Management of childhood asthma: more than juggling medication doses.

Optimal management of asthma in children requires a program of patient education, avoidance of triggers, prevention of airway inflammation, and symptomatic management of episodic wheezing. Use of patient-initiated interventions based on peak expiratory flow rates determined daily in the home setting promotes early interruption of symptom cycles and better assessment of severity of disease. A fully outlined management program for any given patient requires investment of time and energy on the part of the physician, but the long term rewards for both physician and patient are significant.