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Management of acute episodes in young children in the community

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The assessment of acute asthma in children under five can be difficult

  • viral infections are usually responsible for intermittent wheezing attacks
  • furthermore, response to asthma medication may be inconsistent

Differential diagnosis of symptoms includes:

  • aspiration pneumonitis
  • pneumonia
  • bronchiolitis
  • tracheomalacia
  • complications of underlying conditions such as congenital anomalies and cystic fibrosis

The first decision point in the management is whether the child is <2 years, 2-5 years old or > 5 years.

  • management of acute asthma in children under 1 year should be under the direction of a respiratory paediatrician

Reference:

  1. British Thoracic Society (BTS)/Scottish Intercollegiate Guidelines Network (SIGN) 2019. British Guideline on the Management of Asthma. A national clinical guideline.

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