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  1. Article ; Online: Asthma in the era of SARS CoV-2 virus.

    Bakakos, Agamemnon / Krompa, Anastasia

    The Journal of asthma : official journal of the Association for the Care of Asthma

    2021  Volume 59, Issue 8, Page(s) 1501–1508

    Abstract: ... The pandemic of the SARS CoV-2 virus has brought interest to study the association of this novel virus ... can trigger asthma exacerbations. However, not all viruses affect patients in the same manner and extent ... on patients with mild-moderate and severe asthma in terms of susceptibility, severity and treatment ...

    Abstract Objectives: It is well established in international literature that respiratory viruses can trigger asthma exacerbations. However, not all viruses affect patients in the same manner and extent. The pandemic of the SARS CoV-2 virus has brought interest to study the association of this novel virus on patients with mild-moderate and severe asthma in terms of susceptibility, severity and treatment.
    Data sources – study selection: We performed an extensive search of current literature in the databases PubMed, Scopus and Google Scholar for original articles. We decided to include all types of articles, except for case studies, published until the end of February 2021 focusing on the effects of COVID-19 on the respiratory system and the main treatment recommendations up to date for patients with bronchial asthma.
    Results: Until now there is no clear evidence that asthmatics have a higher risk of experiencing exacerbations when infected, nor higher mortality rates than the general population. Nevertheless, our knowledge on molecular pathways behind asthma phenotypes in the past decades is growing, and it underlines the need to predict the unique response each patient may have to infection from the novel coronavirus. It is not clear yet if certain sub-populations of asthmatics are at higher risk than others.
    Conclusion: Despite the lack of evidence for higher susceptibility and/or mortality in relation to COVID-19, all asthmatic patients, whether treated with inhaled bronchodilators/corticosteroids or even biologics, should maintain their controller therapy without making any alterations.
    MeSH term(s) Adrenal Cortex Hormones/therapeutic use ; Asthma/drug therapy ; Asthma/epidemiology ; COVID-19 ; Humans ; Pandemics ; SARS-CoV-2
    Chemical Substances Adrenal Cortex Hormones
    Language English
    Publishing date 2021-06-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 603816-5
    ISSN 1532-4303 ; 0277-0903
    ISSN (online) 1532-4303
    ISSN 0277-0903
    DOI 10.1080/02770903.2021.1941093
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Asthma Management in the Era of the COVID-19 Pandemic.

    Klouda, Timothy / Pillarisetti, Advait / Xie, Annay / Kabra, Sushil / Saradhi, Naveen / Katwa, Umakanth

    Indian journal of pediatrics

    2021  Volume 89, Issue 2, Page(s) 163–168

    Abstract: Asthma is common in children and exacerbations are usually triggered by respiratory viruses. There ... was considerable concern about the impact of COVID-19 on children with asthma. It was expected ... that children with asthma would fare poorly during the pandemic. However, the reported effect of the COVID-19 ...

    Abstract Asthma is common in children and exacerbations are usually triggered by respiratory viruses. There was considerable concern about the impact of COVID-19 on children with asthma. It was expected that children with asthma would fare poorly during the pandemic. However, the reported effect of the COVID-19 pandemic on pediatric asthma including acute asthma admissions, does not appear to be significant, but this needs careful follow-up. The socioeconomic effects of the pandemic and reduced healthcare access could potentially impact on ongoing delivery of health care in chronic respiratory conditions including asthma, especially in resource-poor settings. Children with chronic asthma need to be treated as per internationally published guidelines with innovative models of disease monitoring and ongoing care during the pandemic. During the pandemic, children with acute asthma need to be managed carefully based on local guidelines and using strict infection control policies. The use of technology such as telehealth and various tools of asthma management including questionnaires and digital monitoring will play an important role in asthma management during the pandemic. Medical professionals, healthcare administrators, and governments should be sensitive to the evolving needs of the community and work closely to continue to provide services in a challenging yet unresolved pandemic.
    MeSH term(s) Asthma/epidemiology ; COVID-19 ; Child ; Health Services Accessibility ; Humans ; Pandemics ; SARS-CoV-2 ; Telemedicine
    Language English
    Publishing date 2021-11-06
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 218231-2
    ISSN 0973-7693 ; 0019-5456
    ISSN (online) 0973-7693
    ISSN 0019-5456
    DOI 10.1007/s12098-021-03979-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Reflecting on World Asthma Day in the era of COVID-19.

    The Lancet Respiratory Medicine

    The Lancet. Respiratory medicine

    2020  Volume 8, Issue 5, Page(s) 423

    MeSH term(s) Asthma ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-23
    Publishing country England
    Document type Editorial
    ZDB-ID 2686754-0
    ISSN 2213-2619 ; 2213-2600
    ISSN (online) 2213-2619
    ISSN 2213-2600
    DOI 10.1016/S2213-2600(20)30184-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Primary care of children and young people with asthma during the COVID-19 era.

    Creese, Hanna / Taylor-Robinson, David / Saglani, Sejal / Saxena, Sonia

    The British journal of general practice : the journal of the Royal College of General Practitioners

    2020  Volume 70, Issue 700, Page(s) 528–529

    MeSH term(s) Adolescent ; Asthma/epidemiology ; Asthma/therapy ; Asthma/virology ; Betacoronavirus/isolation & purification ; COVID-19 ; Child ; Communicable Disease Control/methods ; Communicable Disease Control/organization & administration ; Comorbidity ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Environmental Exposure/prevention & control ; Environmental Exposure/statistics & numerical data ; Humans ; Incidence ; Pandemics/prevention & control ; Patient Care Management/methods ; Patient Care Management/trends ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Primary Health Care/methods ; Primary Health Care/statistics & numerical data ; Respiratory Tract Infections/epidemiology ; Respiratory Tract Infections/prevention & control ; Respiratory Tract Infections/virology ; Risk Assessment ; SARS-CoV-2 ; Seasons ; Symptom Flare Up ; United Kingdom/epidemiology ; Vaccination/methods
    Keywords covid19
    Language English
    Publishing date 2020-10-29
    Publishing country England
    Document type Editorial
    ZDB-ID 1043148-2
    ISSN 1478-5242 ; 0035-8797 ; 0960-1643
    ISSN (online) 1478-5242
    ISSN 0035-8797 ; 0960-1643
    DOI 10.3399/bjgp20X713165
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Functional Examination of the Upper and Lower Airways in Asthma and Respiratory Allergic Diseases: Considerations in the Post-SARS-CoV-2 Era.

