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Diagnosis and management of childhood asthma in primary care

Diagnosing asthma in children is challenging, but information obtained from clinical history and objective lung function testing should help nurses determine probability and adopt a stepwise approach, write Dr David Lo, Dr Brigitte Gaillard, Louise Bullous and Dr Erol Gaillard

In the UK, the latest figures indicate that a total of 5.4 million people currently receive treatment for asthma, with more than 6000 acute hospital admissions each year.1

Some 1.1 million of these are children over the age of five years; the equivalent of three children in every UK classroom. On average, a child is admitted to hospital with an acute asthma exacerbation every 20 minutes.2

Unfortunately, asthma still accounts for approximately 1200 deaths each year in the UK, a figure that has remained largely unchanged for many years.3 In fact, comparisons of international asthma death rates in people aged five-34 years between 2001 and 2010 show that the UK asthma mortality is one of the highest in Europe.4

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