Bronchial asthma - what should every doctor know?

Michał Tobiasz, Agnieszka Turkosz, Maciej Tobiasz, Paweł Polski, Rafał Wójcik


More than 235 million people worldwide suffer from asthma. Most of the patients have mild asthma, but in a large part of them asthma is not fully controlled and they are exposed to the occurrence of exacerbations. It is believed that the most important reason for poor asthma control is the patients' failure to comply with chronic treatment recommendations.
This article describes the symptoms and course of the disease. There is also contain information about the criteria of diagnosis and changes in therapeutic progress which were announced in 2019 by Global Organization for Asthma.


asthma; dyspnoea; GINA 2019

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Balińska-Miśkiewicz W.: Diagnostyka i leczenie astmy oskrzelowej u osób dorosłych. Farm Pol, 2009, 65(11): 793-803.

Bochenek G.: Znaczenie pomiarów szczytowego przepływu wydechowego (PEF) w rozpoznawaniu, monitorowaniu i leczeniu astmy. Dostęp:

Chung K.F., Wenzel S.E., Jan L. Brozek J.L., Andrew Bush A., et al: International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma. Eur Respir J 2014; 43: 343–373 | DOI: 10.1183/09031936.00202013.

Global Strategy for Asthma Managemen and Preventiont. Global Initiatuve for Asthma 2019 dostęp:

Grzywa-Celińska A., Lachowska-Kotowska P., Prystupa A., Celiński R., Kotowski M.: Astma i stan astmatyczny w codziennej praktyce lekarskiej. Medycyna Ogólna i Nauki o Zdrowiu, 2013, Tom 19, Nr 4, 397–402.

Jackson D.J., Bacharier L.B., Mauger D.T. i wsp.: Quintupling Inhaled Glucocorticoids to Prevent Childhood Asthma Exacerbations. National Heart, Lung, and Blood Institute AsthmaNet. N Engl J Med. 2018 Mar 8, 378 (10):891–901.

Karcz A., Majda A., Wróbel A., Karcz T.: Role of psychosocial resources and acceptance of disease in maintaining health with asthma. Pielęgniarstwo XXI wieku 2016, 15, 2 (55) DOI: 10.1515/pielxxiw-2016-0015.

Kokot A.: Asthma treatment today and tomorrow – personal perspective. Polish Society of Allergology 2017, 1 (4): 20-24

Kuna P, Kupryś-Lipińska I. Astma u dorosłych. W: Alergia, choroby alergiczne, astma. Fal AM. (red.), Wydawnictwo Medycyna Praktyczna, Kraków 2010: 283–317.

Kupryś-Lipińska I., Pałczyński C., Kuna P.: Nowości w GINA 2019 – bezpieczeństwo i prewencja zaostrzeń. Alergologia Wydanie specjalne nr 4/2019 dostęp:

McKeever T., Mortimer K., Bradshaw L. i wsp.: Temporarily quadrupling the dose of inhaled steroid to prevent asthma exacerbations: FAST. Health Technol Assess 2018 Dec 22 (70): 1–82.

Niżankowska-Mogilnicka E., Bochenek G., Gajewski P., Mejza F. Astma. W: Choroby wewnętrzne. Stan wiedzy na rok 2017. Szczeklik A, (red.), Wydawnictwo Medycyna Praktyczna, Kraków 2017: 450-465.

Nowakowska-Świrta E., Wiszniewska M., Walusiak-Skorupa J.: The usefulness of bronchial challenge tests in the diagnosis of occupational asthma. Med Pr 2018: 69(4):457–471. DOI:

Reddel H.K., Busse W.W., Pedersen S. i wsp.: Should recommendations about starting inhaled corticosteroid treatment for mild asthma be based on symptom frequency: a post-hoc efficacy analysis of the START study. Lancet. 2017 Jan 14, 389 (10065): 157–166. Epub 2016 Nov 30.

Reddel H.K., FitzGerald J.M., Bateman E.D.:GINA 2019: a fundamental change in asthma management. Eur Respir J 2019; 53:

Sveum R, Bergstrom J, Brottman G, et al. Diagnosis and Management of Asthma. ICSI 2012; 10: 1-86.



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