2019 Volume 33 Issue 3 Pages 326-334
Chapter 12 of the Japanese Pediatric Guideline for the treatment and management of asthma 2017 describes the management of asthma in daily life, focusing on school and preschool life, exercise, and vaccination. If special consideration is required in school, preschool, or extracurricular activities, the instruction table for school life management and cooperation with parents and school is referred for appropriate action. Exercise-induced asthma (EIA) is a phenomenon in which wheezing and dyspnea occur temporarily during or after exercise. As exercise benefits the growth and development of children, the stakeholders should properly understand EIA and cooperate to eradicate EIA from school children. Vaccination can be administered in asthmatic as well as healthy children. When an asthmatic child is planned for general anesthesia or surgery, asthma should be controlled as much as possible, and treatment step-up and systemic steroid drug administration should be considered, as needed. To prevent unforeseen circumstances such as natural disasters, an action plan should be devised. Brochures are available for use during emergencies.
