Chronic obstructive airway diseases: ls the EDL sufficient? A study done at the Heidedal CHC in Bloemfontein.

Background: With the implementation of the Standard Treatment Guidelines (STG's) and Essential Drug List (EDL) in 1996 some of the traditional medication for the treatment of asthma and chronic obstructive pulmonary disease (COPD) were removed from the medication list, e.g. slow release oral th...

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Main Authors: H. Dippenaar, G. Joubert
Format: Article
Language:English
Published: AOSIS 2003-12-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/2007
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author H. Dippenaar
G. Joubert
author_facet H. Dippenaar
G. Joubert
author_sort H. Dippenaar
collection DOAJ
description Background: With the implementation of the Standard Treatment Guidelines (STG's) and Essential Drug List (EDL) in 1996 some of the traditional medication for the treatment of asthma and chronic obstructive pulmonary disease (COPD) were removed from the medication list, e.g. slow release oral theophylline. The objective of this study was to establish whether we were able to treat patients with chronic obstructive airway disease (which includes asthma and chronic obstructed pulmonary disease) effectively with the guidelines and medication on the Standard Treatment Guidelines and Essential Drug List for Primary Health Care (STGI and EDL), 1996. Method: In this follow-up study all patients with chronic obstructive airway diseases (COAD) at Heidedal Community Health Center (CHC) over a 3-month period were evaluated and a lung function test was done on them. Their old medication was stopped and the treatment guidelines of the STG's and EDL were followed.A repeat lung function test was done on all patients after three months on the new treatment. Four indicators were used namely: FVC, FEV I , FEFmax and FEF25-75. Results: Fifty patients were included in the study. Improvement in all four lung functions were noted after the new guidelines were implemented. Conclusions: The implementation of the EDL guidelines for asthma and COPD controlled the diseases, the guidelines were easy to use and are comparable to the latest international standards. Standard guidelines also create better patient compliance and give confidence to health workers. The revised STGI and EDL for Primary Health Care (1998) are comparable with the guidelines used in this study.
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spelling doaj-art-57c475a96a2d4f868455f18bbfa068b22025-08-20T03:46:57ZengAOSISSouth African Family Practice2078-61902078-62042003-12-0126110.4102/safp.v26i1.20071544Chronic obstructive airway diseases: ls the EDL sufficient? A study done at the Heidedal CHC in Bloemfontein.H. Dippenaar0G. Joubert1Department of Family Medicine, University of the Free StateDepartment of Biostatistics, University of the Free StateBackground: With the implementation of the Standard Treatment Guidelines (STG's) and Essential Drug List (EDL) in 1996 some of the traditional medication for the treatment of asthma and chronic obstructive pulmonary disease (COPD) were removed from the medication list, e.g. slow release oral theophylline. The objective of this study was to establish whether we were able to treat patients with chronic obstructive airway disease (which includes asthma and chronic obstructed pulmonary disease) effectively with the guidelines and medication on the Standard Treatment Guidelines and Essential Drug List for Primary Health Care (STGI and EDL), 1996. Method: In this follow-up study all patients with chronic obstructive airway diseases (COAD) at Heidedal Community Health Center (CHC) over a 3-month period were evaluated and a lung function test was done on them. Their old medication was stopped and the treatment guidelines of the STG's and EDL were followed.A repeat lung function test was done on all patients after three months on the new treatment. Four indicators were used namely: FVC, FEV I , FEFmax and FEF25-75. Results: Fifty patients were included in the study. Improvement in all four lung functions were noted after the new guidelines were implemented. Conclusions: The implementation of the EDL guidelines for asthma and COPD controlled the diseases, the guidelines were easy to use and are comparable to the latest international standards. Standard guidelines also create better patient compliance and give confidence to health workers. The revised STGI and EDL for Primary Health Care (1998) are comparable with the guidelines used in this study.https://safpj.co.za/index.php/safpj/article/view/2007essential druglistasthmacopd
spellingShingle H. Dippenaar
G. Joubert
Chronic obstructive airway diseases: ls the EDL sufficient? A study done at the Heidedal CHC in Bloemfontein.
South African Family Practice
essential druglist
asthma
copd
title Chronic obstructive airway diseases: ls the EDL sufficient? A study done at the Heidedal CHC in Bloemfontein.
title_full Chronic obstructive airway diseases: ls the EDL sufficient? A study done at the Heidedal CHC in Bloemfontein.
title_fullStr Chronic obstructive airway diseases: ls the EDL sufficient? A study done at the Heidedal CHC in Bloemfontein.
title_full_unstemmed Chronic obstructive airway diseases: ls the EDL sufficient? A study done at the Heidedal CHC in Bloemfontein.
title_short Chronic obstructive airway diseases: ls the EDL sufficient? A study done at the Heidedal CHC in Bloemfontein.
title_sort chronic obstructive airway diseases ls the edl sufficient a study done at the heidedal chc in bloemfontein
topic essential druglist
asthma
copd
url https://safpj.co.za/index.php/safpj/article/view/2007
work_keys_str_mv AT hdippenaar chronicobstructiveairwaydiseaseslstheedlsufficientastudydoneattheheidedalchcinbloemfontein
AT gjoubert chronicobstructiveairwaydiseaseslstheedlsufficientastudydoneattheheidedalchcinbloemfontein