Looking beyond the magic bullet: Novel asthma drugs or education which works better

Although Ë‚5% of children with asthma suffer from severe asthma, they account for the highest use of health resources. The field of asthma therapy is changing rapidly, with a number of new drugs and biologics being added to the treatment armamentarium, particularly for adults. This, though, is not t...

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Main Authors: R Masekela, M Levin, P Jeena, M Annamalai, V Naidoo, A van Niekerk, D Hawarden, S Emanuel, H Katz, H Zar, R Green, F Kritzinger, A Manjra; on behalf of the South African Childhood Asthma Working Group (SACAWG)
Format: Article
Language:English
Published: South African Medical Association 2018-07-01
Series:South African Medical Journal
Online Access:http://www.samj.org.za/index.php/samj/article/download/12365/8557
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author R Masekela
M Levin
P Jeena
M Annamalai
V Naidoo
A van Niekerk
D Hawarden
S Emanuel
H Katz
H Zar
R Green
F Kritzinger
A Manjra; on behalf of the South African Childhood Asthma Working Group (SACAWG)
author_facet R Masekela
M Levin
P Jeena
M Annamalai
V Naidoo
A van Niekerk
D Hawarden
S Emanuel
H Katz
H Zar
R Green
F Kritzinger
A Manjra; on behalf of the South African Childhood Asthma Working Group (SACAWG)
author_sort R Masekela
collection DOAJ
description Although Ë‚5% of children with asthma suffer from severe asthma, they account for the highest use of health resources. The field of asthma therapy is changing rapidly, with a number of new drugs and biologics being added to the treatment armamentarium, particularly for adults. This, though, is not the case for paediatric patients, in whom a number of these novel molecules and drugs have not been investigated. Even though adults have shown responses to medication in some studies, this does not necessarily imply that there will be similar results in children. In the management of severe asthma, use of specific interventions to ensure treatment adherence and goal-setting for self-management is critical to ensure the best treatment outcomes. The objective of this article is to review and grade the current evidence base for use of novel asthma drugs and to make evidence-based recommendations for their administration in children with severe asthma in the South Africa context. We also review the evidence for medication-adherence strategies and self-management plans.
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spelling doaj.art-cb857ad10192468a86522dc9381a51e82024-01-02T17:36:53ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352018-07-01108861962310.7196/SAMJ.2018.v108i8.13163Looking beyond the magic bullet: Novel asthma drugs or education which works betterR MasekelaM LevinP JeenaM AnnamalaiV NaidooA van NiekerkD HawardenS EmanuelH KatzH ZarR GreenF KritzingerA Manjra; on behalf of the South African Childhood Asthma Working Group (SACAWG)Although Ë‚5% of children with asthma suffer from severe asthma, they account for the highest use of health resources. The field of asthma therapy is changing rapidly, with a number of new drugs and biologics being added to the treatment armamentarium, particularly for adults. This, though, is not the case for paediatric patients, in whom a number of these novel molecules and drugs have not been investigated. Even though adults have shown responses to medication in some studies, this does not necessarily imply that there will be similar results in children. In the management of severe asthma, use of specific interventions to ensure treatment adherence and goal-setting for self-management is critical to ensure the best treatment outcomes. The objective of this article is to review and grade the current evidence base for use of novel asthma drugs and to make evidence-based recommendations for their administration in children with severe asthma in the South Africa context. We also review the evidence for medication-adherence strategies and self-management plans.http://www.samj.org.za/index.php/samj/article/download/12365/8557
spellingShingle R Masekela
M Levin
P Jeena
M Annamalai
V Naidoo
A van Niekerk
D Hawarden
S Emanuel
H Katz
H Zar
R Green
F Kritzinger
A Manjra; on behalf of the South African Childhood Asthma Working Group (SACAWG)
Looking beyond the magic bullet: Novel asthma drugs or education which works better
South African Medical Journal
title Looking beyond the magic bullet: Novel asthma drugs or education which works better
title_full Looking beyond the magic bullet: Novel asthma drugs or education which works better
title_fullStr Looking beyond the magic bullet: Novel asthma drugs or education which works better
title_full_unstemmed Looking beyond the magic bullet: Novel asthma drugs or education which works better
title_short Looking beyond the magic bullet: Novel asthma drugs or education which works better
title_sort looking beyond the magic bullet novel asthma drugs or education which works better
url http://www.samj.org.za/index.php/samj/article/download/12365/8557
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