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Barriers and determinants of asthma control in children and adolescents in Africa: a systematic review
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  • Adriana de la Caridad Albert Montero, Sorahy Z Santander García, Ihosvany Castellanos Santos, Anya González Medinilla, Amalia Fernández Enriquez, Mariela García Gattorno, Alexis Pérez Mateo, David Pedrosa Palomino and Yusimi Pérez Calzada
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    Barriers that exist for the approach of asthmatic children.
    • Adriana de la Caridad Albert Montero, Doctora Salud Trinidad
    • Other Contributors:
      • Sorahy Z Santander García, Doctora
      • Ihosvany Castellanos Santos, Máster
      • Anya González Medinilla, Doctora
      • Amalia Fernández Enriquez, Doctora
      • Mariela García Gattorno, Doctora
      • Alexis Pérez Mateo, Doctor
      • David Pedrosa Palomino, Doctor
      • Yusimi Pérez Calzada, Doctora

    Dear editor
    The treatment of asthma is based on four fundamental pillars: patient education, dealergenization or environmental control measures aimed at avoiding the allergen, symptomatic pharmacological treatment and allergen-specific immunotherapy.
    In each country there must be political will from the state, which does not exist in underdeveloped countries, to successfully control asthma and avoid the numerous crises of the disease that deteriorate the quality of life of patients.
    Adequate health education is necessary, establishing simplified treatment plans and promoting shared decision-making with asthmatics themselves and their family, in addition to the necessary knowledge on the part of the professionals who attend consultations in primary care to improve the control of these patients.
    It is very important to emphasize the use of inhaled corticosteroids, essential medications for controlling the disease, as well as explaining and showing their proper handling because when this fails it leads to non-control of asthma. It is also very important to take into account the ages of the patients and their characteristics, collected in their medical history to personalize each of the behaviors to be taken and improve the quality of life of each patient.
    Regarding immunotherapy, it has been shown in numerous studies that it is the only way capable of modifying the course of the disease, controlling it. There are several allergenic extracts in Cu...

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    Conflict of Interest:
    None declared.