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New guidelines on recurrent wheeze in preschool children: implications for primary care.

Introduction Two years ago, Bush described the challenges of diagnosing asthma in preschool children in this journal. Both in his paper, and in the accompanying editorial, the lack of “good, validated data” on management of this very common disorder was lamented. Furthermore, asthma guidelines are not very helpful; either they do not discuss preschool wheezing at all, or they discuss it very briefly. The lack of evidence-based guidelines for the diagnosis and management of preschool wheeze prompted the European Respiratory Society to institute a Task Force to develop such guidelines. The Task Force’s Report has recently been published. This ‘Research into Practice’ paper describes the report’s main recommendations, and the implications for managing preschool wheezing in primary care.