A Structured Multidisciplinary Approach to Managing Difficult-to-Treat Asthma in Children

O’Donoghue, Dara; Shields, Michael

doi:10.1007/978-3-030-27431-3_5

Cited by 2 publications

(1 citation statement)

References 38 publications

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“…Many patients with on-going severe problem asthma improve their asthma control when the essentials of asthma care are in place (full understanding and action of PAAP, correct adherence to preventer therapy, correct inhaler technique along with trigger avoidance) and a period of optimised medication has been delivered. 9 , 10 Patients failing to respond to a period of optimised therapy have Severe Treatment Resistant Asthma (STRA). For such patients, new biologic agents (namely, monoclonal antibodies to various inflammatory pathways such as IgE and Interleukins including anti-iL5 and Il4/IL13) have proven efficacy in reducing asthma exacerbation rates.…”

Section: Types Of Therapy For Asthma In Childrenmentioning

confidence: 99%

Medication Adherence in Children with Asthma

McCrossan,

Shields,

McElnay

2024

PPA

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Asthma is the most common chronic disease in childhood. If untreated, asthma can lead to debilitating daily symptoms which affect quality of life, but more importantly can lead to fatal asthma attacks which unfortunately still occur globally. The most effective treatment strategy for controlling asthma is for the patient to follow a personalised asthma action plan (PAAP) which will invariably include regular use of an inhaled corticosteroid. To examine medication adherence in children with asthma, we collated recent evidence from systematic reviews in this area to address the following 5 key questions; What is adherence? Is there evidence that children are not adhering to preventer medication? Why is adherence poor and what are the barriers to adherence? Does good adherence improve outcomes in asthma? And lastly, how can treatment adherence be improved?

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Section: Types Of Therapy For Asthma In Childrenmentioning

confidence: 99%

Medication Adherence in Children with Asthma

McCrossan,

Shields,

McElnay

2024

PPA

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Mobile video directly observed therapy can be used to improve at-home inhaler technique in children with asthma

Shields

McElnay

2021

ERJ Open Res

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We were very pleased to read the article “Comparison of inhalation technique with the Diskus and Autohaler in asthmatic children at home”, recently published in ERJ Open Research [1]. In that paper, the authors describe using video Directly Observed Therapy (vDOT) to detect children's errors when using their inhalers at home. This is very important, and clearly shows that paediatricians and asthma specialists can wrongly assume that if a child can demonstrate correct inhaler technique in the clinic, they will continue to use correct inhaler technique when at home. The authors also report that errors were more frequent when the dry-powder Diskhaler was compared with the Autohaler.

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A Structured Multidisciplinary Approach to Managing Difficult-to-Treat Asthma in Children

Cited by 2 publications

References 38 publications

Medication Adherence in Children with Asthma

Medication Adherence in Children with Asthma

Mobile video directly observed therapy can be used to improve at-home inhaler technique in children with asthma

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