9
Early Diagnosis of Asthma and Allergies Among Wroclaw Children
Saturday, March 5, 2016
South Exhibit Hall H (Convention Center)
Andrzej M. Fal, Dorota Kiedik, Agnieszka Muszynska, Iwona Pirogowicz
Rationale:

The aim of the project  to select children of greater risk of developing asthma or other allergic diseases. A specially prepared and pre-standardized  questionnaire was used for this reason. 

Methods:

The survey was conducted in 8 and 9 year old children in Wroclaw (Poland). In its first stage parents or guardians which were educated on asthma and allergy risk factors. The they were asked to complete the questionnaire. Questions concerned inter alia: family history, child’s exposure to potential asthma or allergy risk factors (tobacco smoke, common allergens, humidity), presence of specific symptoms: recurrent bronchitis, coughing, wheezing, shortness of breath, runny nose or rash. Then children, who scored above a fixed level were directed to an allergist to confirm or rule out asthma. 

Results:

During two school-years 5325 children entered the program.  Authors collected 3238 questionnaires. Nearly 30% (945) children received more than 5 points (which was the cut-off level for possible asthma/allergy), of which 116 parents declared that their children are already under an allergy clinic supervision. All other children (829) were sent to an allergy clinic for diagnosis but only 16% of them (131) appeared. Among those who underwent a full diagnosis in more than 80% (105 children) the initial suspicion of asthma based on the questionnaire results was confirmed.

Conclusions:

Our questionnaire is a reliable tool for initial screening for asthma diagnosis in children in their primary school. To increase the percentage of children presenting at an allergy clinic more stress has to be put on the initial parents/guardians education.