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Severe asthma in South Africa: A literature review and management approach for primary care

Huibrecht C. Lion-Cachet, John M.M. Musonda, Olufemi B. Omole
South African Family Practice | Vol 63, No 1 : Part 1| a5179 | DOI: https://doi.org/10.4102/safp.v63i1.5179 | © 2021 Carien Lion-Cachet | This work is licensed under CC Attribution 4.0
Submitted: 27 June 2020 | Published: 29 January 2021

About the author(s)

Huibrecht C. Lion-Cachet, Department of Family Medicine and Primary Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
John M.M. Musonda, Department of Family Medicine and Primary Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Olufemi B. Omole, Department of Family Medicine and Primary Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa


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Abstract

Severe asthma in South Africa (SA) is underappreciated, especially in the primary care setting. This study highlights the epidemiological context of severe asthma as a phenotypic variant. Primary care practitioners, as first-contact medical providers, need grounding in the management of severe asthma based on the precision of diagnosis and negotiated along the 10-point strategy. The underdiagnosis and undertreatment of asthma ought to inform educational programmes and research in this country.

Keywords

severe asthma; uncontrolled; difficult to treat; treatment-resistant; epidemiological context; primary care; management approach

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