医学
哮喘
哮喘管理
重症监护医学
初级保健
疾病管理
变应原免疫治疗
疾病
物理疗法
免疫学
家庭医学
过敏
过敏原
内科学
帕金森病
作者
Marek Lommatzsch,Guy Brusselle,Mark L Levy,Giorgio Walter Canonica,Ian D. Pavord,Michael Schätz,J. Christian Virchow
标识
DOI:10.1016/s2213-2600(22)00490-8
摘要
The management of asthma has changed fundamentally during the past two decades. Precise assessment and phenotyping are now required to establish individually targeted treatment with disease-modifying anti-asthmatic drugs (DMAADs). Patients with asthma are often managed by primary care doctors or non-respiratory specialists in secondary care. However, the implementation of complex asthma guidelines in non-specialised care remains a challenge. There is a need for easy-to-understand, concise guides for general practice. In this Viewpoint, we propose a one-page practical guide for asthma management, titled A2BCD, with four components: dual assessment (A2) of asthma (ie, diagnosis and phenotype, plus asthma control and future risks); basic measures (B; eg, education, self-management skills, regular physical activity, and avoidance of asthma triggers); identification and treatment of comorbidities (C) of asthma (eg, chronic rhinosinusitis, obesity, or sleep apnoea); and phenotype-specific, individually targeted treatment with DMAADs (D), including individual inhalation schemes based on inhaled corticosteroids, leukotriene modifiers, biologics, and allergen immunotherapy.
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