Federal guidelines on diagnosis and treatment of bronchial asthma

Author:

Chuchalin A. G.1ORCID,Avdeev S. N.2ORCID,Aisanov Z. R.1ORCID,Belevskiy A. S.1ORCID,Vasil’eva O. S.3,Geppe N. A.4ORCID,Ignatova G. L.5ORCID,Knyazheskaya N. P.1,Malakhov A. B.4ORCID,Meshcheryakova N. I.1,Nenasheva N. M.6ORCID,Fassakhov R. S.7ORCID,Khaitov R. M.8ORCID,Il’ina N. I.9ORCID,Kurbacheva O. M.9ORCID,Astafieva N. G.10ORCID,Demko I. V.11ORCID,Fomina D. S.12,Namazova-Baranova L. S.13ORCID,Baranov A. A.14ORCID,Vishneva E. A.13,Novik G. A.15

Affiliation:

1. Pirogov Russian National Research Medical University (Pirogov Medical University), Ministry of Health of the Russian Federation

2. Federal State Autonomous Educational Institution of Higher Education I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University); Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia

3. Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia

4. Federal State Autonomous Educational Institution of Higher Education I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

5. South Ural State Medical University, Healthcare Ministry of Russia

6. Russian Medical Academy of Continuous Professional Education, Healthcare Ministry of Russian Federation

7. Federal State Autonomous Educational Institution of Higher Education “Kazan (Volga Region) Federal University” Ministry of Healthcare of the Russian Federation

8. Federal State Budgetary Educational Institution of the Higher Education “A.I.Yevdokimov Moscow State University of Medicine and Dentistry” of the Ministry of Healthcare of the Russian Federation; Federal Research Center “Institute of Immunology”, Federal Medical and Biological Agency of Russia

9. Federal Research Center “Institute of Immunology”, Federal Medical and Biological Agency of Russia

10. Saratov State Medical University named after V.I.Razumovsky, Healthcare Ministry of Russian Federation

11. Federal State Budgetary Educational Institution of Higher Education “Krasnoyarsk State Medical University named after Professor V.F.Voyno-Yasenetsky” of the Ministry of Health of the Russian Federation

12. Federal State Autonomous Educational Institution of Higher Education I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University); State Institution “City Hospital No.52”, Moscow Health Department

13. Pirogov Russian National Research Medical University (Pirogov Medical University), Ministry of Health of the Russian Federation; Pediatrics and Child Health Research Institute of the “Central Clinical Hospital of the Russian Academy of Sciences”, Ministry of Education and Science of Russia

14. Pediatrics and Child Health Research Institute of the “Central Clinical Hospital of the Russian Academy of Sciences”, Ministry of Education and Science of Russia

15. Federal State budgetary Educational Institution of Higher Education “St. Petersburg State Pediatric Medical University” of the Ministry of Healthcare of the Russian Federation

Abstract

Bronchial asthma is a heterogeneous disease that requires identification of its phenotype and a personalized approach to therapy. At the same time, despite a wide range of therapeutic options, many patients with asthma cannot achieve control over the disease.Methodology. The target audience of these clinical recommendations are general practitioners, therapists, pediatricians, allergologists-immunologists, pulmonologists, and functional diagnostics doctors. Each thesis-recommendation about diagnostic and therapeutic procedures has been scored according to the scales of classes of recommendations from 1 to 5 and A, B, C scale of the levels of evidence. The clinical recommendations also contain comments and explanations to the theses, algorithms for the diagnosis and treatment of bronchial asthma, and reference materials.Conclusion. The presented clinical guidelines cover current information about the etiology and pathogenesis, classification, clinical manifestations, diagnosis, treatment, and prevention of bronchial asthma. These guidelines were approved by the Scientific and Practical Council of the Ministry of Health of the Russian Federation in 2021. 

Publisher

Scientific and Practical Reviewed Journal Pulmonology

Subject

Pulmonary and Respiratory Medicine

Reference184 articles.

1. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. Updated 2018. Available at: https://ginasthma.org/wp-content/uploads/2018/04/wms-GINA-2018-report-V1.3-002.pdf

2. Chuchalin A.G., Khaltaev N., Аntonov N.S. Chronic respiratory diseases and risk factors in 12 regions of the Russian Federation. Int. J. Chron. Obstruct. Pulmon. Dis. 2014; 9 (1): 963–974. DOI: 10.2147/COPD.S67283.

3. Russian Respiratory Society. [National program “Bronchial asthma in children. Treatment strategy and prevention». 4rd edn. Moscow; 2012 (in Russian).

4. Centers for Disease Control and Prevention. Most recent asthma data. Available at: http://www.cdc.gov/asthma/most_recent_data.htm

5. Krahn M.D., Berka C., Langlois P., Detsky A.S. Direct and indirect costs of asthma in Canada, 1990. CMAJ. 1996; 154 (6): 821–831.

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