Behandeling van astma bij kinderen: herziene internationale richtlijnen niet geschikt voor gebruik in Nederland

- The most recent revision of the Global Initiative for Asthma (GINA) guidelines for the treatment of asthma propose to classify and monitor the disease based on asthma control. This concept is attractive but not evidence based.

- Based on methodological shortcomings the revised GINA guidelines fail to meet the standards for evidence-based guidelines.

- Inhaled corticosteroids are and remain the cornerstone of asthma management in children.

- Extensive explanation to children and their parents, intensive follow-up, and instruction of and adherence to a correct inhalation technique are key factors in effective treatment of asthma in children.

Ned Tijdschr Geneeskd. 2008;152:1151-5