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● A new case may present itself either as a partly controlled or an uncontrolled asthma.
● Partly controlled asthma is defined by any of the following: daytime symptoms such as wheezing, breathlessness, chest tightness, and coughing >2x/week, limitation of activities, nocturnal symptoms/awaking, need for reliever >2x/week, lung function (PEF or FEV1) <80%. Deploy Treatment Step 2. Upon clinical assessment at intervals of ≤4 weeks stepwise escalate the therapy if needed until controlled asthma has been achieved.
● Uncontrolled asthma is defined by three or more features of partly controlled asthma. Deploy Treatment Step 3. Assess clinicals and, if needed, stepwise escalate therapy as above.
● Confirm asthma, control every 3 months. An online self-assessment test can be helpful in resource-limited settings. Attempt de-escalatation after >3 months of asthma control.
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