Clinical Guidelines

Australian Asthma Handbook

Asthma Handbook

The National Asthma Council Australia's evidence-based guide to asthma management. The handbook provides practical recommendations for diagnosis, treatment, and monitoring of asthma in primary care.

asthmahandbook.org.au

Frequently Asked Questions about Asthma Handbook

What is the Australian Asthma Handbook?

The Australian Asthma Handbook is an evidence-based, practical guide to asthma management developed by the National Asthma Council Australia. It provides clinical recommendations for healthcare professionals.

How is asthma severity classified?

Asthma severity is classified retrospectively based on the treatment required to achieve good control. Categories include intermittent, mild persistent, moderate persistent, and severe persistent asthma.

What is an asthma action plan?

An asthma action plan is a written guide for patients that helps them recognise worsening symptoms and adjust their treatment accordingly. Every person with asthma should have a personalised action plan.

When should inhaled corticosteroids be started?

Inhaled corticosteroids (preventer therapy) should be considered for anyone with asthma symptoms more than twice monthly, night waking due to asthma, or any asthma flare-up in the past year.

How often should asthma be reviewed?

Regular asthma reviews are recommended every 6-12 months for stable asthma, with more frequent reviews after flare-ups, medication changes, or when control is suboptimal.

What is the role of SABA in asthma treatment?

Short-acting beta2-agonists (SABA) like salbutamol provide quick relief of symptoms but should not be used alone for regular treatment. Frequent SABA use indicates poor asthma control.

How is asthma diagnosed in adults?

Asthma diagnosis requires a pattern of respiratory symptoms plus demonstrated variable airflow limitation, typically through spirometry showing bronchodilator responsiveness or peak flow variability.

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