Should preschool wheezers ever be treated with inhaled corticosteroids

The new toxicity charge has faced criticism from some car owners. I’m sympathetic to the concerns of people already squeezed by the high cost of living, but there are good reasons for introducing pollution charging. Illegally high levels of air pollution affect all people living and working in the capital, from pedestrians and cyclists to drivers themselves. The aim of this charge is to effect behavioural change. It aims to encourage owners of the most polluting vehicles to make fewer journeys, greater use of other transport options or eventually to change to a less polluting type of vehicle, such as an electric-powered one.

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  • Citation tools Download this article to citation manager Three day versus five day treatment with amoxicillin for non-severe pneumonia in young children: a multicentre randomised controlled trial BMJ 2004; 328 :791
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    Recurrent URTIs with postnasal drip is the most frequent cause of recurrent cough; it is not associated with wheeze or difficulty breathing. Croup presents with airflow obstruction in the upper airways with barking cough and inspiratory stridor; it is more common in children with asthma (and vice versa) [16] . It may be difficult to distinguish asthma from bronchiolitis in young toddlers because they present with similar signs of airflow obstruction and viral respiratory illness. Although there is no definite age cut-off, bronchiolitis usually presents as the first episode of cough, wheezing and respiratory difficulty in an infant (<12 months of age) [17] and is best treated with supportive care [18] . Asthma usually starts in toddlers (one to three years of age). However, repeated (≥2) wheezing episodes occurring before one year of age should raise the suspicion of asthma and prompt the consideration of a referral to a specialist for evaluation. In children ≥1 year(s) of age, the best way to distinguish bronchiolitis from asthma is probably by the response to asthma medications.

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  • Citation tools Download this article to citation manager Bush Andrew , Grigg Jonathan , Saglani Sejal . Managing wheeze in preschool children BMJ 2014; 348 :g15
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    Should preschool wheezers ever be treated with inhaled corticosteroids

    should preschool wheezers ever be treated with inhaled corticosteroids

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  • Citation tools Download this article to citation manager Bush Andrew , Grigg Jonathan , Saglani Sejal . Managing wheeze in preschool children BMJ 2014; 348 :g15
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