Diagnosis dan Manajemen Jangka Panjang Asma pada Balita
DOI:
https://doi.org/10.55175/cdk.v46i10.416Kata Kunci:
Asma balita, beta-2 agonis kerja singkatAbstrak
Asma merupakan penyakit kronis yang paling umum pada anak. Diagnosis asma pada balita sebagian besar dinilai lewat gejala klinis, riwayat keluarga, dan pemeriksaan fisik. Pemberian beta 2 agonis kerja singkat per inhalasi harus dimulai pada setiap balita dengan episode mengi, meskipun diagnosis asma belum ditegakkan. Uji terapi pengendali asma diberikan pada balita dengan gejala klinis mengarah ke asma dan gejala saluran napas tidak terkontrol dan/ atau episode mengi yang sangat sering atau berat.
Asthma is the most common chronic disease of childhood. A diagnosis of asthma in young children is based largely on symptom patterns combined with a careful clinical assessment of family history and physical findings. Wheezing episodes in young children should be treated initially with inhaled short-acting beta2-agonists. A trial of controller therapy should be given if the symptom pattern suggests asthma and respiratory symptoms are uncontrolled and/or wheezing episodes are frequent or severe.
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Referensi
Liu AH, Covar RA, Spahn JD, Leung DY. Childhood asthma. In: Kliegman RM, Stanton BF, Schor NF, St. Geme, JS, Behrman RE, editors. Nelson textbook pediatric. 19th ed. Elseiver: Philadelphia: 2011. p. 780-1
Masoli M, Fabian D, Holt S, Beasley R. The global burden of asthma: Executive summary of the GINA Dissemination Committee report. Allergy 2004;59:469-78.
Simpson CR, Sheikh A. Trends in the epidemiology of asthma in England: A national study of 333,294 patients. J R Soc Med. 2010;103:98-106.
Kuehni CE, Strippoli MP, Low N, Brooke AM, Silverman M. Wheeze and asthma prevalence and related health-service use in white and south Asian pre-school children in the United Kingdom. Clin Exp Allergy 2007;37:1738-46.
FitzGerald JM, Reddel HK. Global initiative for asthma. Global strategy for asthma management and prevention [Internet]. 2016 [cited 2016 Sept 16.]:98-111. Available from: www.ginasthma.org
Just J, Saint-Pierre P, Gouvis-Echraghi R, Boutin B, Panayotopoulos V, Chebahi N, et al. Wheeze phenotypes in young children have different courses during the preschool period. Ann Allergy Asthma Immunol. 2013;111:256-61.e1.
Bacharier LB, Guilbert TW, Zeiger RS, Strunk RC, Morgan WJ, Lemanske RF, et al. Patient characteristics associated with improved outcomes with use of an inhaled corticosteroid in preschool children at risk for asthma. J Allergy Clin Immunol 2009;123:1077-82, 82.e1-5.
Singer F, Luchsinger I, Inci D, Knauer N, Latzin P, Wildhaber JH, et al. Exhaled nitric oxide in symptomatic children at preschool age predicts later asthma. Allergy 2013;68:531-8.
Castro-Rodriguez JA, Holberg CJ, Wright AL, Martinez FD. A clinical index to define risk of asthma in young children with recurrent wheezing. Am J Respir Crit Care Med 2000;162:1403-6.
Rahajoe N, Kartasasmita CB, Supriyatno B, Setyanto DB, editors. Pedoman nasional asma anak. 2nd Ed. Jakarta: UKK Respirologi PP IDAI; 2015.
Supriyatno B. Diagnosis dan penatalaksanaan terkini asma pada anak. Maj Kedokt Indon. 2005;55(3):237-44
Brand PL, Caudri D, Eber E, Gaillard EA, Garcia-Marcos L, Hedlin G, et al. Classification and pharmacological treatment of preschool wheezing: Changes since 2008. Eur Respir J. 2014;43:1172-7.
Bisgaard H, Hermansen MN, Loland L, Halkjaer LB, Buchvald F. Intermittent inhaled corticosteroids in infants with episodic wheezing. N Engl J Med. 2006;354:1998-2005.
Bisgaard H, Allen D, Milanowski J, Kalev I, Willits L, Davies P. Twelve-month safety and efficacy of inhaled fluticasone propionate in children aged 1 to 3 years with recurrent wheezing. Pediatrics 2004;113:87-94.
Guilbert TW, Morgan WJ, Zeiger RS, Mauger DT, Boehmer SJ, Szefler SJ, et al. Long-term inhaled corticosteroids in preschool children at high risk for asthma. N Engl J Med. 2006;354:1985-97.
Deerojanawong J, Manuyakorn W, Prapphal N, Harnruthakorn C, Sritippayawan S, Samransamruajkit R. Randomized controlled trial of salbutamol aerosol therapy via metered dose inhaler-spacer vs. jet nebulizer in young children with wheezing. Pediatr Pulmonol. 2005;39:466-72.
Castro-Rodriguez JA, Rodrigo GJ. Beta-agonists through metered-dose inhaler with valved holding chamber versus nebulizer for acute exacerbation of wheezing or asthma in children under 5 years of age: A systematic review with meta-analysis. J Pediatr. 2004;145:172-7.
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