Actualización del Consenso Chileno SOCHINEP-SER para el manejo de las sibilancias recurrentes del preescolar

Abstract

Recurrent wheezing in preschoolers has a high prevalence. 50% of all children have at least one wheezing episode in the first six years of life. However, only 4% of children under four years of age are diagnosed with asthma. Therefore it is essential to carry out an adequate medical history and phy­sical examination to rule out secondary causes, which must be complemented with laboratory tests in accordance with clinical guidance. It is recommended to indicate maintenance treatment with inhaled corticosteroids to those children who have repeated episodes of wheezing and who have a high proba­bility of a good response to this therapy. It has been demonstrated that those patients who have blood eosinophil count > 300 cells per mm³ or those who have a positive skin test or positive specific IgE for inhaled allergens will have a good response to inhaled corticosteroids.