Protocolo de tratamiento del asma

  1. Armentia Medina, A. 1
  2. Martín Armentia, S. 2
  3. Fernández Cortés, S. 3
  1. 1 Unidades de Alergia, Hospital Universitario Río Hortega, Valladolid, España
  2. 2 Unidades de Pediatría, Centro Delicias, Valladolid, España
  3. 3 Unidades de Asma Difícil, Hospital Universitario Río Hortega, Valladolid, España
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2021

Issue Title: Enfermedades del sistema inmune (I)Enfermedades alérgicas

Series: 13

Issue: 28

Pages: 1588-1592

Type: Article

DOI: 10.1016/J.MED.2021.03.015 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Asthma treatment must be comprehensive and must consider the following four basic pillars: pharmacological treatment, allergen avoidance measures, allergen immunotherapy, and health education. Acute asthma attack is treated with rapid-acting bronchodilators together with inhaled corticosteroids and, only in some cases, systemic corticosteroids. Biological drugs will be used if improvement is not achieved or in severe eosinophilic asthma. Inhalation devices are essential to make the use of drugs profitable; in children, they must be adapted to the age and clinical situations. Maintenance treatment requires both proper diagnosis of type of asthma and periodic monitoring of therapeutic drug effect. Drugs to prevent are: antileukotrienes, inhaled corticosteroids, long-acting beta 2 stimulants and, in severe forms, monoclonal anti-IgE antibodies. Immunotherapy against allergens, very effective in pediatrics, has precise indications.

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