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Abstract Bronchial asthma is a chronic disease of respiratory tract that is becoming a major health issue in many developing countries. In spite of these laudable efforts to improve asthma care over the past decade, a majority of patients have not benefited from advances in asthma treatment as the majority of asthma children are managed by general or family physicians all over the world. As a result, asthma continues to be underdiagnosed and undertreated. Updated guidelines on bronchial asthma have been recently issued by two major international bodies, namely, GINA (Global Initiative for Asthma) and NAEPP (National Asthma Education and Prevention Program). In this work we tried to assess the current situation as regard clinician’s attitude towards national and international guidelines and their adherence to its recommendations in Egypt. This was achieved through a self-administered questionnaire aiming at assessment of three important aspects which are; physician’s knowledge, practice and attitude, thisquestionnaire was applied to 352 physicians who deal with childhood bronchial asthma. In this study we found that the majority of the physicians have good knowledge about asthma diagnosis and management in comparison to their practice, assessment of asthma severity was lacking at most of the physicians. As regards treatment of asthma still some physicians use steroids in the oral form and for short term therapy, cough medications and antibiotics are still prescribed. Inspite of the awareness of PEFM importance in asthma diagnosis and management, still there’s a shortage in its use in the practice. Our study revealed that the |