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INTRODUCTION Lack of recent data on asthma control in Algeria led to this study whose results were compared with those of the same study conducted in the Middle East and North Africa (MENA). METHOD This cross-sectional epidemiological study was performed in adults who had been diagnosed with asthma for at least one year and without exacerbation within the last 4 weeks. Asthma control was assessed using the 2012 Global Initiative for Asthma (GINA) criteria and the Asthma control test (ACT) questionnaire. RESULTS We studied 984 patients mainly managed by specialist physicians; 61% female, mean age 45 years, body mass index 27kg/m2, active smokers 2%. Medication was prescribed in 92% with 78% receiving inhaled corticosteroids alone or with add-on therapies. Good adherence was observed in 27%. Asthma control was observed in 34.6% vs. 28.6% in other countries (P < 0.001). Low level of education, absence of medical insurance, lack of physical exercise, and-long duration of the disease were significantly associated with uncontrolled asthma. CONCLUSION Poor control of asthma is still observed in Algeria despite a high level of specialist involvement. Except for adherence, known predictive factors of poor asthma control have been observed. Quality improvement training of health care professionals and patient education are probably the main issues to be addressed.

Lack of recent data on asthma control in Algeria led to this study whose results were compared with those of the same study conducted in the Middle East and North Africa (MENA).This cross-sectional epidemiological study was performed in adults who had been diagnosed with asthma for at least one year and without exacerbation within the last 4 weeks. Asthma control was assessed using the 2012 Global Initiative for Asthma (GINA) criteria and the Asthma control test (ACT) questionnaire.We studied 984 patients mainly managed by specialist physicians; 61% female, mean age 45 years, body mass index 27kg/mPoor control of asthma is still observed in Algeria despite a high level of specialist involvement. Except for adherence, known predictive factors of poor asthma control have been observed. Quality improvement training of health care professionals and patient education are probably the main issues to be addressed.

Resume Introduction L’absence de donnees recentes sur le controle de l’asthme en Algerie a justifie cette etude dont les resultats ont ete compares a ceux de la meme etude menee au Moyen Orient et en Afrique du Nord (Middle-East and North Africa — MENA). Methode Etude epidemiologique, chez des adultes dont l’asthme evoluait depuis au moins 1 an et etait stable 4 semaines precedant l’inclusion. Le controle de l’asthme a ete evalue sur les criteres du Global Initiative for Asthma (GINA) 2012 et sur le questionnaire Asthma Control Test (ACT). Resultats L’analyse a porte sur 984 patients, (âge moyen 45 ans, 61 % de femmes, 2 % de fumeurs), traites dans 78 % des cas par des corticosteroides inhales seuls ou en association avec un traitement additionnel. Le controle de l’asthme a ete observe chez 34,6 % vs 28,6 % (p Conclusion Le controle de l’asthme reste insuffisant en Algerie malgre une prise en charge quasi exclusive par des specialistes dans cette etude. Hormis l’observance, les facteurs predictifs connus du mauvais controle ont ete confirmes. La formation des medecins et l’education des patients sont probablement des points essentiels a ameliorer.