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Respiratory medicine

Allergic rhinitis and asthma – one airway, one approach

Allergic rhinitis (AR) is a condition which affects the nasal mucosa and, in some cases, other organs including the eyes, palate, and lungs (Hossenbaccus et al 2020). The condition results from an...

Streptococcal infections (Strep A) in primary care settings

Infections caused by Strep A typically come in waves and in previous years outbreaks have occurred around March to April (McKechnie 2022). However, in December 2022, there was a reported increase in...

Pulmonary rehabilitation – an essential part of respiratory care

Pulmonary rehabilitation is an exercise and education programme designed for people with lung disease who experience symptoms of breathlessness (NHS England, 2020). PR is primarily an evidence-based...

COPD: what GPNs need to know from the latest GOLD update

An updated definition of COPD is included in the guidelines, reflecting the symptoms (productive cough and breathlessness) that are linked to persistent, often progressive and non-fully reversible...

Breastfeeding and respiratory syncytial virus

Culturally embedded attitudes such as embarrassment about breastfeeding in public and adherence to deep-rooted societal norms can blunt the beneficial impact of public health initiatives on...

Bird flu: should we be concerned?

Highly pathogenic avian influenza (HPAI) type A (H5N1) infections during the 2021–2022 epidemiological year have been the largest in European history, involving 37 countries; 2520 HPAI outbreaks in...

Exercise and breathing in rehabilitating long COVID

In exploring what effective rehabilitation would look like, Cheng et al (2021) recommend a comprehensive programme encompassing the promotion of functional recovery, as they note that this has been...

Asthma reviews: an essential part of good care

Primary care nurses, therefore, face a major challenge of addressing a backlog of work created by the pandemic and at the same time ensuring that they meet Quality and Outcome Framework (QOF)...

Improving outcomes for people living with breathlessness

The experience of breathlessness is complex and influenced by a number of factors including emotional, environmental, cultural and social and requires a holistic approach to optimise its management...

Seasonal asthma: should it be managed differently?

Asthma is an inflammatory condition where the airways have become hyperreactive in response to a trigger (eg house dust mite, pollen, cats, viruses and temperature changes). The inflammatory cascade...

Rescue packs for COPD: problem or panacea?

AECOPD are defined as an acute worsening of the respiratory symptoms associated with COPD, including cough, breathlessness and sputum production and which require additional therapy (NICE, 2019a;...

How safe are e-cigarettes for patients with COPD? A systematic review

This systematic review focused on identifying quantitative empirical research, providing numerical data detailing the effect of e-cigarette use on pulmonary health outcomes. The PICO model...

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