Basic clinical management of preschool wheeze

Preschool wheeze is very common and often difficult to treat. Most children do not require any investigations; only a detailed history physical examination ensure an alternative diagnosis being missed; the differential diagnosis, hence investigation protocols for child in whom major illness suspected, shows geographical variation. The pattern of symptoms may be divided into episodic viral multiple trigger guide treatment, but must re-assessed regularly. However, symptom patterns are poor underlying pathology. Attention proper use spacers, adverse environmental exposures such as tobacco smoke exposure, essential. There no disease-modifying therapies, so therapy symptomatic. This paper reviews recent advances including new data on place leukotriene receptor antagonists, prednisolone acute attacks wheeze, antibiotics, based attempts understand pathology way that clinically practical.