C. Robertson</name>
<affiliation wicri:level="1">
<mods:affiliation>The Royal Children's Hospital Melbourne, Vic., Melbourne, Australia</mods:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>The Royal Children's Hospital Melbourne, Vic., Melbourne</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Rosario, N" sort="Rosario, N" uniqKey="Rosario N" first="N." last="Rosario">N. Rosario</name>
<affiliation wicri:level="1">
<mods:affiliation>Division of Pediatric Allergy, Hospital de Clinicas UFPR, Parana, Brazil</mods:affiliation>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Division of Pediatric Allergy, Hospital de Clinicas UFPR, Parana</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Rossenwasser, L J" sort="Rossenwasser, L J" uniqKey="Rossenwasser L" first="L. J." last="Rossenwasser">L. J. Rossenwasser</name>
<affiliation wicri:level="1">
<mods:affiliation>Children's Mercy Hospital, MO, Kansas City, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Children's Mercy Hospital, MO, Kansas City</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Sly, P D" sort="Sly, P D" uniqKey="Sly P" first="P. D." last="Sly">P. D. Sly</name>
<affiliation wicri:level="1">
<mods:affiliation>Queensland Children's Medical Research Institute, The University of Queensland, Qld, Brisbane, Australia</mods:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Queensland Children's Medical Research Institute, The University of Queensland, Qld, Brisbane</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Stein, R" sort="Stein, R" uniqKey="Stein R" first="R." last="Stein">R. Stein</name>
<affiliation wicri:level="1">
<mods:affiliation>Pediatric Pulmonary Service, Hospital São Lucas, Pontifícia Universidade Católica RGS, Porto Alegre, Brazil</mods:affiliation>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Pediatric Pulmonary Service, Hospital São Lucas, Pontifícia Universidade Católica RGS, Porto Alegre</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Stick, S" sort="Stick, S" uniqKey="Stick S" first="S." last="Stick">S. Stick</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Respiratory Medicine, Princess Margaret Hospital for Children, WA, Perth, Australia</mods:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Respiratory Medicine, Princess Margaret Hospital for Children, WA, Perth</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Szefler, S" sort="Szefler, S" uniqKey="Szefler S" first="S." last="Szefler">S. Szefler</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Pediatrics, National Jewish Health, CO, Denver, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, National Jewish Health, CO, Denver</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Taussig, L M" sort="Taussig, L M" uniqKey="Taussig L" first="L. M." last="Taussig">L. M. Taussig</name>
<affiliation wicri:level="1">
<mods:affiliation>Office of the Provost, University of Denver, CO, Denver, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Office of the Provost, University of Denver, CO, Denver</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Valovirta, E" sort="Valovirta, E" uniqKey="Valovirta E" first="E." last="Valovirta">E. Valovirta</name>
<affiliation wicri:level="1">
<mods:affiliation>Terveystalo Turku, Allergy Clinic, University of Turku, Turku, Finland</mods:affiliation>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Terveystalo Turku, Allergy Clinic, University of Turku, Turku</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Vichyanond, P" sort="Vichyanond, P" uniqKey="Vichyanond P" first="P." last="Vichyanond">P. Vichyanond</name>
<affiliation wicri:level="1">
<mods:affiliation>International Affairs and Centers for Excellence, Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand</mods:affiliation>
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>International Affairs and Centers for Excellence, Faculty of Medicine, Siriraj Hospital, Bangkok</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Wallace, D" sort="Wallace, D" uniqKey="Wallace D" first="D." last="Wallace">D. Wallace</name>
<affiliation wicri:level="1">
<mods:affiliation>Nova Southeastern University, FL, Ft Lauderdale, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Nova Southeastern University, FL, Ft Lauderdale</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Weinberg, E" sort="Weinberg, E" uniqKey="Weinberg E" first="E." last="Weinberg">E. Weinberg</name>
<affiliation wicri:level="1">
