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ORIGINAL ARTICLE
Year : 2013  |  Volume : 27  |  Issue : 1  |  Page : 38-41

Status of previously diagnosed cases of bronchial asthma in relation to diagnosis, treatment, control profile and asthma education reporting at a tertiary care hospital


Department of Respiratory Medicine, Mahatma Gandhi Medical College and Hospital, Sitapura, Jaipur, Rajasthan, India

Correspondence Address:
V K Jain
KTR 3 and 4, Mahatma Gandhi Nagar, DCM, Ajmer Road, Jaipur - 302 021, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-6691.116615

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Background: The cases of bronchial asthma are mainly diagnosed and treated by primary and PG General Physician. Asthma is not adequately controlled due to poor approach to diagnosis, inadequate inhalation therapy and lack of knowledge of asthma among practitioners. Objective: To evaluate the previously diagnosed cases of bronchial asthma made by various practitioners in relation to their diagnosis, treatment, control profile and asthma education before reporting to tertiary care hospital. Materials and Methods: A prospective study of previously diagnosed cases of bronchial asthma was done from the period of July 2010 to December 2011. One hundred twenty patients over 18 years of age were studied reporting to our tertiary care medical teaching hospital. Results: Out of 120 cases, 77.5% (n = 93) were males and 22.5% (n = 27) females with maximum cases (94.2%) under 45 years of age. Majority of cases (52.5%) were diagnosed by Postgraduate (PG) General Physicians, followed by 30% by Graduate doctors and only 17.5% by Respiratory physicians. In 80% cases diagnosis was established on the basis of history and clinical findings, while spirometry was used in only 20% cases. Inhalation therapy was prescribed in all the cases by Respiratory physicians, in 90.5% by PG General Physicians and in only 8.3% by Graduate doctors. Overall only 20% (n = 24) cases had their asthma under control, of these 62.5% were treated by Respiratory physicians and 37.5% by PG General Physicians and in none by Graduate doctor. Asthma education of patients rendered by various physicians showed marked variability ranging from nil to 71.5%. It was nil in patients treated by Graduate doctors and poor in treated by PG General Physicians and not even satisfactory in those treated by Respiratory physicians. Conclusion: Majority of bronchial asthma cases are treated by PG General Physicians and Graduate doctors in the community. Spirometry for diagnosis of asthma was very much under used. Awareness of using inhalation therapy was very poor among Graduate doctors. Poor knowledge of asthma education at each level of practitioner is the major reason of poor asthma control.


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