RESUMO
A factual clinical approach concerning the management of bronchial asthma patients in an Egyptian experience is the main objective of this study in order to disclose any defects and try to amend them. A total of 870 patients were included in this study. Only 750 were analyzed as 120 of them were considered not to be genuine asthmatics and were thus excluded. 41.3% of asthmatic cases were managed by general practitioners [GPs], while 37.6% were managed by chest specialists. Other specialties including pediatricians, general medical physicians and allergy specialists managed 21.1%. In 89.5% of the patients, ventilatory functions were not done. The classification management according to GINA and Egyptian guidelines were not possible in 91.4% and 93.1%, respectively. The main bulk in this defect was among general practitioners [90%], the least was among chest specialists [49.2%]. Other specialists shared in this defect by 87.3%. Non-compliance in the management was essentially in inhalation therapy [40.2%], followed by corticoid therapy [34.89%]. Cost of drugs was prohibiting in 19.2% of cases as an outcome 35.3% of patients could be relieved in their acute episodes, while only 15.5% could achieve control of their disease. All these parameters were also analyzed according to the managing speciality