<mods:affiliation>Allergy Unit, Red Cross Children's Hospital, University of Cape Town, Cape Town, South Africa</mods:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Allergy Unit, Red Cross Children's Hospital, University of Cape Town, Cape Town</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Wennergren, G" sort="Wennergren, G" uniqKey="Wennergren G" first="G." last="Wennergren">G. Wennergren</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Pediatrics, University of Gothenburg, Gothenburg, Sweden</mods:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Pediatrics, University of Gothenburg, Gothenburg</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Wildhaber, J" sort="Wildhaber, J" uniqKey="Wildhaber J" first="J." last="Wildhaber">J. Wildhaber</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Respiratory Medicine, University Children's Hospital, Zurich, Switzerland</mods:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Respiratory Medicine, University Children's Hospital, Zurich</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Zeiger, R S" sort="Zeiger, R S" uniqKey="Zeiger R" first="R. S." last="Zeiger">R. S. Zeiger</name>
<affiliation wicri:level="1">
<mods:affiliation>Department of Allergy, Kaiser Permanente Southern California, CA, San Diego, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Allergy, Kaiser Permanente Southern California, CA, San Diego</wicri:regionArea>
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</author>
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<monogr></monogr>
<series>
<title level="j" type="main">Allergy</title>
<title level="j" type="alt">ALLERGY</title>
<idno type="ISSN">0105-4538</idno>
<idno type="eISSN">1398-9995</idno>
<imprint>
<biblScope unit="vol">67</biblScope>
<biblScope unit="issue">8</biblScope>
<biblScope unit="page" from="976">976</biblScope>
<biblScope unit="page" to="997">997</biblScope>
<biblScope unit="page-count">22</biblScope>
<date type="published" when="2012-08">2012-08</date>
</imprint>
<idno type="ISSN">0105-4538</idno>
</series>
</biblStruct>
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<seriesStmt>
<idno type="ISSN">0105-4538</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Aamh</term>
<term>Acute asthma</term>
<term>Agonist</term>
<term>Airway</term>
<term>Allergen</term>
<term>Allergic</term>
<term>Allergic asthma</term>
<term>Allergic rhinitis</term>
<term>Allergy</term>
<term>Allergy clin immunol</term>
<term>American college</term>
<term>Asthma</term>
<term>Asthma control</term>
<term>Asthma diagnosis</term>
<term>Asthma exacerbations</term>
<term>Asthma management</term>
<term>Asthma papadopoulos</term>
<term>Asthma symptoms</term>
<term>Asthma treatment</term>
<term>Astrazeneca</term>
<term>Atopic</term>
<term>Atopy</term>
<term>Board membership</term>
<term>Boehringer ingelheim</term>
<term>Cape town</term>
<term>Carlsen</term>
<term>Chest tightness</term>
<term>Childhood asthma</term>
<term>Chronic asthma</term>
<term>Chronic treatment</term>
<term>Clin</term>
<term>Clinical practice</term>
<term>Cochrane</term>
<term>Cochrane database syst</term>
<term>Consultancy</term>
<term>Controller medication</term>
<term>Corticosteroid</term>
<term>Crit</term>
<term>Database</term>
<term>Disease control</term>
<term>Dos</term>
<term>Engl</term>
<term>Exacerbation</term>
<term>Feno</term>
<term>Future risk</term>
<term>Genentech</term>
<term>General consensus</term>
<term>Gina</term>
<term>Glaxosmithkline</term>
<term>Global strategy</term>
<term>Guideline</term>
<term>Hyperresponsiveness</term>
<term>Icon</term>
<term>Immunol</term>
<term>Immunology</term>
<term>Immunotherapy</term>
<term>Inhaled</term>
<term>Inhaled corticosteroids</term>
<term>Inhaled steroids</term>
<term>Inhaler</term>
<term>Jgca</term>
<term>John wiley sons icon</term>
<term>John wiley sons papadopoulos</term>
<term>Laba</term>
<term>Lemanske</term>
<term>Ltra</term>
<term>Lung function</term>
<term>Many countries</term>
<term>Medication</term>
<term>Merck</term>
<term>Montelukast</term>
<term>Naepp</term>
<term>Natural history</term>
<term>Novartis</term>
<term>Older children</term>
<term>Omalizumab</term>
<term>Papadopoulos</term>
<term>Pediatric</term>
<term>Pediatric asthma</term>
<term>Pediatrics</term>
<term>Persistent asthma</term>
<term>Pharmacotherapy</term>
<term>Phenotype</term>
<term>Practall</term>
<term>Preschool</term>
<term>Preschool children</term>
<term>Primary prevention</term>
<term>Public health</term>
<term>Recurrent episodes</term>
<term>Reliever</term>
<term>Research recommendations</term>
<term>Respir</term>
<term>Respir crit care</term>
<term>Respiratory medicine</term>
<term>Rhinitis</term>
<term>Sensitization</term>
<term>Severe asthma</term>
<term>Steroid</term>
<term>Symptom</term>
<term>Syst</term>
<term>Systematic review</term>
<term>Theophylline</term>
<term>Tobacco smoke</term>
<term>Uticasone</term>
<term>Wheeze</term>
<term>Young children</term>
<term>Zeiger</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Aamh</term>
