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International consensus on (ICON) pediatric asthma

Identifieur interne : 005654 ( Main/Exploration ); précédent : 005653; suivant : 005655

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

Descripteurs français

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


Affiliations:


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Le document en format XML

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<name sortKey="Bacharier, L B" sort="Bacharier, L B" uniqKey="Bacharier L" first="L. B." last="Bacharier">L. B. Bacharier</name>
<affiliation wicri:level="1">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Pediatric Allergy, Immunology and Pulmonary Medicine, Department of Pediatrics, Washington University School of Medicine and St Louis Children's Hospital, MO, St Louis</wicri:regionArea>
<wicri:noRegion>St Louis</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Baraldi, E" sort="Baraldi, E" uniqKey="Baraldi E" first="E." last="Baraldi">E. Baraldi</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Pediatrics, Unit of Allergy and Respiratory Medicine, University of Padova, Padova</wicri:regionArea>
<wicri:noRegion>Padova</wicri:noRegion>
</affiliation>
</author>
<author>
<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>
<affiliation wicri:level="1">
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Paediatrics, Children's Medical Institute, National University Hospital, National University Health System, Singapore</wicri:regionArea>
<wicri:noRegion>Singapore</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="De Blic, J" sort="De Blic, J" uniqKey="De Blic J" first="J." last="De Blic">J. De Blic</name>
<affiliation wicri:level="4">
<country xml:lang="fr">France</country>
<wicri:regionArea>Université Paris Descartes, Assistance Publique des Hôpitaux de Paris, Service de Pneumologie et Allergologie Pédiatriques, Paris</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
<settlement type="city">Paris</settlement>
</placeName>
<orgName type="university">Université Paris-Descartes</orgName>
</affiliation>
</author>
<author>
<name sortKey="Boner, A" sort="Boner, A" uniqKey="Boner A" first="A." last="Boner">A. Boner</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Paediatrics, University of Verona, Verona</wicri:regionArea>
<wicri:noRegion>Verona</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Burks, W" sort="Burks, W" uniqKey="Burks W" first="W." last="Burks">W. Burks</name>
<affiliation wicri:level="1">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Allergy and Immunology, Department of Pediatrics, Duke University Medical Center, NC, Durham</wicri:regionArea>
<wicri:noRegion>Durham</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Casale, T B" sort="Casale, T B" uniqKey="Casale T" first="T. B." last="Casale">T. B. Casale</name>
<affiliation wicri:level="1">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Allergy and Immunology, Department of Medicine, Creighton University, NE, Omaha</wicri:regionArea>
<wicri:noRegion>Omaha</wicri:noRegion>
</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">
<country xml:lang="fr">Chili</country>
<wicri:regionArea>School of Medicine, Pontificia Universidad Catolica de Chile, Santiago</wicri:regionArea>
<wicri:noRegion>Santiago</wicri:noRegion>
</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="3">
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Capital Institute of Pediatrics, Beijing</wicri:regionArea>
<placeName>
<settlement type="city">Pékin</settlement>
</placeName>
</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">
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Pediatric Allergy and Immunology Unit, Ain Shams University, Cairo</wicri:regionArea>
<wicri:noRegion>Cairo</wicri:noRegion>
</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">
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Respiratory Medicine, Sheffield Children's Hospital, Western Bank, Sheffield</wicri:regionArea>
<wicri:noRegion>Sheffield</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Frischer, T" sort="Frischer, T" uniqKey="Frischer T" first="T." last="Frischer">T. Frischer</name>
<affiliation wicri:level="3">
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>University Children's Hospital Vienna, Vienna</wicri:regionArea>
<placeName>
<settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Geller, M" sort="Geller, M" uniqKey="Geller M" first="M." last="Geller">M. Geller</name>
<affiliation wicri:level="3">
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Geller Allergy and Immunology Clinic, Rio de Janeiro</wicri:regionArea>
<placeName>
<settlement type="city">Rio de Janeiro</settlement>
