Asthma Management Handbook

Assessing asthma triggers

Recommendations

Assess each patient’s asthma triggers to identify those that are clinically relevant to the individual and whether they are potentially avoidable.

Table. Summary of asthma triggers Opens in a new window Please view and print this figure separately: http://www.asthmahandbook.org.au/table/show/52

How this recommendation was developed

Consensus

Based on clinical experience and expert opinion (informed by evidence, where available).

List important triggers on the person’s written asthma action plan.

How this recommendation was developed

Consensus

Based on clinical experience and expert opinion (informed by evidence, where available).

More information

Interactions between triggers

Simultaneous exposure to some classes of triggers may have synergistic effects on asthma symptoms and flare-ups, e.g.:

  • allergens plus industrial or traffic pollutants (e.g. diesel exhaust, ozone)12
  • allergens plus viruses.34
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References

  1. Jenerowicz D, Silny W, Danczak-Pazdrowska A, et al. Environmental factors and allergic diseases. Ann Agric Environ Med. 2012; 19: 475-81. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23020042
  2. Dales RE, Cakmak S, Judek S, et al. Influence of outdoor aeroallergens on hospitalization for asthma in Canada. J Allergy Clin Immunol. 2004; 113: 303-6. Available from: http://www.jacionline.org/article/S0091-6749(03)02678-2/fulltext
  3. Green RM, Custovic A, Sanderson G, et al. Synergism between allergens and viruses and risk of hospital admission with asthma: case-control study. BMJ. 2002; 324: 763. Available from: http://www.bmj.com/content/324/7340/763
  4. Murray CS, Poletti G, Kebadze T, et al. Study of modifiable risk factors for asthma exacerbations: virus infection and allergen exposure increase the risk of asthma hospital admissions in children. Thorax. 2006; 61: 376-82. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2111190/