<term>Acute asthma</term>
<term>Agonist</term>
<term>Airway</term>
<term>Allergen</term>
<term>Allergic</term>
<term>Allergic asthma</term>
<term>Allergic rhinitis</term>
<term>Allergy</term>
<term>Allergy clin immunol</term>
<term>American college</term>
<term>Asthma</term>
<term>Asthma control</term>
<term>Asthma diagnosis</term>
<term>Asthma exacerbations</term>
<term>Asthma management</term>
<term>Asthma papadopoulos</term>
<term>Asthma symptoms</term>
<term>Asthma treatment</term>
<term>Astrazeneca</term>
<term>Atopic</term>
<term>Atopy</term>
<term>Board membership</term>
<term>Boehringer ingelheim</term>
<term>Cape town</term>
<term>Carlsen</term>
<term>Chest tightness</term>
<term>Childhood asthma</term>
<term>Chronic asthma</term>
<term>Chronic treatment</term>
<term>Clin</term>
<term>Clinical practice</term>
<term>Cochrane</term>
<term>Cochrane database syst</term>
<term>Consultancy</term>
<term>Controller medication</term>
<term>Corticosteroid</term>
<term>Crit</term>
<term>Database</term>
<term>Disease control</term>
<term>Dos</term>
<term>Engl</term>
<term>Exacerbation</term>
<term>Feno</term>
<term>Future risk</term>
<term>Genentech</term>
<term>General consensus</term>
<term>Gina</term>
<term>Glaxosmithkline</term>
<term>Global strategy</term>
<term>Guideline</term>
<term>Hyperresponsiveness</term>
<term>Icon</term>
<term>Immunol</term>
<term>Immunology</term>
<term>Immunotherapy</term>
<term>Inhaled</term>
<term>Inhaled corticosteroids</term>
<term>Inhaled steroids</term>
<term>Inhaler</term>
<term>Jgca</term>
<term>John wiley sons icon</term>
<term>John wiley sons papadopoulos</term>
<term>Laba</term>
<term>Lemanske</term>
<term>Ltra</term>
<term>Lung function</term>
<term>Many countries</term>
<term>Medication</term>
<term>Merck</term>
<term>Montelukast</term>
<term>Naepp</term>
<term>Natural history</term>
<term>Novartis</term>
<term>Older children</term>
<term>Omalizumab</term>
<term>Papadopoulos</term>
<term>Pediatric</term>
<term>Pediatric asthma</term>
<term>Pediatrics</term>
<term>Persistent asthma</term>
<term>Pharmacotherapy</term>
<term>Phenotype</term>
<term>Practall</term>
<term>Preschool</term>
<term>Preschool children</term>
<term>Primary prevention</term>
<term>Public health</term>
<term>Recurrent episodes</term>
<term>Reliever</term>
<term>Research recommendations</term>
<term>Respir</term>
<term>Respir crit care</term>
<term>Respiratory medicine</term>
<term>Rhinitis</term>
<term>Sensitization</term>
<term>Severe asthma</term>
<term>Steroid</term>
<term>Symptom</term>
<term>Syst</term>
<term>Systematic review</term>
<term>Theophylline</term>
<term>Tobacco smoke</term>
<term>Uticasone</term>
<term>Wheeze</term>
<term>Young children</term>
<term>Zeiger</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Allergie</term>
<term>Conseil et expertise</term>
<term>Base de données</term>
<term>Immunologie</term>
<term>Santé publique</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract">Asthma is the most common chronic lower respiratory disease in childhood throughout the world. Several guidelines and/or consensus documents are available to support medical decisions on pediatric asthma. Although there is no doubt that the use of common systematic approaches for management can considerably improve outcomes, dissemination and implementation of these are still major challenges. Consequently, the International Collaboration in Asthma, Allergy and Immunology (iCAALL), recently formed by the EAACI, AAAAI, ACAAI, and WAO, has decided to propose an International Consensus on (ICON) Pediatric Asthma. The purpose of this document is to highlight the key messages that are common to many of the existing guidelines, while critically reviewing and commenting on any differences, thus providing a concise reference. The principles of pediatric asthma management are generally accepted. Overall, the treatment goal is disease control. To achieve this, patients and their parents should be educated to optimally manage the disease, in collaboration with healthcare professionals. Identification and avoidance of triggers is also of significant importance. Assessment and monitoring should be performed regularly to re‐evaluate and fine‐tune treatment. Pharmacotherapy is the cornerstone of treatment. The optimal use of medication can, in most cases, help patients control symptoms and reduce the risk for future morbidity. The management of exacerbations is a major consideration, independent of chronic treatment. There is a trend toward considering phenotype‐specific treatment choices; however, this goal has not yet been achieved.</div>
</front>
</TEI>
</record>

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