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New Asthma Guidelines Would Make Disease Milder, Prevent Severe Attacks
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WebMD Health News
Reviewed by Louise Chang, MD

Aug. 29, 2007 - New NIH asthma guidelines promise to make a child's asthma milder and to prevent severe asthma attacks before they happen.

The guidelines come from a panel of asthma experts convened by the National Heart, Lung, and Blood Institute (NHLBI). They closely follow the 2002 update of the original 1997 guidelines.

But two major changes represent a fundamental shift in the goals of asthma treatment, panel chairman William W. Busse, MD, chairman of the department of medicine at the University of Wisconsin-Madison, said in a news conference.

Those changes: a new focus on reducing asthma severity and a new emphasis on keeping asthma symptoms under control.

"We firmly believe that asthma control can be achieved in nearly every patient with asthma," Busse said. "We anticipate, expect, and hope these new recommendations will pave way to control of asthma, reduction of risks, and continuing efforts to cure this disease."

NHLBI Director Elizabeth G. Nabel, MD, expressed similar optimism.

"Asthma affects over 22 million Americans, including 6.5 million children, but there is one truth: Asthma control is achievable for nearly every patient," she said at the news conference. "As health care providers, we should accept nothing less."

New Changes

What will change from a patient's point of view?

If their primary care doctor is following the new guidelines, asthma patients can expect a much more thorough evaluation of their disease. Doctors will no longer be satisfied if they hear a patient is doing well -- they'll use questionnaires, lung-function tests, and medication checks to see exactly how well a person is keeping asthma under control.

"If we do this, the impairments from disease will be reduced quite significantly," Busse said.

Panel member Robert F. Lemanske, MD, professor of pediatrics and medicine at the University of Wisconsin-Madison, noted that the new guidelines now have separate recommendations for children aged 0-4 years, 5-11 years, and 12 and older.

"Preschool kids are much different than kids who enter school -- and both differ from the adolescent period -- in terms of treatment approaches, adherence, and so on," Lemanske said at the news conference. "This will give us a better handle on the different things that can happen to children at different ages."

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