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Szerzők:

• Kemp, James P.

Kiadás:

Kiadó: Science Press Ltd.
2002

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Fülszöveg

Preface

In 1999, S. Hasan Arshad and Stephen T. Holgate wrote the Clinician's Manual on Asthma, which focused, to a large degree, on issues that are involved in the diagnosis and management of adult asthma. Why, in that case, is a manual for childhood asthma necessary? First, the majority of asthma begins in childhood, making it the number one chronic pediatric illness.
Second, as mentioned by Arshad and Holgate, asthma may be more of a 'syndrome' than a disease that affects adults and children differently. Finally, although many of the same management approaches and pharmacotherapeutic agents are similar there are many differences. Some are differences in the patient's response to treatment and some are, in many cases, differences in the dose required to obtain an adequate therapeutic response without unacceptable adverse effects. For children, this dose may not always be one half of the adult dose.
Although this manual has been written by a pediatric allergist who has specialized in the treatment of children with asthma for nearly 35 years, it has been written to be understood and used by all healthcare professionals. The majority of this manual is based on scientific studies and on clinical data published in peer reviewed journals, as well as on recommendations in various asthma management guidelines. However, in some sections, information has been included that has been gained from personal experiences and from children with asthma and their parents. Where this is the case, it will be clearly noted in the text, so that the reader will be aware of the differences between data driven and opinion driven information. Ideally, all scientific publications should be based on data; however, the practice of medicine can never entirely leave out the human factor  the interaction between the physician and the patient. It is often this relationship on which the success or failure of a particular treatment plan hinges. This is certainly true of all chronic diseases but is especially true in properly managing a child with asthma and the family dynamics that result from such a disease./James P Kemp, MD, FAAAA1 University of California School of Medicine San Diego, California