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COVID-19 in Patients with Asthma: Review and Implications for Care of Adult Patients with an Osteopathic Component

Journal: Osteopathic Family Physician Date: 2022/12, 14(6):. doi: Subito , type of study: article

Free full text   (https://www.ofpjournal.com/index.php/ofp/article/view/834)

Keywords:

asthma [42]
COVID-19 [76]
inhaled corticosteroids [1]
osteopathic manipulative treatment [2973]
OMT [2951]
article [2076]

Abstract:

Patients with asthma who have COVID-19 typically present with rhinitis, rhinosinusitis, cough, and shortness of breath and rarely with wheezing. Family physicians should consider a patient’s asthma subtype, pertinent medical history, and medications. Maintenance medications, including inhaled corticosteroids (ICS), should be continued for most patients. Whether to start ICS in patients with asthma who have COVID-19 should be considered, as the risks and benefits are unclear, and systemic corticosteroids should be avoided in patients with asthma who have COVID-19 if alternatives exist. Pregnant patients with both asthma and COVID-19 should be comanaged by an obstetrician, with consideration for early induction of labor. Behavioral health topics and osteopathic principles and manipulative techniques should be considered in patients with COVID-19 and asthma. Generalities are challenging to make, but patients with asthma do not seem to have worse outcomes with COVID-19 than patients without asthma.


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