ASTHMA IN CHILDREN

Preceptor : dr. Pulung M. Silalahi, Sp.A

Created by : Lulu Nursyifa

Clinical Clerckship of Pediatrics Department

Faculty of Medicine, YARSI University
Police Hospitals, Bhayangkara Tk.1 Raden Said Sukanto
Period of July 18th September 26th 2016

DEFINITION
Asthma is defined as a
chronic inflammatory disease
of airways that is
characterized by increased
responsiveness of the
tracheabronchial tree to a
multiplicity stimuli

PREVALENCE

RISK FACTOR OF ASTHMA

PATHOGENESIS OF ASTHMA (cont)

Inflammatory processes
Desquamation of
epithelium
Hyperplasia of
Mucos glands

Mucus plug

Basement
Membrane
thickening

Oedema
Smooth muscle
Hypertrophy and contraction

Neutrophil and
eosinophil infiltration

CLASSIFICATION

Derajat Asma
Intermiten

Uraian kekerapan gejala asma

Episode gejala asma <6x/tahun atau jarak
antar gejala 6 minggu

Persisten ringan

Episode gejala asma >1x/bulan,

<1x/minggu

Persisten sedang

Episode gejala asma >1x/minggu, namun

tidak setiap hari

Persisten berat

Episode gejala asma terjadi hamper setiap

hari

CLINICAL FEATURES

CLINICAL FEATURES (cont)

DIAGNOSIS

DIAGNOSIS

DIAGNOSIS

PEAK FLOW
METER

Child with mini peak flow meter. Measurement of peak flow at home is the
most reliable assessment of the degree of asthma a patient is suffering from.
Asthma affects a wide age span, from the first few years of life to the eighties
or nineties. Peak flow measurements can be measured by 4-year-olds but
can present problems in the 80-year-olds. Recording of results may be
difficult in the young and co-operation of the parent may be needed.

TREATMENT

TREATMENT (cont)

LONG TERM TREATMENT

FRAMEWORK FOR MANAGEMENT OF

CHRONIC ASTHMA

ASTHMA TREATMENT IN SOCIETY

PREVENTING ASTHMA IN
CHILDREN

PROGNOSIS AND CLINICAL COURSE