SOVREMENNAYA PEDIATRIYA.2018.1(89):124-128; doi 10.15574/SP.2018.89.124

Logvinova O. L.
Kharkiv Medical University, Kharkiv, Ukraine

The article is devoted to the topical issue of modern paediatric, which is wheezing. Overdiagnosis of asthma in children identified the purpose of the work, which is consisted in the analysis of the latest world literature sources on the unification of the diagnostic criteria and differential diagnosis of wheezing in chil1dren and the patients' management. A relatively new term for paediatrics in Ukraine, but widespread and introduced in the world clinical practice, is presented — «wheezing syndrome of preschool age» (in some sources — «recurrent wheezing syndrome»). The risk factors for the development of this syndrome, such as a significant number of allergens affecting a child during the first years of life and high sensitization of an individual to most of them, are defined in the work. The bronchial asthma risk index and the modified bronchial asthma risk index, which are partly dependent on the presence of «episodic virus-associated wheezing» or «recurrent wheezing caused by multiple triggers», have the practical significance with efficiency determination and usability. The preschool aged wheezing syndrome treatment efficacy is determined by the compliance between the physician, the child and their parents, including non-pharmacological and pharmacological therapy and ways of coping with treatment failure. Basic treatment of wheezing syndrome of preschool age includes inhaled glucocorticosteroids and leukotrienes (in children >2 years old), and the initial treatment of wheezing episodes complies with the principles of GINA12016.
Key words: wheezing syndrome, recurrent wheezing, preschool children, bronchial obstruction, bronchial asthma.

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