Management of difficult asthma

The British Thoracic Society & Scottish Intercollegiate Guidelines Network

  • Difficult asthma is defined as persistent symptoms and/or frequent exacerbations despite treatment at step 4 or 5

Assessing difficult asthma

  • Patients with difficult asthma should be systematically evaluated, including:
    • confirmation of the diagnosis of asthma, and
    • identification of the mechanism of persisting symptoms and assessment of adherence to therapy
  • This assessment should be facilitated through a dedicated multidisciplinary difficult asthma
    service, by a team experienced in the assessment and management of difficult asthma

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