Fischer Gilberto Bueno, Camargos Paulo Augusto Moreira, Mocelin Helena Teresinha
Fundação Faculdade Federal de Ciências Médicas de Porto Alegre, Porto Alegre, Brazil.
Paediatr Respir Rev. 2005 Mar;6(1):8-13. doi: 10.1016/j.prrv.2004.11.002.
Worldwide, studies on asthma prevalence have shown major rises over the last 30 years. The impact on the burden of asthma is being increasingly recognised. In some countries in Latin America, the prevalence of asthma is among the highest in the world. Asthma admissions are very common in children, leading to high costs for the health systems of those countries. Unfortunately, Latin America has limited resources to pay for appropriate treatment. The main goals of the international guidelines for asthma treatment are not being met. However, asthma programmes operating in some countries are showing promising results in reducing asthma admissions and consequently decreasing the burden of asthma. Local adaptation of international guidelines must be implemented in order to decrease costs and optimise outcomes.
在全球范围内,关于哮喘患病率的研究表明,在过去30年中哮喘患病率大幅上升。哮喘负担所产生的影响正日益受到人们的认识。在拉丁美洲的一些国家,哮喘患病率位居世界前列。哮喘住院在儿童中非常普遍,给这些国家的卫生系统带来了高昂成本。不幸的是,拉丁美洲用于支付适当治疗费用的资源有限。哮喘治疗国际指南的主要目标未能实现。然而,一些国家实施的哮喘项目在减少哮喘住院率从而减轻哮喘负担方面显示出了令人鼓舞的成果。必须对国际指南进行本地化调整,以降低成本并优化治疗效果。