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Richtlijn 'Astma bij kinderen (0-19 jaar' voor de jeugdgezondheidszorg [Guidelines for 'Asthma in children (ages 0-19)' for youth healthcare]

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Author: Breuning-Boers,J.M. · Heerdink, M. · Kamphuis,M. · Gameren-Oosterom, H. van · Lanting,C.
Type:article
Date:2012
Source:Nederlands Tijdschrift voor Geneeskunde, 156
Identifier: 466985
Article number: A5204
Keywords: Health · antiasthmatic agent · adolescent · adult · asthma · breast feeding · child · female · human · infant · male · newborn · passive smoking · pediatrics · practice guideline · preschool child · primary prevention · rehabilitation · review · risk factor · secondary prevention · smoking · standard · Adolescent · Anti-Asthmatic Agents · Asthma · Breast Feeding · Child · Child, Preschool · Female · Humans · Infant · Infant, Newborn · Male · Pediatrics · Practice Guidelines as Topic · Primary Prevention · Risk Factors · Secondary Prevention · Smoking · Tertiary Prevention · Tobacco Smoke Pollution · Young Adult · Healthy for Life · Healthy Living · Human · CH - Child Health · BSS - Behavioural and Societal Sciences

Abstract

The objective of the evidence-based guidelines 'Asthma in children (ages 0-19)' for youth healthcare (CHC) is the prevention and reduction of asthma symptoms. The guidelines contain a lot of recommendations that apply to all disciplines in healthcare that deal with children. Primary prevention (preventing asthma): the main proven effective intervention is no smoking, neither passive nor active. Breastfeeding has a small protective effect. Starting at the first home visit at two weeks, the CHC nurse advises no smoking and to breastfeed. Secondary prevention (early detection): at all routine check-ups, the professional at CHC should inquire about signs of dyspnoea and wheezing. Patients suspected of having asthma should be referred to the GP. Tertiary prevention (reducing symptoms in children with asthma): the main advice is no smoking (neither passive nor active) and to follow the advice of the treating physician.