Japanese

Title	第11章 喘息管理 : 種々の側面
Subtitle	ガイドライン解説 : 小児気管支喘息治療・管理ガイドライン2023
Authors	堀野智史1), 夏目統2), 福家辰樹3), 三浦克志1)
Authors (kana)
Organization	1)宮城県立こども病院アレルギー科, 2)浜松医科大学小児科学教室, 3)国立成育医療研究センターアレルギーセンター
Journal	日本小児アレルギー学会誌
Volume	39
Number	2
Page	165-170
Year/Month	2025 /
Article	報告
Publisher	日本小児アレルギー学会
Abstract	抄録:小児気管支喘息治療・管理ガイドライン2023第11章では気管支喘息の種々の側面として, 社会生活, 運動への対応, 予防接種, 手術, 災害対策, 併存症を持つ場合の対応などについて概説されている. 喘息の配慮が必要な場合は生活管理指導表を活用し, 保護者や学校, 保育所と連携する. 運動により喘鳴や呼吸困難を伴う一過性の気管支収縮が起こる現象を運動誘発気管支収縮(exercise-induced bronchoconstriction:EIB)と呼ぶ. 各関係者がEIBについて正しい知識を持ち, 連携して対応することが必要である. 予防接種は, 喘息の児でも十分な注意と配慮のもとに, 健常児と同様に接種可能である. 全身麻酔や手術に際しては, 良好なコントロール状態を維持し, 必要に応じて治療のステップアップや全身性ステロイド薬の投与を考慮する. 災害は日頃の備えが重要であり, 非常時に活用できるパンフレットがある. 併存症として, 重症心身障がいでは他疾患との鑑別や吸入手技の工夫, 神経発達症では患児の特性に合わせた治療の工夫が望まれ, 食物アレルギーでは喘息のコントロール状態への注意が必要である.
Practice	臨床医学：内科系
Keywords	気管支喘息, 小児, 重症心身障がい児, EIB, ガイドライン, bronchial asthma, children, children with severe mental and physical disabilities, exercise-induced bronchoconstriction, guidelines

English

Title	Chapter 11 : Management of asthma : various aspects
Subtitle
Authors	Satoshi Horino1), Osamu Natsume2), Tatsuki Fukuie3), Katsushi Miura1)
Authors (kana)
Organization	1)Department of Allergy, Miyagi Children's Hospital, 2)Department of Pediatrics, Hamamatsu University School of Medicine, 3)Allergy Center, National Center for Child Health and Development
Journal	The Japanese Journal of Pediatric Allergy and Clinical Immunology
Volume	39
Number	2
Page	165-170
Year/Month	2025 /
Article	Report
Publisher	Japanese Society of Pediatric Allergy and Clinical Immunology
Abstract	Summary: Chapter 11 of the Japanese Pediatric Guideline for the Treatment and Management of Asthma 2023 describes the various aspects, focusing on school and preschool life, exercise, vaccination, perioperative management, disaster, and comorbidities. If special consideration is required in school or preschool, the instruction table for school life management and cooperation with parents and school is referred for appropriate action. Exercise-induced bronchoconstriction (EIB) is a phenomenon in which wheezing and dyspnea occur temporarily during or after exercise. The stakeholders should properly understand EIB and cooperate to prevent EIB from school children. Vaccinations can be administered to children with asthma as well as to healthy children, with adequate care and attention. For general anesthesia or surgery, maintain good control and consider stepping up treatment or systemic corticosteroids as needed. Disaster preparedness is important on a daily basis, and there are pamphlets available on emergencies. In severe mental and physical disabilities, it is necessary to differentiate asthma from other diseases and to devise inhalation techniques. In neurodevelopmental disorders, it is desirable to devise treatment adapted to the characteristics of the child. In food allergy, it requires careful attention to asthma control status.
Practice	Clinical internal medicine
Keywords	bronchial asthma, children, children with severe mental and physical disabilities, exercise-induced bronchoconstriction, guidelines

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