Analysis of pharmacotherapy of patients with bronchial asthma at the primary level of healthcare in Bishkek city, Kyrgyz Republic

Objective: to assess the adherence of bronchial asthma therapy in patients at the primary level of healthcare in the Kyrgyz Republic to the recommendations of the Global Initiative for Asthma (GINA). Methods: 104 patients were surveyed (27.9% male and 72.1% female, mean age 49.1±16 years), and anamnestic and clinical data were collected. Asthma control was assessed using the Asthma Control Questionnaire (ACQ), patients' medical records were analyzed, and spirometry with bronchodilator testing was performed. Results: The majority of patients (79.8%) had allergic asthma. Asthma was uncontrolled in 81 (77.9%) patients, and forced expiratory volume in one second (FEV1) was decreased to 67.5%±20.6. It was found that 32.6% of patients abuse short-acting adrenostimulants in large quantities and many patients do not receive the recommended anti-inflammatory therapy with ICS. Conclusions. The data from this study suggest that the majority of patients with bronchial asthma are not receiving appropriate management that corresponds to modern GINA recommendations and standards, as well as having low levels of awareness and poor control over their asthma