    Olaguibel, J M / Alobid, I / Alvarez Puebla, M / Crespo-Lessmann, A / Domínguez Ortega, J / García-Rio, F / Izquierdo-Domínguez, A / Mullol, J / Plaza, V / Quirce, S / Rojas-Lechuga, M J / Valvere-Monge, M / Sastre, J

    Journal of investigational allergology & clinical immunology

    2020  Volume 31, Issue 1, Page(s) 17–35

    Abstract: ... long term, since important gaps remain in our knowledge of aspects as fundamental as virus transmission ... techniques used to assess patients with respiratory allergy, asthma, and associated diseases during ...

    Abstract Airway examination procedures can potentially transmit infectious diseases to patients and to the health care professionals who perform them via various mechanisms. The COVID-19 pandemic has halted most of the activity of the clinics and laboratories involved in assessment of lung and nasal function, and clear recommendations in this regard have been made. Today, we still do not know for sure what its consequences will be in the short or long term, since important gaps remain in our knowledge of aspects as fundamental as virus transmission mechanisms, pathophysiology, immune response, and diagnosis. In this review, we study the examination techniques used to assess patients with respiratory allergy, asthma, and associated diseases during this period and highlight their possible advantages and disadvantages. Therefore, we focus on exploring the entire upper and lower airways, from the perspective of the safety of both health professionals and patients and their specific characteristics. We also analyze the intrinsic value of these interventions in terms of diagnosis and patient management. The changing situation of COVID-19 may mean that some of the assertions presented in this review will have to be modified in the future. While we seek to ensure a consistently broad approach, some differences in operational details may apply owing to local regulations.
    MeSH term(s) COVID-19/diagnosis ; COVID-19/transmission ; Health Personnel ; Humans ; Mass Screening ; Occupational Health ; Patient Safety ; Respiratory Function Tests ; Respiratory Hypersensitivity/physiopathology ; Respiratory System/physiopathology ; SARS-CoV-2 ; Ventilation
    Keywords covid19
    Language English
    Publishing date 2020-06-16
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 1128657-x
    ISSN 1018-9068
    ISSN 1018-9068
    DOI 10.18176/jiaci.0625
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The Impact of the SARS-CoV-2 Pandemic on the Emergency Department and Management of the Pediatric Asthmatic Patient.

    Bover-Bauza, Catalina / Rosselló Gomila, Maria Antonia / Díaz Pérez, David / Millán Pons, Aina Rosa / Gil Sánchez, Jose Antonio / Peña-Zarza, Jose Antonio / Figuerola Mulet, Joan / Osona, Borja

    Journal of asthma and allergy

    2021  Volume 14, Page(s) 101–108

    Abstract: ... requiring hospital admission was found to be PCR SARS-CoV-2 positive. Median time spent in the emergency ... and wheezing, to reduce the risk of exposure to the virus, such as increased use of pressurized ... department decreased from 180 minutes in 2019 to 85 minutes in the COVID-19 era.: Conclusion: The COVID-19 ...

    Abstract Introduction: Asthma exacerbation is among the commonest causes for pediatric emergency room visits, and respiratory viruses are frequent triggers of such exacerbations. Few studies have evaluated the consequences of the novel human coronavirus that causes the illness currently known as COVID-19, in the pediatric population.
    Purpose: The objective of this study was to analyze the impact of the COVID-19 pandemic and lockdown measures on the emergency department in the pediatric asthmatic patient.
    Patients and methods: This retrospective observational study evaluated pediatric patients treated at the Pediatric Emergency Service for wheezing episodes. Changes in the number and characteristics of these patients over the same period of 2019 as compared to 2020 during the month following the alarm declaration (March 14 to April 15) were evaluated.
    Results: In total, data of 30 asthma patients managed in the period after the declaration of the coronavirus pandemic and of 158 asthma patients managed in the pre-COVID-19 period were included. In 2020, patient visits decreased by 82% in 2019. No statistically significant differences among age, sex, oxygen saturation, fever status, or number of severe bronchospasm episodes were found. Nebulized medication usage was reduced significantly since the alarm declaration. No significant increase in requests for complementary testing in the COVID-19 period was found. No patient requiring hospital admission was found to be PCR SARS-CoV-2 positive. Median time spent in the emergency department decreased from 180 minutes in 2019 to 85 minutes in the COVID-19 era.
    Conclusion: The COVID-19 pandemic and ensuing lockdown measures have led to an extraordinary reduction in emergency visits to the pediatric service. The ongoing pandemic has also led to improvements in the approach to asthma exacerbations and wheezing, to reduce the risk of exposure to the virus, such as increased use of pressurized metered dose inhaler and decreased time in the Emergency Department.
    Language English
    Publishing date 2021-02-03
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2494877-9
    ISSN 1178-6965
    ISSN 1178-6965
    DOI 10.2147/JAA.S284813
    Database MEDical Literature Analysis and Retrieval System OnLINE

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