A Brief Look at the Updated Global Initiative for Asthma Guidelines
Asthma is a serious global health problem affecting all age groups. Its prevalence has increased in many countries, especially among children.
Modern Medicine â Issue 4 2022
A Brief Look at the Updated Global Initiative for Asthma Guidelines
Asthma is a serious global health problem affecting all age groups. Its prevalence has increased in many countries, especially among children.
Modern Medicine â Issue 4 2022
International Opinion on Nebulisation during COVID
Asthma treatment and management guidelines are being updated in response to the current COVID pandemic. While the updated guidelines broadly agree in their recommendations of asthma medication, guidance on the use of nebulisers for the delivery of asthma medication is contradictory.
Modern Medicine â Issue 6 2021
Launching the âKamba Ya Shangaâ Project
While COVID is seen as a major threat to healthcare systems and human life across the world, it has also created an opportunity to re-evaluate our healthcare environment, to fast track regulatory challenges that may have otherwise been slow to implement and it has highlighted resources within our communities that were previously overlooked in favour of the more traditional methods.
Modern Medicine â Issue 4 2021
Paediatric Asthma-Update on the stepwise management approach
The 2019 and 2020 updates to the Australian Asthma Handbook (versions 2.0 and 2.1) include a major update to evidence and advice on managing asthma in infants and children. The stepwise approach to management of childhood asthma differs by age group. Before any stepwise increase in asthma preventer treatment, clinicians should reconsider the diagnosis of asthma, check the parentsâ and childâs understanding of asthma management and treatment adherence, and minimise exposure to triggers and environmental tobacco smoke. Asthma should be considered as a chronic remitting and relapsing condition, with any hospital presentation representing evidence of inadequate disease control.
Modern Medicine â Issue 2 2021
Asthma Management and the Over-reliance on SABAs
Asthma, a chronic inflammatory condition of the airways, affects around 300 million people worldwide. In South Africa, the prevalence is approximately 8.1% across all ages and the fatality rate is reported as being the 5th highest in the world – at 18.5 per 100 000 asthmatics.
Modern Medicine â Issue 1 2021
Managing Asthma and COVID-19 Risk
In the face of unchartered territory and unprecedented times, there remains uncharted much to be learned about the impact of asthma on the course of SARS-CoV-2 virus infection. Although adult data suggest that asthma is a risk factor for COVID-19 morbidity and mortality, such a risk in children is unclear. Differentiating COVID- 19 from worsening asthma, or an asthma exacerbation, is challenging. There is broad consensus that asthma exacerbations should be treated aggressively and in keeping with current guideline recommendations.
Modern Medicine â Issue 4 2020
Asthma, COPD and When They Coexist
Asthma and chronic pulmonary obstructive disease (COPD) are umbrella terms that describe disorders of the airways with diverse inflammatory pathways and pathophysiology. Recent advances in the understanding of the immunopathology of asthma have led to the emergence of biological agents that more precisely target disease pathways but will require a more precise understanding of those dysfunctional pathways. There are areas where the pathology and expression of airways disease in asthma and COPD overlap. The overlap between asthma and COPD presents important challenges in diagnosis as well as management.
Modern Medicine â Oct/Nov 2018
Most practising doctors are familiar with the diseases of Asthma and Chronic Obstructive Pulmonary Disease (COPD). Within the cohort of these two disease entities, there are patients that do not completely satisfy the criteria to be diagnosed convincingly as either asthma or COPD. While the semantics of these diseases are far more important for research purposes than the diagnostic dilemma they pose, there have been several advances in both asthma and COPD that make the distinction or recognition of an asthma COPD Overlap Syndrome (ACOS) as a clinical entity more pertinent.
Modern Medicine â September 2016
Severe Asthma: New Frontiers of Treatment â MM1511
New therapies that specifically target inflammatory pathways or aberrant physiology in severe asthma offer substantial opportunities for effective treatment. Some of these therapies are available under specialist referral, and others are available in the context of clinical trials.
Modern Medicine â November 2015
Worsening Asthma In Adults Part 2: Assessment And Management Of Asthma Exacerbations â MM1502
This second part of a two-part article discusses the assessment and management of patients who present to their GP with an asthma exacerbation. Moderate exacerbations can be managed in the community but urgent hospital transfer is required if the exacerbation is severe or the patient has high-risk features or deteriorates despite treatment.
Modern Medicine â February 2015