A 2021 update: approach to asthma management in adults

  • N Schellack University of Pretoria
  • A Truter Sefako Makgatho Health Sciences University
  • P N Ntuli Highveld MediClinic
  • A Mokwele Dr George Mukhari Academic Hospital
  • K Mogale Sefako Makgatho Health Sciences University
  • A Esterhuizen Sefako Makgatho Health Sciences University
Keywords: asthma, bronchodilators, inhaled corticosteroid, β-agonist, peak expiratory flow, spirometry, SABA, LABA

Abstract

Asthma is a chronic inflammatory disease that causes hyper-responsiveness of the bronchial tree, with reversible airflow obstruction. The condition places a significant burden on our healthcare system. Chronic asthma can cause remodelling of the airway. Patients suffering from asthma should be aware of the signs and symptoms thereof, as well as the factors that can precipitate an asthmatic attack. Asthma is mostly classified as either acute or chronic; the diagnosis of asthma is based on identifying both a characteristic pattern of respiratory symptoms and variable expiratory airflow limitation. Treatment is based on how the patient presents and includes bronchodilators, inhaled corticosteroids and mast cell stabilisers. This article provides an overview of the diagnosis, characterisation and treatment of asthma.

Author Biographies

N Schellack, University of Pretoria

Department of Pharmacology, Faculty of Health Sciences, University of Pretoria, South Africa

A Truter, Sefako Makgatho Health Sciences University

School of Pharmacy, Faculty of Health Sciences, Sefako Makgatho Health Sciences University, South Africa

P N Ntuli, Highveld MediClinic

Highveld MediClinic, South Africa

A Mokwele, Dr George Mukhari Academic Hospital

Dr George Mukhari Academic Hospital, South Africa

K Mogale, Sefako Makgatho Health Sciences University

School of Pharmacy, Faculty of Health Sciences, Sefako Makgatho Health Sciences University, South Africa

A Esterhuizen, Sefako Makgatho Health Sciences University

School of Pharmacy, Faculty of Health Sciences, Sefako Makgatho Health Sciences University, South Africa

Published
2021-08-31
Section
Reviews