New Japanese pediatric guidelines for the treatment and management of bronchial asthma

Authors

  • AKIHIRO MORIKAWA,

    Corresponding author
    1. 1Department of Pediatrics and Developmental Medicine, Gunma University, Graduate School of Medicine, Gunma and 2Department of Pediatrics, National Fukuoka Hospital, Fukuoka, Japan
      Akihiro Morikawa, MD, Department of Pediatrics and Developmental Medicine, Gunma University, Graduate School of Medicine, 3-39-15 Showa-Machi, Maebashi, Gunma 371-8411, Japan. Email: morikawa@med.gunma-u.ac.jp
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  • 1 SANKEI NISHIMA,

    1. 1Department of Pediatrics and Developmental Medicine, Gunma University, Graduate School of Medicine, Gunma and 2Department of Pediatrics, National Fukuoka Hospital, Fukuoka, Japan
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  • and 2 THE JAPANESE SOCIETY OF PEDIATRIC ALLERGY AND CLINICAL IMMUNOLOGY

    1. 1Department of Pediatrics and Developmental Medicine, Gunma University, Graduate School of Medicine, Gunma and 2Department of Pediatrics, National Fukuoka Hospital, Fukuoka, Japan
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Akihiro Morikawa, MD, Department of Pediatrics and Developmental Medicine, Gunma University, Graduate School of Medicine, 3-39-15 Showa-Machi, Maebashi, Gunma 371-8411, Japan. Email: morikawa@med.gunma-u.ac.jp

Abstract

There have been a number of guidelines for asthma treatment published throughout the world. However, childhood asthma guidelines must be developed in consideration of the background of the individual countries. The second version of the Japanese Pediatric Guideline for the Treatment and Management of Bronchial Asthma 2002 (JPGL 2002) was published by the Japanese Society of Pediatric Allergy and Clinical Immunology (JSPACI) in November 2002, and was popular among Japanese physicians. After the publication of the JPGL, the incidence of pediatric asthma deaths decreased in Japan. In JPGL 2005 the recommendations were re-edited based on Global Initiative for Asthma (GINA) and the JPGL 2002. In comparison to the GINA guidelines, the JPGL 2005 include a classification system of asthma severity, recommendations for long-term management organized by age, a special mention of infantile asthma, and an emphasis on prevention and early intervention.

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