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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