Stepwise management of asthma

International Forum of Allergy & Rhinology
Ayesha N Khalid

Abstract

Stepwise management of asthma remains an area of evolving research. Asthma is one of the most expensive chronic diseases in the United States; stepwise management is an important area of focus, with several recent guidelines recommending management. This is a review of published English language literature, focusing on management guidelines for asthma in adult and pediatric patients. Asthma is a chronic disease whose assessment of severity allows for therapeutic goals to match the impairment noted. Good evidence exists to aid risk reduction, leading to decreased emergency room visits, preventing loss of lung function in adults and lung growth in children, and optimizing pharmacotherapy with reduced side effects profile. Recent asthma management guidelines incorporate 4 components of asthma care including: monitoring of severity, patient education, controlling external triggers, and medications, including recent attention to medication adherence. Asthma is an expensive chronic disease with preventive measures leading to reduced healthcare costs. Future targeted cytokine therapy to decrease serum and blood eosinophils may become an integral part of asthma management.

References

Jan 10, 2001·The Journal of Allergy and Clinical Immunology·M BrescianiP Chanez
Mar 9, 2002·The Journal of Immunology : Official Journal of the American Association of Immunologists·Hiroko SaitoJudah A Denburg
Aug 30, 2008·Therapeutics and Clinical Risk Management·William E Berger
Apr 30, 2009·American Journal of Rhinology & Allergy·Aaron N PearlmanRobert C Kern
Dec 17, 2009·Proceedings of the American Thoracic Society·Gert-Jan Braunstahl
Sep 8, 2010·The Journal of Allergy and Clinical Immunology·Jan L BrozekUNKNOWN Grading of Recommendations Assessment, Development and Evaluation Working Group
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Apr 5, 2011·The Journal of Allergy and Clinical Immunology·Pamela E MartinShyamali C Dharmage

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