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Severe asthma and COVID-19: lessons from the first wave.
Filippo Patrucco1,2, Alida Benfante3, Elisa Villa4
1Medical and Specialistic Department, Division of Respiratory Diseases, AOU Maggiore della Carità, Novara, Italy.
Summary
Severe asthma patients require continuous management during the SARS-CoV-2 pandemic. International guidelines recommend maintaining asthma control with minimal steroid dosage and regular biologic agent administration to prevent exacerbations.
Area of Science:
- Pulmonology
- Infectious Diseases
- Epidemiology
Background:
- Severe asthma is a potential risk factor for SARS-CoV-2 infection, though evidence is limited.
- The global impact of SARS-CoV-2 on asthma patients varies, with underrepresentation in published studies.
Purpose of the Study:
- To review the management of severe asthma patients during the SARS-CoV-2 pandemic.
- To assess the available scientific evidence regarding severe asthma and SARS-CoV-2.
Main Methods:
- Literature search of the PubMed database.
- Review of national and international recommendations.
- Analysis of papers concerning severe asthmatic patients and their management during the pandemic.
Main Results:
- International recommendations and expert opinions offer guidance on managing severe asthma.
- No studies have evaluated the impact of biologic agents on severe asthmatic patients during the SARS-CoV-2 pandemic.
Conclusions:
- Maintaining asthma control is crucial to prevent exacerbations, utilizing all available treatments.
- Minimize steroid dosage to control symptoms and ensure regular biologic agent administration with patient support programs.
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