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• Indicaciones para el hogar

- Evitar factores desencadenantes como contaminantes

intradomiciliarios (calefacción contaminante,

tabaquismo), alérgenos a los cuales el niño esté

sensibilizado y actividad física entre otros.

- Si requirió corticoides sistémicos completar a lo menos

5 días.

- Salbutamol: continuar su uso 2 puff cada 4 horas hasta

ser controlado por su médico.

- Revisar técnica inhalatoria.

- Plan escrito para manejo precoz en domicilio de futuras

exacerbaciones.

- Control por médico especialista en enfermedades

respiratorias, para estudio y seguimiento.

REFERENCIAS

1. Sears MR, Greene JM, William AR, Wiecek EM, Taylor DR, FlanneryEM

et al. A longitudinal, population-based, cohort study of childhood asthma

followed to adulthood. N Engl J Med 2003; 349:1414-1422

2. Phelan PD, Robertson CF y Olinsky A. The Melbourn Asthma Study:

1964-1999. J Allergy Clin Inmunol 2002; 109: 189-194

3. Martinez FD. What have we learned from the Tucson Children´s

Respiratory Study. Paediatr Respir Rev 2002; 3: 193-197

4. Tenero L, Tezza G, Cattazzo E y Piacentini G. Wheezing in preschool

children. Early Hum Dev 2013; 89 Suppl 3: S13-17

5. Castro-Rodríguez JA, Holberg CJ, Wright AL y Martínez 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

6. Martinez FD, Wright AL, Taussig L, Holberg CJ, Halonen M y Morgan

WJ. Asthma and wheezing in the first six years of life. N Engl J Med

1995; 332: 133-138

7. Henderson J, Granell R, Heron J, Sherrif A, Simpson A, Woodcock A

et al. Associations of wheezing phenotypes in the first 6 years of life

with atopy, lung function and airway responsiveness in mid- childhood.

Thorax 2008; 63:974-980

8. Sonnappa S, Bastardo CM, Wade A, Saglani S, McKenzie SA, Bush A

et al. Symptom-pattern phenotype and pulmonary function in preschool

wheezers . J Allergy Clin Immunol 2010; 126:519-26

9. Brand P, Baraldi E, Bisgaard, Boner A, Castro-Rodriguez JA, Custovic

A et al. Definition assessment and treatment of wheezing disorders in

preschool children and evidence based approach. Eur Resp J 2008;

32:1096-1110

10. Brand P, Caudri D, Eber E, Gaillard E A,
Garcia-Marcos L, Hedlin G et

al. Classification and pharmacological treatment of preschool wheezing:

changes since 2008. Eur Respir J 2014; 43: 1172-1177

11. Papadopoulus NG, Arakawa H, Carlsen KH, Custovic A, Gern J,

Lemanske R et al. International consensus on pediatric asthma. Allergy

2012; 67: 976-997

12. Bush A. Diagnosis of asthma in children under five. Prim Care Respir

J 2007; 16:7-15

13. Beydon N, Davis SD, Lombardi E, Allen JL, Arets HG, Aurora P et

al. An Official American Thoracic Society/European Respiratory Society

Statement: Pulmonary Function Testing in Preschool Children. Am J

Respir Crit Care Med 2007; 175:1304-1345

14. Rosenfeld M, Allen J, Arets BH, Aurora P, Beydon N, Calogero C

et al. An Official American Thoracic Society Workshop Report: Optimal

Lung Function Tests for Monitoring Cystic Fibrosis, Bronchopulmonary

Dysplasia and Recurrent Wheezing in Children Less Than 6 years of age.