<region type="state">État de Rio de Janeiro</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Gereda, J" sort="Gereda, J" uniqKey="Gereda J" first="J." last="Gereda">J. Gereda</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Pérou</country>
<wicri:regionArea>Department of Allergy and Immunology, Clinica Ricardo Palma, Lima</wicri:regionArea>
<wicri:noRegion>Lima</wicri:noRegion>
</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">
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Paediatrics, National University Hospital, Singapore</wicri:regionArea>
<wicri:noRegion>Singapore</wicri:noRegion>
</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">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>School of Medicine and Public Health, University of Wisconsin, WI, Madison</wicri:regionArea>
<wicri:noRegion>Madison</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hedlin, G" sort="Hedlin, G" uniqKey="Hedlin G" first="G." last="Hedlin">G. Hedlin</name>
<affiliation wicri:level="3">
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm</wicri:regionArea>
<placeName>
<settlement type="city">Stockholm</settlement>
<region nuts="2">Svealand</region>
</placeName>
</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">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Asthma and Allergic Diseases Center, University of Virginia, VA, Charlottesville</wicri:regionArea>
<wicri:noRegion>Charlottesville</wicri:noRegion>
</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="3">
<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>
<placeName>
<settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</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">
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Pediatric Allergy and Immunology Unit, Children's Hospital, Ain Shams University, Cairo</wicri:regionArea>
<wicri:noRegion>Cairo</wicri:noRegion>
</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">
<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>
<wicri:noRegion>Taoyuan</wicri:noRegion>
</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">
<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>
<wicri:noRegion>Madison</wicri:noRegion>
</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="3">
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Pediatrics, Erasmus University Medical Center, Sophia Children's Hospital, Rotterdam</wicri:regionArea>
<placeName>
<settlement type="city">Rotterdam</settlement>
<region nuts="2" type="province">Hollande-Méridionale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kalayci, O" sort="Kalayci, O" uniqKey="Kalayci O" first="O." last="Kalayci">O. Kalayci</name>
<affiliation wicri:level="1">
<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>
<wicri:noRegion>Ankara</wicri:noRegion>
</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">
<country xml:lang="fr">Algérie</country>
<wicri:regionArea>International Union Against Tuberculosis and Lung Disease (The Union), Algiers, Cheraga</wicri:regionArea>
<wicri:noRegion>Cheraga</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kling, S" sort="Kling, S" uniqKey="Kling S" first="S." last="Kling">S. Kling</name>
<affiliation wicri:level="1">
<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>
<wicri:noRegion>Cape Town</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kuna, P" sort="Kuna, P" uniqKey="Kuna P" first="P." last="Kuna">P. Kuna</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Second Department of Medicine, Barlicki University Hospital, Medical University of Lodz, Lodz</wicri:regionArea>
<wicri:noRegion>Lodz</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lau, S" sort="Lau, S" uniqKey="Lau S" first="S." last="Lau">S. Lau</name>
<affiliation wicri:level="3">
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Pediatric Pneumology and Immunology, Charité Medical University Berlin, Berlin</wicri:regionArea>
<placeName>
<region type="land" nuts="3">Berlin</region>
<settlement type="city">Berlin</settlement>
</placeName>
</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="4">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Allergy/Immunology, University of South Florida, FL, Tampa</wicri:regionArea>
<orgName type="university">Université de Floride du Sud</orgName>
<placeName>
<settlement type="city">Tampa</settlement>
<region type="state">Floride</region>
</placeName>
</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="3">
<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>
<placeName>
<settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</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">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>National Jewish Health and University of Colorado Denver School of Medicine, CO, Denver</wicri:regionArea>
<wicri:noRegion>Denver</wicri:noRegion>
</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="4">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Allergy/Immunology, University of South Florida, FL, Tampa</wicri:regionArea>
