Incidence of Asthma in Children in Tuzla Canton – Bosnia and Herzegovina

Asthma is one of the most common chronic diseases whose incidence shows constant growth in childhood. The objective of this work was to look into asthma incidence in children in relation to their age group and sex in a retrospective study, at Tuzla Canton area. The study comprised children of both sexes, age 0–14 who fell sick with asthma within the period from January 1st 2003 to December 31st 2007. The overall incidence and the incidence in relation to age group and sex was calculated as the number of children suffering from asthma, within the age group 0–14 years per 1000 children of the same age group in the Tuzla Canton. Asthma was diagnosed in 277 children (66.1% male and 33.9% female). The difference between asthma frequency in boys and girls was significant (c 2=56.16; df=1; p<0.0001). The average difference in proportion between the boys and girls was 32.2% (95% CI=24.32–40.08). From this sample group the boys had a 3.8 times greater risk (OR=3.79; %95 CI=2.67–5.39) of contracting asthma. The average rate of incidence of asthma for both sexes in the observed period was 0.67/1000 (95% CI; 0.6–0.7; for boys 0.86/1000; for girls 0.47/1000). There was a statistically significantly higher incidence of asthma in boys in relation to girls (t=6.3836, df=32; p<0.0001). The epidemiological data obtained could be useful for early detection and adequate treatment of children with asthma in the mentioned area

Diagnostic and Treatment of Asthma in Children

Prikazana je definicija, klasifikacija, dijagnostika i tretman astme, kronične upalne bolesti disajnih puteva koja je praćena sporadičnom bronhoopstrukcijom, otežanim disanjem i zviždanjem u prsima. Dijagnoza se postavlja na osnovi kliničko-laboratorijskih parametara, a prema težini kliničke slike dijeli se na četiri stepena, od kojih svaki ima svoje specifičnosti i pripadajć}u terapiju. Globalna inicijativa za astmu (GINA) klasificirala je lijekove u dvije skupine: simptomatske i osnovne. Poduka oboljelih je integralni dio liječenja astme i ne smije se zaobićiDefinition, classification, diagnostic and treatment have been demonstrated in the article. Asthma is a chronic inflammatory disease of respiratory tract associated with sporadic seizures of bronchoconstriction, dispnea and wheezing. The diagnosis is based on clinical and laboratory parameters. According to clinical severity the clinical picture of asthma is divided in four steps each bearing its own characteristics and related therapy. Global Initiative for Asthma (GINA), recommend and classified asthma medications as quick relief and controllers medication. Patients’ education is the integral part of asthma treatment and should never be bypassed

Diagnostic and Treatment of Asthma in Children

Prikazana je definicija, klasifikacija, dijagnostika i tretman astme, kronične upalne bolesti disajnih puteva koja je praćena sporadičnom bronhoopstrukcijom, otežanim disanjem i zviždanjem u prsima. Dijagnoza se postavlja na osnovi kliničko-laboratorijskih parametara, a prema težini kliničke slike dijeli se na četiri stepena, od kojih svaki ima svoje specifičnosti i pripadajć}u terapiju. Globalna inicijativa za astmu (GINA) klasificirala je lijekove u dvije skupine: simptomatske i osnovne. Poduka oboljelih je integralni dio liječenja astme i ne smije se zaobićiDefinition, classification, diagnostic and treatment have been demonstrated in the article. Asthma is a chronic inflammatory disease of respiratory tract associated with sporadic seizures of bronchoconstriction, dispnea and wheezing. The diagnosis is based on clinical and laboratory parameters. According to clinical severity the clinical picture of asthma is divided in four steps each bearing its own characteristics and related therapy. Global Initiative for Asthma (GINA), recommend and classified asthma medications as quick relief and controllers medication. Patients’ education is the integral part of asthma treatment and should never be bypassed