When asthma and COPD overlap

Approximately 20% of patients with obstructive lung disease have features of both asthma and chronic obstructive pulmonary disease.

Should corticosteroids be continued in children with asthma amid Covid-19?

In May, the World Health Organization (WHO) raised some concerns about the use of systemic corticosteroids (SCS) amid Covid-19. According…

Treating Covid-19 patients with COPD

COPD is a significant cause of death and disability in both developed and developing countries. More than 380 million people…

Does pulmonary rehabilitation benefit survival?

What is the association between initiation of pulmonary rehabilitation within 90 days of hospital discharge and 1-year survival among COPD…

16 key CAP treatment recommendations

Pneumonia is a leading cause of hospitalisation and death in children. Community-acquired pneumonia (CAP) and influenza are common causes of mortality…

COVID-19 pneumonia: Procalcitonin for risk assessment

The biomarker Procalcitonin (PCT) is widely used to assess the risk of bacterial infection and progression to severe sepsis and…

Tuberculosis: current and future challenges

As far as we can tell, tuberculosis has been around for roughly 4000 years, yet we are only now getting…

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CPD POINTS: 1

Antibiotic treatment for LRTIs: getting it right

Lower respiratory tract infections (LRTIs) cause high morbidity and mortality worldwide. Empiric therapy is often based the choice of antibiotic…

When to do pertussis vaccination

Pertussis (whooping cough) is an important cause of morbidity and mortality in infants and continues to be a public health…

Inhaler education prevents exacerbations

As many as 90% of patients use their inhalers incorrectly. Incorrect technique is especially problematic in young children and elders.…

Smoking cessation in patients with pulmonary disease

Smoking cessation is possibly the single most important intervention for improving health and increasing life expectancy. Approximately 50% of smokers…

Tobacco kills 7 million people a year

The Global Forum on Human Rights and a Tobacco-Free World was recently held in Romania. Global leaders in health and…

Chlorhexidine for VAP

Ventilator‐associated pneumonia (VAP) is one of the most common hospital-acquired infections, especially among critically ill patients. While many doctors turn…

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CPD POINTS: 1

GINA Guidelines 2018: What’s new?

The 2018 update of the Global Strategy for Asthma Management and Prevention (GINA) incorporates new scientific information about asthma based…

What to do about a ‘productive’ cough

The cost of treating upper respiratory infections (URIs) runs into billions of rand every year, placing a huge financial burden…

Airway management in the critically ill patient

The younger child has markedly reduced physiological reserves and so has potential for rapid deterioration towards decompensated cardiopulmonary failure and…

Ventilation: Lessons from ARDS

Daily, thousands of patients with respiratory failure are kept alive by mechanical ventilation (MV). Simultaneously, MV with positive pressure is…

Can GOLD guidelines benefit low-income patients?

The Global initiative for Chronic Obstructive Lung Disease (GOLD) strategy document has become the go-to guide for the management of…

Clinical relevance of small airway disease

The bronchial tree continuously divides down to the 23rd generation (division). One consequence of this division is that the mucosal…

RTIs linked to asthma

An international study of 154 492 European children found that those who had had upper respiratory infections, such as colds,…

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