African Health Sciences
Makerere University Medical School
Vol. 15, No. 4, 2015, pp. 1189-1199
Bioline Code: hs15164
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 15, No. 4, 2015, pp. 1189-1199
© Copyright 2015 - African Health Sciences
Guidance on the diagnosis and management of asthma among adults in resource limited settings|
Kirenga, Bruce J.; Schwartz, Jeremy I.; de Jong, Corina; van der Molen, Thys & Okot-Nwang, Martin
Background: Optimal management of asthma in resource limited settings is hindered by lack of resources, making it difficult
for health providers to adhere to international guidelines. The purpose of this review is to identify steps for asthma
diagnosis and management in resource limited settings.
Methods: Review of international asthma guidelines and other published studies on diagnosis and management of asthma.
Results: We establish that clinical diagnosis of asthma can be made if recurrent respiratory symptoms especially current
wheeze or wheeze in the last 12 months are present. Presence of a trigger, other allergic diseases, personal or family history
of asthma; clinical improvement and increase in the peak flow and forced expiratory volume in one second of ≥12% after
salbutamol administration increases the likelihood of asthma. At diagnosis severity grading, patient education, removal or
reduction of trigger should be done. Follow up 2-6 weeks and assessment of control during therapy is essential. Therapy
should be adjusted up or down depending on control levels. Patients should be instructed to increase the frequency of their
bronchodilators and/or steroids therapy when they start to experience worsening symptoms.
Conclusion: Good quality asthma care can be achieved in resource limited settings by use of clinical data and simple tests.
Asthma; diagnosis; treatment; management and resource limited settings