A new BC Guideline developed by Child Health BC in collaboration with the Guidelines and Protocols Advisory Committee provides recommendations for diagnosis and management of asthma in patients aged 1 to 18 years presenting in a primary care setting. The guideline is available to physicians across British Columbia at www.BCGuidelines.ca and includes new action plans and flow sheets.
- Send children aged 6 years and older for spirometry when they are symptomatic to improve accuracy.
- Send patients for spirometry regularly as part of the assessment of asthma control.
- Prescribe controller medication daily and not intermittently.
- Controller medication does not need to be increased with an acute loss of asthma control in children.
- At each visit, assess for proper use of asthma medication devices and medication compliance as these are common reasons for poor asthma control.
- Prescribe an age-appropriate spacer device for patients using metred dose inhalers (MDI).
- Send all patients and families to an asthma education centre to learn self-management (where available).
- Given that many children less than 6 years of age outgrow their asthma symptoms, reassess the persistence of symptoms every 6 months in this age group.
- There is insufficient evidence to recommend one inhaled corticosteroids molecule over another with respect to efficacy or safety.
- Ensure children have normal activity levels and do not limit physical activity to control asthma symptoms.
- Complete a written asthma action plan with each patient and reassess this plan with the patient on a regular basis.
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org