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The Australian Asthma Handbook was updated in 2019 with specific guidelines for children aged 1–5 years and 6–11 years old. An asthma diagnosis should always be supported with spirometry, or a treatment trial for children unable to undergo spirometry. Asthma should not be diagnosed in infants aged less than 12 months old.
There have been several RCTs that have suggested that F ENO-based algorithms, compared with usual guideline-based algorithms, significantly decrease asthma exacerbations [4–6], but universal use of F ENO remains questionable [7]. Turner et al. [8] have recently reported a large multicentre RCT (RAACENO) that utilised F ENO to guide treatment in children with asthma,
The prototypic algorithms based on ( A) antiinflammatory reliever therapy and ( B) SABA reliever therapy. *Or standard-dose ICS taken whenever SABA is taken. AIR = antiinflammatory reliever therapy; ICS = inhaled corticosteroid; LABA = long-acting β 2 -agonist; SABA = short-acting β 2 -agonist. Download Figure | Download Powerpoint
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