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Global Initiative for Asthma - Guidelines

The Global Initiative for Asthma (GINA) works with health care professionals and public health officials around the world to reduce asthma prevalence, morbidity, and mortality.

GINA Classification of Asthma Severity

 

Symptoms/Day

Symptoms/Night

PEF or FEV1

PEF variability

STEP 1

Intermittent

< 1 time a week

Asymptomatic and normal PEF between attacks

</= 2 times a month

 

>/= 80%

 

< 20%

 

STEP 2

Mild Persistent

> 1 time a week but < 1 time a day

Attacks may affect activity

> 2 times a month

 

>/= 80%

 

20-30%

 

STEP 3

Moderate Persistent

Daily

Attacks affect activity

> 1 time a week

 

60%-80%

 

> 30%

 

STEP 4

Severe Persistent

Continuous

Limited physical activity

Frequent

 

</= 60%

 

> 30%

 

GINA Management of Asthma

 

gina

 

Official GINA guidelines can be downloaded from the GINA Website