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Asthma Education Prevention Program

Asthma Education Prevention Program. 2007 Guidelines for the Diagnosis and Management of Asthma (EPR-3) Bushra A. Hadi. What is Asthma? .

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Asthma Education Prevention Program

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  1. Asthma Education Prevention Program 2007 Guidelines for the Diagnosis and Management of Asthma (EPR-3) Bushra A. Hadi

  2. What is Asthma? “Asthma is a common chronic disorder of the airways that involves a complex interaction of airflow obstruction, bronchial hyperresponsiveness and an underlying inflammation. This interaction can be highly variable among patients and within patients over time”.

  3. Characteristics of Asthma • Airway Inflammation • Airway Obstruction (reversible) • Hyperresponsiveness (irritability of airways)

  4. Normal & Asthmatic Bronchiole

  5. Why Do We Need Asthma Guidelines?

  6. 2007 - Guidelines for the Diagnosis & Management of Asthma Expert Review Panel (EPR-3)

  7. Asthma Guidelines:History & Context • Initial guidelines released in 1991 and updated in 1997 • Updated again in 2002 (EPR-2) with a focus on several key questions about medications, monitoring and prevention • Long-term management of asthma in children • Combination therapy • Antibiotic use • Written asthma action plans (AAP) and peak flow meters (PFM) • Effects of early treatment on the progression of asthma

  8. Old & New Asthma Guidelines:What has not changed • Initial asthma therapy is determined by assessment of asthma severity • Ideally, before the patient is on a long-term controller • Stepping therapy up or down is based on how well asthma is controlled or not controlled • Inhaled corticosteroids (ICS) are the preferred first-line therapy for asthma • Systemic steroids can still be used to treat asthma exacerbations • Peak flows and written asthma action plans are recommended for asthma self management • Especially in moderate and severe persistent asthma, or for those with a history of severe exacerbations or poorly controlled asthma

  9. Asthma Therapy Goals “The goal of asthma therapy is to control asthma so patients can live active, full lives while minimizing their risk of asthma exacerbations and other problems”

  10. 2007 - Guidelines for the Diagnosis & Management of Asthma (EPR-3) • (Almost) no new medications • Restructuring into “severity” and “control” • Domains of “impairment” and “risk” • Six treatment steps (step-up/step-down) • More careful thought into ongoing management issues • Summarizes extensively-validated scientific evidence that the guidelines, when followed, lead to a significant reduction in the frequency and severity of asthma symptoms and improve quality of life

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