Paediatric Asthma: Diagnosis and Stepwise Management

Asthma affects approximately 10% of South African children. This article covers diagnostic challenges in young children, objective testing, and the GINA stepwise management approach.

By Dr. Thandi Mbeki 1 May 2026 7 min read 1 CPD

Paediatric Asthma: Diagnosis and Stepwise Management — Caption: General Practice

Diagnosis in Children

In children under 5, diagnosis is based on symptom pattern, presence of risk factors, and therapeutic response. Spirometry is usually feasible from age 5-6.

Stepwise Management

GINA 2026 recommends: Step 1 - low-dose ICS as-needed. Step 2 - low-dose ICS daily. Step 3 - low-dose ICS/LABA. Step 4 - medium-dose ICS/LABA. Step 5 - refer to specialist.

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