<orgName type="university">Université de Floride du Sud</orgName>
<placeName>
<settlement type="city">Tampa</settlement>
<region type="state">Floride</region>
</placeName>
</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="3">
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Woman and Child Division, Department of Paediatrics, Ulleval University Hospital, Oslo</wicri:regionArea>
<placeName>
<settlement type="city">Oslo</settlement>
<region nuts="2">Østlandet</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Lotvall, J" sort="Lotvall, J" uniqKey="Lotvall J" first="J." last="Lötvall">J. Lötvall</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Krefting Research Centre, University of Gothenburg, Gothenburg</wicri:regionArea>
<wicri:noRegion>Gothenburg</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Morikawa, A" sort="Morikawa, A" uniqKey="Morikawa A" first="A." last="Morikawa">A. Morikawa</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Kita Kanto Allergy Institute, Gunma University, Gunma, Maebashi</wicri:regionArea>
<wicri:noRegion>Maebashi</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Nieto, A" sort="Nieto, A" uniqKey="Nieto A" first="A." last="Nieto">A. Nieto</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Pediatric Allergy Unit, Children's Hospital La Fe, Valencia</wicri:regionArea>
<wicri:noRegion>Valencia</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Paramesh, H" sort="Paramesh, H" uniqKey="Paramesh H" first="H." last="Paramesh">H. Paramesh</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Lakeside Medical Center and Hospital, Bangalore</wicri:regionArea>
<wicri:noRegion>Bangalore</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Pawankar, R" sort="Pawankar, R" uniqKey="Pawankar R" first="R." last="Pawankar">R. Pawankar</name>
<affiliation wicri:level="3">
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Division of Allergy & Immunology, Department of Pediatrics, Nippon Medical School, Tokyo</wicri:regionArea>
<placeName>
<settlement type="city">Tokyo</settlement>
<region type="région">Région de Kantō</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Pohunek, P" sort="Pohunek, P" uniqKey="Pohunek P" first="P." last="Pohunek">P. Pohunek</name>
<affiliation wicri:level="3">
<country xml:lang="fr">République tchèque</country>
<wicri:regionArea>Department of Pediatrics, University Hospital Motol, Charles University, Prague</wicri:regionArea>
<placeName>
<settlement type="city">Prague</settlement>
<region type="région" nuts="2">Bohême centrale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Pongracic, J" sort="Pongracic, J" uniqKey="Pongracic J" first="J." last="Pongracic">J. Pongracic</name>
<affiliation wicri:level="3">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Allergy & Immunology, Children's Memorial Hospital, IL, Chicago</wicri:regionArea>
<placeName>
<settlement type="city">Chicago</settlement>
<region type="state">Illinois</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Price, D" sort="Price, D" uniqKey="Price D" first="D." last="Price">D. Price</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Primary Care Respiratory Society UK, University of Aberdeen, Aberdeen</wicri:regionArea>
<wicri:noRegion>Aberdeen</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Robertson, C" sort="Robertson, C" uniqKey="Robertson C" first="C." last="Robertson">C. Robertson</name>
<affiliation wicri:level="3">
<country xml:lang="fr">Australie</country>
<wicri:regionArea>The Royal Children's Hospital Melbourne, Vic., Melbourne</wicri:regionArea>
<placeName>
<settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Rosario, N" sort="Rosario, N" uniqKey="Rosario N" first="N." last="Rosario">N. Rosario</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Division of Pediatric Allergy, Hospital de Clinicas UFPR, Parana</wicri:regionArea>
<wicri:noRegion>Parana</wicri:noRegion>
</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">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Children's Mercy Hospital, MO, Kansas City</wicri:regionArea>
<wicri:noRegion>Kansas City</wicri:noRegion>
</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">
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Queensland Children's Medical Research Institute, The University of Queensland, Qld, Brisbane</wicri:regionArea>
<wicri:noRegion>Brisbane</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Stein, R" sort="Stein, R" uniqKey="Stein R" first="R." last="Stein">R. Stein</name>
<affiliation wicri:level="3">
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Pediatric Pulmonary Service, Hospital São Lucas, Pontifícia Universidade Católica RGS, Porto Alegre</wicri:regionArea>
<placeName>
