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National asthma guidelines ­ selected recommendations

At-risk patients to target for special review

 · Children with frequent consultations for respiratory infections

 · Children over 5 years old with persistent asthma symptoms

 · Asthma patients with psychiatric disease or learning disabilities

 · Patients using large quantities of ?-2 agonists

Monitor asthma control through regular checks on the proportion of patients with asthma:

lwho have no or few current symptoms

lwho are able to use their prescribed inhalers effectively

lwho use inhaled steroids

lwith normal lung function (PEF greater than 80 per cent)

lwith actual/best PEF greater than 85 per cent

lwith an asthma action plan

Organisation of care

Practices should use a structured record including inhaler technique, morbidity, PEF, current treatment and action plans Source: Thorax (February)

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