Letter to the Editor
Safe schooling for asthmatic children
Escolarización segura de los niños con asma
Graciela Gómez Silvaa,c,
, Carlos García Magánb,c, Antonio Rodríguez Núñeza,c,d,e
Corresponding author
a Área de Pediatría, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, Spain
b Unidad de Alergia y Neumología Pediátrica, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, Spain
c Grupos de Investigación CLINURSID (Universidade de Santiago de Compostela) y Soporte Vital y Simulación (Fundación IDIS), Santiago de Compostela, La Coruña, Spain
d Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, La Coruña, Spain
e Instituto de Salud Carlos III (ISCIII), Spain
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=> "Instituto de Salud Carlos III (ISCIII), Spain" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Escolarización segura de los niños con asma" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We have read your letter<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> in regard to our article,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> ‘Response letter to the article published in Anales de Pediatría: “School children with chronic diseases; what are teachers worried about?” Let’s not forget asthma!’. We agree in part with the authors of the letter and would like to offer some remarks:</p><p id="par0010" class="elsevierStylePara elsevierViewall">Physical activity, which is essential to the development of the child, can trigger asthma exacerbations. A large part of the physical activity of children takes place in the school setting. Children with asthma that have adequate knowledge of the disease and inhaler technique and adhere to treatment experience fewer exacerbations and have a better quality of life. This should be clearly conveyed to teachers, especially physical education teachers. However, a systematic review conducted in the United States showed that teachers lacked knowledge on the management and treatment of asthma exacerbations.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">On the other hand, the prevalence of asthma and the likelihood that a child will experience a severe exacerbation in school requiring immediate treatment has led to the establishment of action protocols in some regions. For instance, in the Autonomous Community of Galicia, asthma is also part of the School Alert programme.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">It must be taken into account that the denial of the disease by some patients, out of ignorance or fear of being stigmatised, is a current phenomenon (especially in adolescents).<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> This problem can be aggravated if these attitudes are promoted by teachers themselves when, for example, they restrict physical activity in students with asthma out of fear of not knowing how to respond in the event of an exacerbation or, on the contrary, they force asthmatic students to overexert themselves when they are having an exacerbation. To try to prevent such situations, some autonomous communities advocate for the role of the school nurse based on studies that show that these professionals contribute to improving the quality of life of students and reduce school absenteeism, which could make their presence a cost-effective intervention, especially in the case of asthma.</p><p id="par0025" class="elsevierStylePara elsevierViewall">We believe that anaphylactic, epileptic, hypoglycaemic or asthmatic events require early preventive and therapeutic measures that need to be known and implemented by both children and families, on one hand, and schoolteachers and nurses, on the other, to prevent morbidity and contribute to the adequate integration of affected children in school and in society. To this end, health care professionals and educational and public health authorities must continue to support health education interventions aimed at training children, parents and teachers on health and self-care, with theoretical contents and practical activities that will enable them to act as first responders in the event of an acute exacerbation.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Grupo de trabajo Asma y Educación de la Sociedad Española de Neumología Pediátrica. Carta de respuesta al artículo publicado en Anales de Pediatría: «Escolares con enfermedades crónicas, ¿qué les preocupa a sus profesores?». ¡No nos olvidemos del asma! [Response letter to the article published in Anales de Pediatría: «School children with chronic diseases; what are teachers worried about?» Let’s not forget asthma!]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L. Moreno-Galarraga" 1 => "L. Valdesoiro Navarrete" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.anpedi.2017.10.010" "Revista" => array:7 [ "tituloSerie" => "An Pediatr (Barc)" "fecha" => "2021" "volumen" => "S1695–4033" "numero" => "March" "paginaInicial" => "00131" "paginaFinal" => "00134" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29191306" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Escolares con enfermedades crónicas, ¿qué les preocupa a sus profesores? [Schoolchildren with chronic diseases; what are teachers worried about?]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "G. Gómez Silva" 1 => "M. Carollo Motellón" 2 => "C. Abelairas Gómez" 3 => "L. Sánchez Santos" 4 => "F.M. García Doval" 5 => "A. Rodríguez Núñez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "An Pediatr (Barc)" "fecha" => "2020" "volumen" => "93" "paginaInicial" => "374" "paginaFinal" => "379" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Do United States’ teachers know and adhere to the national guidelines on asthma management in the classroom? A systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Y. Jaramillo" 1 => "M. Reznik" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Sci World J" "fecha" => "2015" "volumen" => "2015" "paginaInicial" => "624828" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Programa alerta escolar. Fundación Pública Urxencias Sanitarias Galicia-061 [Accessed 24 February 2021]. Available from: <a target="_blank" href="https://061.sergas.es/paxinas/contidos.aspx?idcontido=41%26menusup=1">https://061.sergas.es/paxinas/contidos.aspx?idcontido=41&menusup=1</a>." ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Asthma in adolescence: is there any news?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D. De Benedictis" 1 => "A. Bush" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Pediatr Pulmonol" "fecha" => "2017" "volumen" => "52" "paginaInicial" => "129" "paginaFinal" => "138" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000010000000004/v1_202404250845/S2341287924000942/v1_202404250845/en/main.assets" "Apartado" => array:4 [ "identificador" => "95838" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23412879/0000010000000004/v1_202404250845/S2341287924000942/v1_202404250845/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287924000942?idApp=UINPBA00005H" ]
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