Asthma in under five-year-olds

Date Published: 
Monday, June 22, 2020

Dr David McNamara talks through addressing the challenges and barriers to diagnosis of asthma in the under five-year-old child.



  • The new Child Asthma Guidelines 2020 for children.
  • Diagnosis and management under 1’s.
  • Management 1- 4 year olds.
  • Developing asthma from wheeze.
  • Assessing severity.
  • When to refer.


Take home messages

  • Diagnosis is based on response to therapy.
  • Need for recall and follow up.
  • Always check inhaler technique and perform education.
  • Address inequality.





Dr David McNamara
Paediatric Specialist

Dr David McNamara is a Paediatric Respiratory and Sleep medicine specialist employed at Starship Children’s Hospital in Auckland. He is a graduate of Auckland Medical School and completed paediatric respiratory training in 2006. He underwent sleep medicine training at Sydney Children’s Hospital. His clinical interests include asthma and obstructive sleep apnoea in children. His research interests include the use of humidification therapy in children with tracheostomies and the assessment of health-related quality of life in technology-dependent children and their families.

Podcast supported by:





Recognition of Learning Activities

Don't forget to log your time with The Royal New Zealand College of General Practitioners portal for recognition of learning activities.

RNZCGP website

This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.