This ACE Clinical Guidance (ACG) covers clinical assessment, pharmacological treatment, and non-pharmacological strategies for managing asthma over the long term, with a focus on inhaled corticosteroid as the mainstay. The accompanying Appendix provides a list of preventer medications registered for asthma in Singapore.
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Registered doctors and pharmacists may claim 1 Continuing Medical Education (CME)/Continuing Professional Education (CPE) point under category 3A for reading each ACG.
| ACG recommendations |
|---|
| 1. | Regularly assess asthma symptoms and risk of poor asthma outcomes, including factors that can influence these. |
| 2. | Consider using a validated questionnaire to assess asthma symptoms. |
| 3. | Assess factors influencing asthma symptoms or risk of poor asthma outcomes. These can be remembered with the acronym BREATHE. |
| 4. | Use inhaled corticosteroid as the mainstay of long-term asthma management. |
| 5. | For patients aged 6 years and older, do not use short-acting beta2agonist alone (without a preventer) to treat asthma long term. |
| 6. | Use a stepwise approach when selecting or adjusting preventer treatment for asthma (see Figure 2 on page 6). |
| 7. | Educate all patients with asthma or their caregivers on how to self-manage. |
| 8. | Regularly follow up all patients with asthma. |
| 9. | Referral to a specialist could be made at any point.
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Asthma Management (Nov 2020)
Asthma Management Appendix (Oct 2020)
Asthma Management References (Oct 2020)
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