Achieving Asthma Control "By The Numbers": A Canadian Stepcare Protocol

Abstract

Interview with Dr KRChapman, MD, MSc, FRCP(C), FACP -by Rob Smith, (Durban) Q: Could you give short synopsis of the Canadian Step Care Protocol in the Management of Asthma. The most important point to make about the Protocol is that it is a flexible Protocol in which patients and physicians share the care. Patients must be fully aware of the goals of treatment and the signs of changing asthma, so that they can respond accordingly and move from minimal treatment to more aggressive treatment. At times of marked exacerbation, they may move themselves all the way up to systemic steroids if need be. Thus, it is a flexible plan in which physician and patient are partners. The plan indicates first that any external influences making the asthma troublesome, ie cigarette smoking, allergens, occupational exposures, should be removed. If the asthma remains troublesome, we prescribe medications. There are four levels of medication administration.