Evaluation of the management of asthma in a specialized pulmonological environment at CHU Congo-Brazzaville
Journal Title: JOURNAL OF FUNCTIONAL VENTILATION AND PULMONOLOGY - Year 2018, Vol 9, Issue 29
Abstract
Introduction and Objective. Asthma is a chronic inflammatory disease of the bronchi that requires a codification of its management by pulmonologists. Due to lack of consensus of care at the national level, we have allowed ourselves to make an assessment of the care that is conducted in the respiratory department of the University Hospital of Brazzaville to better define the axes of care. Methods. We analyzed data recording in the Asthma Crisis or Exacerbation Service and the controls performed during the study period. Results. In total, we analyzed the management of 54 patients during this period. They were 60% women and 40% men, mostly young, with an average age of 25.6 years (extreme: 19 years and 62 years). No use of peak-flow was made for the assessment of the severity or not of the crisis. Bronchodilators in solution for nebulization were used in 35% of cases and forms for injection (subcutaneous) in 65% of cases. Systemic corticosteroids were associated in 100% of cases. In the short term, 23 patients underwent spirometry, which allowed the initiation of a long-term treatment combining long-acting bronchodilator and inhaled corticosteroid. Thirty-one patients were treated with DMARD without interacted lung function assessment. In all cases, patients used a short-acting bronchodilator as needed. Conclusion. The management of asthma still presents some shortcomings in the respiratory department of the University Hospital of Brazzaville both on the treatment of the crisis or exacerbation as in the background treatment.
Authors and Affiliations
OKEMBA OKOMBI Franck Hardain
Keywords
Related Articles
- EP ID EP570763
- DOI 10.12699/jfvpulm.9.29.2018.19
- Views 85
- Downloads 0
The role of induced sputum eosinophils in asthma
Over the last decades, the analysis of inflammatory cells by induced sputum, especially for eosinophils in asthmatic patients help physicians to a better understanding of airway inflammation in these patients [1]. Induce...
Epidemiological, diagnostic, therapeutic and progressive aspects of severe acute asthma at CHU Sylvanus Olympio de Lome
Introduction. Severe Acute Asthma (SAA) is a health and morbidity-mortality problem in a pulmonology environment. The objective of this study was to determine the epidemiological characteristics of the AAG in Lomé and to...
Epidemiological and clinical aspects of pachypleuritis: About 102 cases collected in the Pulmonology & Phtisiology Department of the Sylvanus Olympio University Hospital Center in Lome
Introduction. Pachypleuritis is a pleural thickening that is objectified by thoracic imaging. It is a non specific reaction secondary to several etiologies (inflammatory, infectious, asbestos) which cause a severe inflam...
Chronic cough revealing a Kartagener syndrome: about one case
Kartagener syndrome is primary ciliary dyskinesia and rare congenital disease, with autosomal recessive transmission. It combines the triad: sinusitis, bronchiectasia, and complete or incomplete situs inversus. This dise...
Pulmonary atelectasis by compression of aortic aneurysm
The arterial aneurysm is a localized irreversible dilatation of an artery of more than 50% of its size, with a loss of parallelism of its edges. Atelectasis is a collapse of the pulmonary parenchyma by obstruction of a m...