Abstract:
BACKGROUND:Optimal management of asthma in resource limited settings is hindered by lack of resources, making it difficult for health providers to adhere to international guidelines. The purpose of this review is to identify steps for asthma diagnosis and management in resource limited settings. METHODS:Review of international asthma guidelines and other published studies on diagnosis and management of asthma. RESULTS:We establish that clinical diagnosis of asthma can be made if recurrent respiratory symptoms especially current wheeze or wheeze in the last 12 months are present. Presence of a trigger, other allergic diseases, personal or family history of asthma; clinical improvement and increase in the peak flow and forced expiratory volume in one second of ≥12% after salbutamol administration increases the likelihood of asthma. At diagnosis severity grading, patient education, removal or reduction of trigger should be done. Follow up 2-6 weeks and assessment of control during therapy is essential. Therapy should be adjusted up or down depending on control levels. Patients should be instructed to increase the frequency of their bronchodilators and/or steroids therapy when they start to experience worsening symptoms. CONCLUSION:Good quality asthma care can be achieved in resource limited settings by use of clinical data and simple tests.
journal_name
Afr Health Scijournal_title
African health sciencesauthors
Kirenga BJ,Schwartz JI,de Jong C,van der Molen T,Okot-Nwang Mdoi
10.4314/ahs.v15i4.18subject
Has Abstractpub_date
2015-12-01 00:00:00pages
1189-99issue
4eissn
1680-6905issn
1729-0503pii
jAFHS.v15.i4.pg1189journal_volume
15pub_type
杂志文章abstract:BACKGROUND:Oxygen saturation is a good marker for disease severity in emergency care. However, studies have not considered its use in identifying individuals infected with Plasmodium falciparum at risk of deaths. OBJECTIVE:To investigate the prevalence and predictive value of hypoxaemia for deaths in under-5s with sev...
journal_title:African health sciences
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journal_title:African health sciences
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journal_title:African health sciences
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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更新日期:2010-12-01 00:00:00
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doi:
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