RESUMEN
BACKGROUND: With the availability of high-quality asthma guidelines worldwide, one possible approach of developing a valid guideline, without re-working the evidence, already analysed by major guidelines, is the ADAPTE approach, as was used for the development of National Guidelines on asthma. METHODS: The guidelines development group (GDG) covered a broad range of experts from medical specialities, primary care physicians and methodologists. The core group of the GDG searched the literature for asthma guidelines 2005 onward, and analysed the 11 best guidelines with AGREE-II to select three mother guidelines. Key clinical questions were formulated covering each step of the asthma management. RESULTS: The selected mother guidelines are British Thoracic Society (BTS), GINA and GEMA 2015. Responses to the questions were formulated according to the evidence in the mother guidelines. Recommendations or suggestions were made for asthma treatment in Mexico by the core group, and adjusted during several rounds of a Delphi process, taking into account: 1. Evidence; 2. Safety; 3. Cost; 4. Patient preference - all these set against the background of the local reality. Here the detailed analysis of the evidence present in BTS/GINA/GEMA sections on prevention and diagnosis in paediatric asthma are presented for three age-groups: children with asthma ≤5 years, 6-11 years and ≥12 years. CONCLUSIONS: For the prevention and diagnosis sections, applying the AGREE-II method is useful to develop a scientifically-sustained document, adjusted to the local reality per country, as is the Mexican Guideline on Asthma.
Asunto(s)
Asma/diagnóstico , Asma/prevención & control , Niño , Preescolar , Femenino , Humanos , Masculino , MéxicoRESUMEN
In some areas of the Mexican Republic there had been done a few similar studies, this is going to complete the ones done before and it will help to know the prevalence of the asthma in Coatzacoalcos city. Because of confiability reasons, we used questionnaires in a directly form and taking like a patron the one used by Baeza and collaborators with some modifications. The investigation has been done in 583 students from 6 to 12 years old (309 of masculine sex and 274 feminine sex). The investigation ranges the 5.8% of the students poblation in the locality. The 34% reports asthma in some time of their life, the 44% reports asthmatic bronchitis and the 20% chronic coughs because of exercise.