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The diagnosis of acute asthma in early childhood can be difficult. Intermittent wheezing attacks are often due to viral infection and the response to asthma medication is inconsistent. The differential diagnosis of wheeze in this age group includes pneumonia and bronchiolitis.
The possibility of an underlying congenital anomaly or chronic condition should also be considered.
These guidelines are intended for those children < 2 years who are thought to have asthma causing acute wheeze. They should not be used as a guide for treating bronchiolitis/other conditions.
This guideline should be used by healthcare professionals involved in the care of children less than two years of age that have acute asthma.
Based on British Thoracic Society, Scottish Intercollegiate Guidelines Network British Guideline on the Management of Asthma. 2009 revision 
Prescribing prednisolone for patients being admitted to the wards with acute asthma:
Last reviewed: 01 December 2015
Next review: 31 August 2021
Author(s): Scott Hendry / Steven Foster
Approved By: Clinical Effectiveness
Reviewer Name(s): V Choudhery