Children may present with difficult-to-treat asthma for a number of reasons. Only a small group will have truly severe, therapy-resistant asthma. Using a structured multidisciplinary approach, we describe how the difficult-to-treat asthma clinic delineates children who are symptomatic due to ongoing issues that can be addressed such as poor inhaler technique or adherence, from those children who have true therapy-resistant asthma and in whom biological therapies may be considered. The roles of the relevant multidisciplinary team members are described.
Shields, M., & O'Donoghue, D. (2020). A Structured Multidisciplinary Approach to Managing Difficult-to-Treat Asthma in Children. In Severe Asthma in Children and Adolescents Springer. https://doi.org/10.1007/978-3-030-27431-3_5