Errors in the diagnosis and therapy of bronchial asthma in children

Abstract

The analysis of outpatient records of children with bronchial asthma was carried out to identify the timeliness of the diagnosis of bronchial asthma, which showed that the diagnosis was made with a delay of 3.8 years. In children with prolonged persistent cough, repeated acute obstructive bronchitis, bronchophonography revealed latent bronchospasm, the subsequent appointment of preventive anti-inflammatory therapy to these patients made it possible to clarify the diagnosis of bronchial asthma in 58.9 % of cases. Analysis of the register of patients with bronchial asthma revealed the absence of basic therapy in 2/3 of children with a mild persistent course of the disease. The frequency of emergency medical calls and hospitalizations was higher in children with mild bronchial asthma who did not receive control therapy. An analysis of the expenditure of short-acting β2-agonists in 96 children with asthma indicates their excessive use in 50% of patients. Conducting training seminars increased the knowledge of district pediatricians on modern thera-peutic and diagnostic approaches to bronchial asthma.