<settlement type="city">Porto Alegre</settlement>
<region type="state">Rio Grande do Sul</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Stick, S" sort="Stick, S" uniqKey="Stick S" first="S." last="Stick">S. Stick</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Respiratory Medicine, Princess Margaret Hospital for Children, WA, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Szefler, S" sort="Szefler, S" uniqKey="Szefler S" first="S." last="Szefler">S. Szefler</name>
<affiliation wicri:level="1">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, National Jewish Health, CO, Denver</wicri:regionArea>
<wicri:noRegion>Denver</wicri:noRegion>
</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">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Office of the Provost, University of Denver, CO, Denver</wicri:regionArea>
<wicri:noRegion>Denver</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Valovirta, E" sort="Valovirta, E" uniqKey="Valovirta E" first="E." last="Valovirta">E. Valovirta</name>
<affiliation wicri:level="4">
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Terveystalo Turku, Allergy Clinic, University of Turku, Turku</wicri:regionArea>
<placeName>
<settlement type="city">Turku</settlement>
<region type="région" nuts="2">Finlande occidentale</region>
<settlement type="city">Turku</settlement>
</placeName>
<orgName type="university">Université de Turku</orgName>
</affiliation>
</author>
<author>
<name sortKey="Vichyanond, P" sort="Vichyanond, P" uniqKey="Vichyanond P" first="P." last="Vichyanond">P. Vichyanond</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>International Affairs and Centers for Excellence, Faculty of Medicine, Siriraj Hospital, Bangkok</wicri:regionArea>
<wicri:noRegion>Bangkok</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Wallace, D" sort="Wallace, D" uniqKey="Wallace D" first="D." last="Wallace">D. Wallace</name>
<affiliation wicri:level="1">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Nova Southeastern University, FL, Ft Lauderdale</wicri:regionArea>
<wicri:noRegion>Ft Lauderdale</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Weinberg, E" sort="Weinberg, E" uniqKey="Weinberg E" first="E." last="Weinberg">E. Weinberg</name>
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<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>
<wicri:noRegion>Cape Town</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Wennergren, G" sort="Wennergren, G" uniqKey="Wennergren G" first="G." last="Wennergren">G. Wennergren</name>
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<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Pediatrics, University of Gothenburg, Gothenburg</wicri:regionArea>
<wicri:noRegion>Gothenburg</wicri:noRegion>
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</author>
<author>
<name sortKey="Wildhaber, J" sort="Wildhaber, J" uniqKey="Wildhaber J" first="J." last="Wildhaber">J. Wildhaber</name>
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<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Respiratory Medicine, University Children's Hospital, Zurich</wicri:regionArea>
<wicri:noRegion>Zurich</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Zeiger, R S" sort="Zeiger, R S" uniqKey="Zeiger R" first="R. S." last="Zeiger">R. S. Zeiger</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Allergy, Kaiser Permanente Southern California, CA, San Diego</wicri:regionArea>
<placeName>
<settlement type="city">San Diego</settlement>
<region type="state">Californie</region>
</placeName>
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</author>
</analytic>
<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>
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<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>
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<li>Chili</li>
<li>Corée du Sud</li>
<li>Espagne</li>
<li>Finlande</li>
<li>France</li>
<li>Grèce</li>
<li>Inde</li>
<li>Italie</li>
<li>Japon</li>
<li>Norvège</li>
<li>Pays-Bas</li>
<li>Pologne</li>
<li>Pérou</li>
<li>Royaume-Uni</li>
<li>République populaire de Chine</li>
<li>République tchèque</li>
<li>Singapour</li>
<li>Suisse</li>
<li>Suède</li>
<li>Taïwan</li>
<li>Thaïlande</li>
<li>Turquie</li>
<li>Égypte</li>
<li>États-Unis</li>
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<li>Berlin</li>
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<li>Floride</li>
<li>Grand Manchester</li>
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<li>San Diego</li>
<li>Sha Tin</li>
<li>Stockholm</li>
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<li>Tampa</li>
<li>Tokyo</li>
<li>Turku</li>
<li>Vienne (Autriche)</li>
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<li>Université Paris-Descartes</li>
<li>Université chinoise de Hong Kong</li>
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