Stay up-to-date with the latest asthma management recommendations from the 2022 Global Initiative for Asthma Strategy, as explored by Dr. Mark L Levy. AsthmaManagement GlobalInitiativeForAsthma
different approaches to diagnosis depending on whether controller treatment has already been prescribed
Although asthma is a condition characterised by inflammation, the diagnosis cannot be reliably ruled in or out using inflammatory markers alone, such as fractional exhaled nitrous oxide or raised blood eosinophil count.This is because inflammatory markers can be elevated in conditions other than asthma, and are not elevated in all asthma phenotypes.
Following feedback, GINA has upgraded its advice on the management of severe asthma by increasing the size of the stand-alone difficult-to-treat and severe asthma guide , which encompasses management across primary and specialist care.Asthma that is uncontrolled despite prescribing of medium- or high-dose ICS treatment plus a second controller or with a maintenance OCS, or that requires high-dose treatment to maintain good symptom control and reduce the risk of exacerbations.
Twice-daily PEF recordings with variation greater than 10% in adults and greater than 13% in children support a diagnosis of variable airflow limitation
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