Preventing asthma exacerbations is a cornerstone of maintaining respiratory health and reducing hospitalizations in patients with asthma. Exacerbations can be triggered by viral infections, allergens, air pollution, or poor medication adherence, and may manifest as worsening cough, wheezing, shortness of breath, or nighttime symptoms. Identifying individual triggers, assessing risk factors, and monitoring lung function through peak flow measurements or spirometry are critical for early intervention and prevention. Patients with severe or uncontrolled asthma are particularly susceptible, highlighting the importance of proactive management strategies.
Effective prevention combines pharmacologic and non-pharmacologic measures. Maintenance therapy with inhaled corticosteroids, long-acting bronchodilators, and, when appropriate, biologic agents targeting IgE or interleukins can reduce inflammation and minimize exacerbation frequency. Environmental control, including allergen avoidance, smoking cessation, and air quality monitoring, further reduces risk. Patient education on inhaler technique, adherence, early recognition of worsening symptoms, and individualized action plans empowers self-management. Regular follow-up with healthcare providers ensures therapy is optimized, triggers are addressed, and exacerbations are minimized. Through coordinated care and adherence to preventive strategies, patients can achieve improved symptom control and better long-term outcomes.
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Title :
Saurabh Chattopadhyay, University of Kentucky College of Medicine, United States
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