Childhood asthma: A best-practice strategy for the diagnosis and assessment of control in South Africa

Niekerk, Andre Van; White, Debbie A; Goussard, Pierre; Risenga, Samuel Malamulele

doi:10.7196/samj.2021.v111i8.15851

Cited by 1 publication

(1 citation statement)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Guideline development and implementation Guidelines are effective in improving asthma diagnosis, management and outcomes in primary health-care (PHC) clinics du Plessis et al [ 50 ] 3b. Evidence based guidelines Need to exclude all other causes of wheeze, therapeutic trial of inhaled steroids may be useful where objective spirometry is not available Based on evidence, a four step diagnostic process was developed Masekela et al on behalf of South African Child Asthma Working Group [ 20 ], van Niekerk et al [ 51 ] 3c. Symptom-based asthma diagnosis Simple symptom-based questionnaires have been found to be useful in asthma diagnosis in children under 5 years Nantanda et al [ 52 ] 4.…”

Section: Resultsmentioning

confidence: 99%

Challenges in the diagnosis of asthma in children, what are the solutions? A scoping review of 3 countries in sub Saharan Africa

Magwenzi

Rusakaniko

Sibanda³

et al. 2022

Respir Res

View full text Add to dashboard Cite

Background Asthma is the commonest chronic respiratory tract disease in children. In low-income countries, challenges exist in asthma diagnosis. In surveys done in children, the prevalence of ‘asthma’ defined by symptoms is high compared to ‘doctor diagnosed asthma’. The questions answered by this review are (i) What challenges have been experienced in the diagnosis of asthma in children? (ii) What solutions will address these challenges? Methods The Arksey and O’Malley’s framework for scoping reviews was used for the study methodology, while the PRISMA-ScR checklist guided the reporting process. Electronic databases: PubMed Central, EMBASE and Google Scholar were searched. Primary quantitative and qualitative studies and reviews from 2010 to 2021, from Nigeria, South Africa and Uganda written in English or translated to English, which answered the study questions were included. The author, title, country, study type, methods, purpose, findings and references were captured onto a predefined data collection table. The ‘Preview, Question, Read, Summarise’ system was used and a narrative report was used to summarise the findings. Results A total of 28 studies were included. The causes of under-diagnosis of asthma include lack of community knowledge and perception of asthma, poor accessibility to health care, strained health systems, lack of diagnostic tests including spirometry, low levels of knowledge among health-care workers and lack of or non-implementation of asthma guidelines. Strategies to improve asthma diagnosis will include community and school based education programmes, revision of asthma diagnostic terms, guideline development and implementation and health systems strengthening. Conclusion This scoping review provides research evidence for policy makers and health-workers involved in the care of asthmatic children on challenges faced in asthma diagnosis and strategies to improve asthma diagnosis.

show abstract

Section: Resultsmentioning

confidence: 99%

Challenges in the diagnosis of asthma in children, what are the solutions? A scoping review of 3 countries in sub Saharan Africa

Magwenzi

Rusakaniko

Sibanda³

et al. 2022

Respir Res

View full text Add to dashboard Cite

show abstract

Childhood asthma: A best-practice strategy for the diagnosis and assessment of control in South Africa

Abstract: This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.

Cited by 1 publication

References 12 publications

Challenges in the diagnosis of asthma in children, what are the solutions? A scoping review of 3 countries in sub Saharan Africa

Challenges in the diagnosis of asthma in children, what are the solutions? A scoping review of 3 countries in sub Saharan Africa

Contact Info

Product

Resources

About