دورية أكاديمية
Clinical standards for the diagnosis and management of asthma in low- and middle-income countries
| العنوان: | Clinical standards for the diagnosis and management of asthma in low- and middle-income countries |
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| المؤلفون: | Jayasooriya S., Stolbrink M., Khoo E. M., Sunte I. T., Awuru J. I., Cohen M., Lam D. C., Spanevello A., Visca D., Centis R., Migliori G. B., Ayuk A. C., Buendia J. A., Awokola B. I., Del-Rio-Navarro B. E., Muteti-Fana S., Lao-Araya M., Chiarella P., Badellino H., Somwe S. W., Anand M. P., Garci-Corzo J. R., Bekele A., Soto-Martinez M. E., Ngahane B. H. M., Florin M., Voyi K., Tabbah K., Bakki B., Alexander A., Garba B. L., Salvador E. M., Fischer G. B., Falade A. G., Zorica Zivkovi C., Romero-Tapia S. J., Erhabor G. E., Zar H., Gemicioglu B., Brandao H. V., Kurhasani X., El-Sharif N., Singh V., Ranasinghe J. C., Kudagammana S. T., Masjedi M. R., Velasquez J. N., Jain A., Cherrez-Ojeda I., Valdeavellano L. F. M., Gomez R. M., Mesonjesi E., Morfin-Maciel B. M., Ndikum A. E., Mukiibi G. B., Reddy B. K., Yusuf O., Taright-Mahi S., Merida-Palacio J. V., Kabra S. K., Nkhama E., Filho N. R., Zhjegi V. B., Mortimer K., Rylance S., Masekela R. R. |
| المساهمون: | Jayasooriya, S., Stolbrink, M., Khoo, E. M., Sunte, I. T., Awuru, J. I., Cohen, M., Lam, D. C., Spanevello, A., Visca, D., Centis, R., Migliori, G. B., Ayuk, A. C., Buendia, J. A., Awokola, B. I., Del-Rio-Navarro, B. E., Muteti-Fana, S., Lao-Araya, M., Chiarella, P., Badellino, H., Somwe, S. W., Anand, M. P., Garci-Corzo, J. R., Bekele, A., Soto-Martinez, M. E., Ngahane, B. H. M., Florin, M., Voyi, K., Tabbah, K., Bakki, B., Alexander, A., Garba, B. L., Salvador, E. M., Fischer, G. B., Falade, A. G., Zorica Zivkovi, C., Romero-Tapia, S. J., Erhabor, G. E., Zar, H., Gemicioglu, B., Brandao, H. V., Kurhasani, X., El-Sharif, N., Singh, V., Ranasinghe, J. C., Kudagammana, S. T., Masjedi, M. R., Velasquez, J. N., Jain, A., Cherrez-Ojeda, I., Valdeavellano, L. F. M., Gomez, R. M., Mesonjesi, E., Morfin-Maciel, B. M., Ndikum, A. E., Mukiibi, G. B., Reddy, B. K., Yusuf, O., Taright-Mahi, S., Merida-Palacio, J. V., Kabra, S. K., Nkhama, E., Filho, N. R., Zhjegi, V. B., Mortimer, K., Rylance, S., Masekela, R. R. |
| سنة النشر: | 2023 |
| المجموعة: | IRInSubria - Institutional Repository Insubria (Università degli Studi dell’Insubria) |
| مصطلحات موضوعية: | asthma, chronic respiratory disease, clinical standard, low-income, middle-income countrie, noncommunicable disease |
| الوصف: | B A C K G R O U N D: The aim of these clinical standards is to aid the diagnosis and management of asthma in low-resource settings in low- and middle-income countries (LMICs). M E T H O D S: A panel of 52 experts in the field of asthma in LMICs participated in a two-stage Delphi process to establish and reach a consensus on the clinical standards. R E S U L T S: Eighteen clinical standards were defined: Standard 1, Every individual with symptoms and signs compatible with asthma should undergo a clinical assessment; Standard 2, In individuals (>6 years) with a clinical assessment supportive of a diagnosis of asthma, a hand-held spirometry measurement should be used to confirm variable expiratory airflow limitation by demonstrating an acute response to a bronchodilator; Standard 3, Pre- and post-bronchodilator spirometry should be performed in individuals (>6 years) to support diagnosis before treatment is commenced if there is diagnostic uncertainty; Standard 4, Individuals with an acute exacerbation of asthma and clinical signs of hypoxaemia or increased work of breathing should be given supplementary oxygen to maintain saturation at 94–98%; Standard 5, Inhaled short-acting beta-2 agonists (SABAs) should be used as an emergency reliever in individuals with asthma via an appropriate spacer device for metered-dose inhalers; Standard 6, Short-course oral corticosteroids should be administered in appropriate doses to individuals having moderate to severe acute asthma exacerbations (minimum 3–5 days); Standard 7, Individuals having a severe asthma exacerbation should receive emergency care, including oxygen therapy, systemic corticosteroids, inhaled bronchodilators (e.g., salbutamol with or without ipratropium bromide) and a single dose of intravenous magnesium sulphate should be considered; Standard 8, All individuals with asthma should receive education about asthma and a personalised action plan; Standard 9, Inhaled medications (excluding dry-powder devices) should be administered via an appropriate spacer ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/37608484; info:eu-repo/semantics/altIdentifier/wos/WOS:001170931400002; volume:27; issue:9; firstpage:658; lastpage:667; numberofpages:10; journal:INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE; https://hdl.handle.net/11383/2170376Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85168776640 |
| DOI: | 10.5588/ijtld.23.0203 |
| الإتاحة: | https://doi.org/10.5588/ijtld.23.0203Test https://hdl.handle.net/11383/2170376Test |
| رقم الانضمام: | edsbas.D0B304D6 |
| قاعدة البيانات: | BASE |
| DOI: | 10.5588/ijtld.23.0203 |
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