CHARACTERISTICS OF PATIENTS WITH BRONCHAL ASTHMA WITH ALLERGEN EXPOSURE AT KIEN GIANG GENERAL HOSPITAL

Hữu Phước Hồ, Thị Mỹ Thúy Cao, Thị Hồng Trân Nguyễn

Main Article Content

Abstract

Background: Bronchial asthma is a clinically diverse disease that changes seasonally and it is severe when exposed to risk factors or weather changes. Objective: Survey the characteristics of patients with bronchial asthma exposed to allergens at Kien Giang Provincial General Hospital. Materials and methods: Cross-sectional descriptive study on 60 bronchial asthma patients in 2 groups with and without allergen exposure. All patients were managed and monitored for treatment at the Department of Asthma and Chronic Obstructive Pulmonary Disease of Kien Giang General Hospital from April 2023 to March 2024. Results: The FEV1 index after treatment in two groups of bronchial asthma patients with and without allergen exposure was recorded to have a statistically significant difference with p = 0.042. Assessing the level of asthma control according to GINA or ACT, asthma patients who were exposed to allergens every day were not likely to respond to treatment as well as the group without allergen exposure, and this difference is statistically significant (p<0.05). Conclusion: Daily exposure to allergens affects the response to inhaled corticosteroid treatment in patients with bronchial asthma.

Article Details

References

Global Asthma Network (2018), The Global Asthma Report 2018, New Zealand.
2. Nguyễn Quang Chính (2017). Nghiên cứu thực trạng và giải pháp can thiệp truyền thông giáo dục sức khỏe trong kiểm soát bệnh hen phế quản ở người trưởng thành tại huyện An Dương, Hải Phòng, Hải Phòng, Trường Đại học Y Dược Hải Phòng.
3. Bộ Y tế (2020), Hướng dẫn chẩn đoán và điều trị hen phế quản người lớn và trẻ em từ 12 tuổi trở lên, Quyết định số 1851/QĐ-BYT ngày 24 tháng 4 năm 2020.
4. Plaza V, Giner J, Curto E, et al. Investigators of the RE-TAI study. Assessing Adherence by Combining the Test of Adherence to Inhalers With Pharmacy Refill Records. J Investig Allergol Clin Immunol. 2021 Feb 17;31(1):58-64. doi: 10.18176/jiaci.0461.
5. Jung JW, Choi JC, Shin JW, Kim JY, Park IW, Choi BW. Clinical characteristics according to sensitized allergens in adult korean patients with bronchial asthma. Allergy Asthma Immunol Res. 2010 Apr;2(2):102-7. doi: 10.4168/ aair.2010.2.2.102.
6. Zhang Y, Huang L. Characteristics of older adult hospitalized patients with bronchial asthma: a retrospective study. Allergy Asthma Clin Immunol. 2021 Dec 3;17(1):122. doi: 10.1186/s13223-021-00628-0.
7. Martinez FD. Toward asthma prevention - does all that really matters happen before we learn to read? N Engl J Med. 2003;349:1473–1475.