Asthma Management Handbook
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Table. Australian Asthma Handbook Version 1.1 minor amendments

Purpose

Item(s) amended

‘Airflow limitation’ changed to ‘expiratory airflow limitation’ to improve precision

Various

Addition of fluticasone furoate/vilanterol combination to lists

Guide to preventer medicines

Guide to preventers: inhaled corticosteroid/long-acting beta-2 agonist combinations

Definitions of special terms

Table. Classification of asthma medicines

Table. Pregnancy safety categories for asthma and allergic rhinitis medicines

Table. Types of inhaler devices for delivering asthma medicines

Wording altered to distinguish between the two separate components of asthma control assessment: recent asthma symptoms and future risk

Managing asthma in adults 

‘More information’ topic: Classification of asthma severity and recent asthma symptom control in adults

‘More information’ topic: Assessing risk factors for adverse asthma outcomes

Wording altered to distinguish more clearly between recent asthma symptom control and asthma severity

‘More information’ topic: Classification of asthma severity and recent asthma symptom control in adults

Number labels added to steps in choosing and adjusting asthma treatment regimens, to enable health professionals and educators to refer to each step more easily 

Figure. Stepped approach to adjusting asthma medication in adults

Figure. Stepped approach to adjusting asthma medication in children

Wording altered to acknowledge the limits of evidence for the duration of elevated risk that is conferred by a history  of artificial ventilation due to acute asthma, and admission to an intensive care unit due to acute asthma

‘More information’ topic: Assessing risk factors for adverse asthma outcomes

Structure altered to separate smoking from other factors that have been associated with increased risk of developing asthma, but for which avoidance is not recommended

‘More information’ topic: Factors reported to be associated with increased risk of developing asthma

Hyperlinks inserted to provide direct links to relevant tables

Stepping down treatment in adults

Considering if regular preventer treatment is indicated in children 0–5 years 

Considering if regular preventer treatment is indicated in children 6 years and over

Conducting further review after adjustment of initial treatment in children 6 years and over

Definitions of special terms

‘Adolescents’ added to clarify where guidance for the care of adults applies also to adolescents

Various commentary, recommendations and headings

Minor changes in wording of recommendation for brevity and/or to improve clarity

Asthma in adolescents and young adults

Assessing response to treatment

Managing avoidable triggers

Reviewing initial treatment in children 0–5 years

Reviewing initial treatment in children 6 years and over

Starting systemic corticosteroid treatment

Minor changes in wording of commentaries (‘more information’ topics) to improve clarity and ease of reading

Adherence to preventer treatment: adults and adolescents

Alternative diagnostic tests for asthma and allergy

Antioxidants and fats

Approaches to assessment and monitoring of asthma control in children

Assessment and monitoring of symptom control in children

Classification of symptom patterns in children

Cough and asthma in children

Cromones for children

Definition of variable expiratory airflow limitation

Dietary effects on risk of developing asthma

Factors reported to be associated with increased risk of developing asthma

Home Medicines Review and MedsCheck

Inhaled corticosteroid/long-acting beta2 agonist combinations for adults: overview

Inhaled corticosteroid/long-acting beta2 agonist combinations for adults: stepping up from inhaled corticosteroid alone

Omalizumab for adults and adolescents

Pneumonia risk with inhaled corticosteroids in patients with COPD

Roles of other lung function tests in asthma diagnosis in adults

Roles of other lung function tests in asthma diagnosis in children

Spirometry in children

Stepping down regular asthma medicines

Written asthma action plans for adults

Written asthma action plans for children

Minor changes in tables and figures to improve clarity and/or formatting

Table. Guide to selecting and adjusting asthma medication for adults and older adolescents

Table. Initial treatment choices (adults not already using a preventer)

Table. Options for adjusting medicines in a written asthma action plan for adults

Table. Summary of asthma triggers

Table. Add-on treatment options for acute asthma

Table. Local pregnancy and breastfeeding safety information services

Table. Pregnancy safety categories for asthma and allergic rhinitis medicines

Figure. Managing acute asthma in adults

Figure. Managing acute asthma in children

Figure. Initial management of life-threatening acute asthma

Asset ID: 97