Currently, Brazil lacks a national asthma management program and is burdened with nearly 200,000 hospitalizations due to the disease per year and approximately 5 deaths per day. The purpose of this article was to analyze the current issues surrounding severe asthma in Brazil, as the status of diagnosis and treatment is largely unknown, and to provide feasible recommendations to elicit imminent action. A panel of Brazilian medical experts in the field of severe asthma was provided with a series of relevant questions to address prior to a multi-day conference. Within this conference, each narrative was discussed and edited by the entire group. Through numerous rounds of discussion consensus was achieved. In order to overcome barriers to adequate asthma treatment, this panel recommends specific initiatives that can be implemented in the short-term to decrease the burden of severe asthma in Brazil. With increasing healthcare costs and limited resources globally, there is an opportunity to implement these recommendations in other countries in order to achieve adequate asthma care. Severe asthma is a heterogeneous and complex disease with various phenotypes that requires strict attention for diagnosis and management. Although this disease affects only a small proportion of the population with asthma, it poses a great burden to healthcare systems. Thus, barriers to diagnosis, treatment, and management should be overcome as quickly and efficiently as possible.

目前，巴西缺乏国家哮喘管理计划，每年因该病住院近 200,000 人，每天约有 5 人死亡。本文的目的是分析巴西严重哮喘的当前问题，因为诊断和治疗的状态在很大程度上是未知的，并提供可行的建议以引发迫在眉睫的行动。在为期多天的会议之前，严重哮喘领域的巴西医学专家小组收到了一系列相关问题以供解决。在这次会议中，每个叙述都由整个小组讨论和编辑。经过多轮讨论，达成共识。为了克服哮喘充分治疗的障碍，该小组推荐了可以在短期内实施的具体举措，以减轻巴西严重哮喘的负担。随着全球医疗保健成本的增加和资源的有限，有机会在其他国家实施这些建议，以实现足够的哮喘护理。重度哮喘是一种异质性和复杂的疾病，具有多种表型，需要在诊断和管理中严格关注。尽管这种疾病仅影响一小部分哮喘患者，但它对医疗保健系统构成了巨大负担。因此，应尽快有效地克服诊断、治疗和管理方面的障碍。有机会在其他国家实施这些建议，以实现充分的哮喘护理。重度哮喘是一种异质性和复杂的疾病，具有多种表型，需要严格关注诊断和管理。尽管这种疾病仅影响一小部分哮喘患者，但它对医疗保健系统构成了巨大负担。因此，应尽快有效地克服诊断、治疗和管理方面的障碍。有机会在其他国家实施这些建议，以实现充分的哮喘护理。重度哮喘是一种异质性和复杂的疾病，具有多种表型，需要在诊断和管理中严格关注。尽管这种疾病仅影响一小部分哮喘患者，但它对医疗保健系统构成了巨大负担。因此，应尽快有效地克服诊断、治疗和管理方面的障碍。