Skip to main content

Advertisement

Log in

Airway Diseases Education and Expertise (ADEX) in pediatrics: Adaptation for clinical practice in India

  • Recommendations
  • Published:
Indian Pediatrics Aims and scope Submit manuscript

Abstract

Justification

Asthma and allergic rhinitis together are part of the concept of ‘one airway, one disease’ or ‘united airway disease’. The management of allergic airway diseases should address this united concept and manage the issue by educating the patients and their parents and health care providers, along with environmental control measures, pharmacotherapy and immunotherapy. Here, we present recommendations from the module of ‘Airway Diseases Education and Expertise’ (ADEX) that focused on allergic rhinitis, asthma and sleep disorder breathing as a single entity or Allergic Airway Disease.

Process

A working committee was formed by the collaboration of Pediatric Allergy Association of India (PAAI) and Indian Academy of Pediatrics (IAP) Allergy and Applied Immunology chapter to develop a training module on united airway disease.

Objectives

To increase awareness, understanding and acceptance of the concept of “United Airway disease” and to educate the primary health care providers for children and public health officials, in the management of united airway diseases.

Recommendations

Recommendations for diagnosis, management and follow-up of Allergic airway disease are presented in this document. A better compliance by linking education of child, parent, grandparents and other health care providers, and scientific progress by collaboration between practitioners, academicians, researchers and pharmaceutical companies is suggested.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Crystal-Peters J, Neslusan C, Crown WH, Torres A. Treating allergic rhinitis in patients with comorbid asthma: the risk of asthma-related hospitalizations and emergency department visits. J Allergy Clin Immunol. 2002;109:57–62.

    Article  PubMed  Google Scholar 

  2. Meltzer EO, Szwarcberg J, Pill MW. Allergic rhinitis, asthma, and rhinosinusitis: diseases of the integrated airway. J Manag Care Pharm. 2004;10:310–7.

    PubMed  Google Scholar 

  3. Costa DJ, Bousquet PJ, Ryan D, Price D, Demoly P, Brozek J, et al. Guidelines for allergic rhinitis need to be used in primary care. Prim Care Respir J. 2009;18:250–7.

    Article  PubMed  Google Scholar 

  4. Braunstahl GJ. The unified immune system: respiratory tract-nasobronchial interaction mechanisms in allergic airway disease. J Allergy Clin Immunol. 2005;115:142–8.

    Article  CAS  PubMed  Google Scholar 

  5. Rimmer J, Ruhno JW. 6: Rhinitis and asthma: united airway disease. Med J Aust. 2006;185:565–71.

    PubMed  Google Scholar 

  6. Guerra S, Sherrill DL, Martinez FD, Barbee RA. Rhinitis as an independent risk factor for adult-onset asthma. J Allergy Clin Immunol. 2002;109:419–25.

    Article  PubMed  Google Scholar 

  7. Wright AL, Holberg CJ, Martinez FD, Halonen M, Morgan W, Taussig LM. Epidemiology of physician-diagnosed allergic rhinitis in childhood. Pediatrics. 1994;94:895–901.

    CAS  PubMed  Google Scholar 

  8. Muliol J, Maurer M, Bousquet J. Sleep and allergic rhinitis. J Investig Allergol Clin Immunol. 2008;18:415–9.

    CAS  PubMed  Google Scholar 

  9. Salles C, Terse-Ramos R, Souza-Machado A, Cruz AA. Obstructive sleep apnea and asthma. J Bras Pneumol. 2013;39:604–12.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Nagaraju K. Approach to allergic patients. Manual of Pediatric Allergy. 2014:1–9.

    Google Scholar 

  11. Papadopoulous NG, Arakawa H, Carlsen KH, Custovic A, Gern J, Lemanske R, et al. International consensus on (ICON) pediatric asthma. Allergy. 2012;67:976–97.

    Article  Google Scholar 

  12. Pawankar R, Canonica GW, Holgate ST, Lockey RF, Blaiss MS. WAO White Book on Allergy 2013 Update. Available from http://www.worldallergyorg/definingthespecialty/white_book.php. Accessed August 27, 2014. 2013.

    Google Scholar 

  13. Singh AB, Shahi S. Aeroallergens in clinical practice of allergy in India-ARIA Asia Pacific Workshop report. Asian Pac J Allergy Immunol. 2008;26:245–56.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to H. Paramesh.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Paramesh, H., Nagaraju, K., Sukumaran, T.U. et al. Airway Diseases Education and Expertise (ADEX) in pediatrics: Adaptation for clinical practice in India. Indian Pediatr 53, 154–158 (2016). https://doi.org/10.1007/s13312-016-0812-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13312-016-0812-5

Keywords

Navigation