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The 'unified airway': the RCPCH care pathway for children with asthma and/or rhinitis.

Abstract：

AIMS:The Royal College of Paediatrics and Child Health (RCPCH) Science and Research Department was commissioned by the Department of Health to develop national care pathways for children with allergies: the asthma/rhinitis care pathway is the third such pathway. Asthma and rhinitis have been considered together. These conditions co-exist commonly, have remarkably similar immuno-pathology and an integrated management approach benefits symptom control. METHOD:The asthma/rhinitis pathway was developed by a multidisciplinary working group and was based on a comprehensive review of evidence. The pathway was reviewed by a broad group of stakeholders including the public and was approved by the Allergy Care Pathways Project Board and the RCPCH Clinical Standards Committee. RESULTS:The pathway entry points are defined by symptom type and severity at presentation. Acute severe rhinitis and life-threatening asthma are presented as distinct entry routes to the pathway, recognising that initial care of these conditions requires presentation-specific treatments. However, the pathway emphasises that ideal long term care should take account of both conditions in order to achieve maximal improvements in disease control and quality of life. CONCLUSIONS:The pathway recommends that acute presentations of asthma and/or rhinitis should be treated separately. Where both conditions exist, ongoing management should address the upper and lower airways. The authors recommend that this pathway is implemented locally by a multidisciplinary team (MDT) with a focus on creating networks. The MDT within these networks should work with patients to develop and agree on care plans that are age and culturally appropriate.

journal_name

Arch Dis Child

journal_title

Archives of disease in childhood

authors

Vance G,Lloyd K,Scadding G,Walker S,Jewkes F,Williams L,Dixon L,O'Beirne C,Fletcher P,Brown T,Hughes J,Sohi D,Piddock C,Shields M,McKean M,Warner J,Science and Research Department, Royal College of Paediatrics and Child H

doi

10.1136/adc.2011.213462

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

i10-4

eissn

0003-9888

issn

1468-2044

pii

adc.2011.213462

journal_volume

96 Suppl 2

pub_type

共识发展会议,杂志文章

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The 'unified airway': the RCPCH care pathway for children with asthma and/or rhinitis.