Presentation: Asthma control аnd quality of care of adult asthma patients in primary health care facilities in Saint- Petersburg, Russia (World Allergy Congress)

Wednesday, 7 December 2011

Poster Hall (Cancún Center)

Alexander Emelyanov, Prof. Dr , Department of Respiratory Disease and Allergy, Postgraduate Medical Academy, Saint-Petersburg, Russia

Inessa Tsukanova, Dr , Department of Respiratory Disease and Allergy, Postgraduate Medical Academy, Saint- Petersburg, Russia

Gleb Fedoseev, Prof. Dr , Pavlov Medical University, Saint-Petersburg, Russia

Galina Sergeeva, MD , Department of Respiratory Disease and Allergy, Postgraduate Medical Academy, Saint-Petersburg, Russia

Natalia Lisitsyna, Dr , Pavlov Medical University, Saint-Petersburg, Russia

Lubov Bakanina, Dr , Pavlov Medical University, Saint-Petersburg, Russia

Ekaterina Nikitina, Dr , Pavlov Medical University, Saint- Petersburg, Russia

Background . This study was performed to assess the control asthma and quality of care of asthmatic patient in primary health care facilities in Saint-Petersburg, the second largest city in Russia.

Methods . We conducted telephone interviews with 205 asthma outpatients (aged 24 to 90 yrs). Asthma control was assessed by using the Asthma Control Test™ (ACT).

Results . During the past 12 month spirometry were performed in 26.8%. Only 2% of outpatients were consulted by allergist and 26.8% - by respiratory physicians. Inhaled corticosteroids were prescribed to persistent asthma patients in 79.1%, oral steroids for maintenance therapy were used in 7.3% of outpatients. Fixed combination of budesonide/formoterol and fluticasone/salmeterol were used in 45.4%. Asthma was uncontrolled for 72.2% of patients.

Conclusion. Quality of diagnostics and treatment of asthma in primary health care is not sufficient and should be improved.

4137 Asthma control аnd quality of care of adult asthma patients in primary health care facilities in Saint- Petersburg, Russia