Abstract

Chronic obstructive pulmonary disease (COPD) is a progressive chronic inflammatory disease. More than 90% of COPD-related deaths occur in developing countries. Indeed, COPD is poorly managed in Africa, specifically in Algeria but data are lacking. Our study aims to investigate the management of COPD by pulmonologists within private healthcare structures in Tizi-Ouzou. A survey centered on patient COPD care was distributed to all pulmonologists working in these health structures. Of the 25 pulmonologists, 19 (76%) accepted to answer the questionnaire. Among them, 42% had more than 20 years experience in clinical practice. Sixty-eight percent of the respondents believe that spirometry was sufficient for COPD diagnosis; however, it was not regularly performed. COPD management was estimated to be 12 % of the total clinical activity. More than 55% of COPD patients were referred to pulmonologists by family physicians. Most of them were classified as GOLD Stage B (40%) and Stage C (38%). The main reason for consultation (52%) was exacerbation (dyspnea). Patient care included non-pharmacological (smoking cessation and pulmonary rehabilitation) and pharmacological management (bronchodilators, inhaled corticosteroids, theophylline and antibiotics). However, there was no structured smoking cessation program and no pulmonary rehabilitation center and 47% of the respondents indicated that there is no psychological treatment for patients. Dedicated health structures including smoking cessation programs, pulmonary rehabilitation, psychological treatment, and patient education are needed to improve COPD management in Algeria.