Ann Am Thorac Soc 2013; 10: S1-S11

15. Kaditis AG, Winnie G, Syrogiannopulos GA. Anti-Inflammatory

Pharmacotherapy for Wheezing in Preschool Children. Pediatr Pulmonol

2007; 42: 407–420

16. Castro-Rodriguez JA y Rodrigo G. Efficacy of inhaled corticosteroids

in infants and preschoolers with recurrent wheezing and asthma: a

systematic review with meta-analysis. Pediatrics 2009;123:e519–e525

17. Guilbert T, Morgan WJ, Zeiger RS, Mauger DT, Boehmer SJ, Szefler

SJ et al. Long-Term Inhaled Corticosteroids in Preschool Children at

High Risk for Asthma. NEJM 2006; 354: 1985-97

18. Bacharier L, Guilbert T, Zeiger R, Strunk R, Morgan W, Lemanske R 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

19. Ducharme FM, Lemire C, Noya FJ, Davis GM, Alos N, Leblond H, et

al. Preemptive use of high-dose fluticasone for virus-induced wheezing

in young children. N Engl J Med 2009;360:339-53

20. Bisgaard H, Zielen S, García-García ML, Johnston S, Gilles L, Menten

J et al. Montelukast reduces asthma exacerbations in 2 to 5 year old

children with intermittent asthma. Am J Respir Crit Care Med 2005;

171: 315-322

21. Robertson C, Price D, Henry R, Mellis C, Glasgow N, Fitzgerald D et

al. Short course montelukast for intermittent asthma in children. Am J

Respir Crit Care Med 2007; 175: 323-9

22. Birken CS, Parkin PC y Macarthur C. Asthma severity scores

for preschoolers displayed weaknesses in reliability, validity, and

responsiveness. J Clin Epidemiol 2004; 57:1177-81

23. Chalut DS, Ducharme FM y Davis GM. The Preschool Respiratory

Assessment Measure (PRAM): A responsive index of acute asthma

severity. J Pediatr 2000; 137:762-8

24. Reddel HK, Taylor DR, Bateman ED, Boulet LP, Boushey HA, Busse

WW et al. An official American Thoracic Society/European Respiratory

Society statement: asthma control and exacerbations: standardizing

endpoints for clinical asthma trials and clinical practice. Am J Crit Care

Med 2009; 180:59-99

25. Bekhof J, Reimink R y Brand PL. Systematic review: Insufficient

validation of clinical scores for the assessment of acute dyspnea in

wheezing children. Paediatr Respir Rev 2014; 15: 98-112

26. Ralston M, Hazinski MF, Zaritsky AL, Schexnayder SM, Kleinman ME.

Pediatric Advance Life Support Course Guide. Dallas, TX: American Heart

Association, 2006

27. Carroll W, Lenney W. Drug therapy in the management of acute

asthma. Arch Dis Child Educ Pract Ed 2007;92(3):ep82-6

28. Castro-Rodríguez JA y 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 -177

29. Douglas G, Higgins B, Barnes N, Boyter A, Burge S, Cates C et al.

British Guideline on the Management of Asthma. Thorax 2008; 63 Suppl

4: 1-121

30. Camargo CA Jr, Rachelefsky, G y Schatz M. Managing asthma

exacerbations in the emergency department: summary of the National

Asthma Education and Prevention Program Expert Panel Report 3

guidelines for the management of asthma exacerbations. J Emerg Med

2009; 37(2 Suppl): S6-S17

31. Ortiz-Alvarez O y Mikrogianakis A. Canadian Paediatric Society.

Acute Care Committee. Managing the paediatric patient with an acute

asthma exacerbation. Paediatr Child Health 2012;17(5):251-62

32. Pedersen SE, Hurd SS, Lemanske RF Jr, Becker A, Zar HJ, Sly PD

et al. Global Initiative for Asthma. Global Strategy for the Diagnosis

and Management of Asthma in Children 5 Years and Younger. Pediatr

Pulmonol. 2011;46 :1-17

33. Papo MC, Frank J y Thompson AE. A prospective, randomized study

of continuous versus intermittent nebulized albuterol for severe status

C o n t e n i d o d i s p o n i b l e e n h t t p : / / www. n e umo l o g i a - p e d i a t r i c a . cl

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Neumol Pediatr 2014; 9 (2): 43-50

Consenso chileno SER-SOCHINEP para el manejo del asma en el pre-escolar