Assessment of Metered-Dose Inhalers with Spacer Technique among Postgraduate Trainees

Authors

  • Tahir Iqbal Khyber Teaching Hospital, Peshawar
  • Qaisar Iqbal Khyber Teaching Hospital, Peshawar
  • Bahar Ali
  • Raza Ullah
  • Shahida Naz Peshawar Institute of Medical Science
  • Haleema Hayatabad Medical Complex, Peshawar

DOI:

https://doi.org/10.37762/jgmds.10-1.342

Keywords:

MDIs, postgraduate trainee, inhaler technique, spacer

Abstract

OBJECTIVES

Most obstructive airway disease medications are used via inhalers, and their proper use is significant for effectively treating these diseases. Most patients misuse it. However, some studies showed that many physicians also do not know the proper meter dose inhaler with the spacer technique. This study aimed to assess metered-dose inhalers with spacer technique among postgraduate trainee doctors.

METHODOLOGY

This cross-sectional study was carried out in the Khyber Teaching Hospital Peshawar. The total time was six months, from Dec 6 2020, to Jun 5 2021. Postgraduate trainee (PGT) doctors of either gender with an age range of 25 to 35 years were included in the study from different departments. Those with every use of inhalers were excluded from the study. Demographic details of PGTs, like age and gender, were recorded.

RESULTS

Among 96 patients, males were 85 (88.54%), and females were 11 (11.46%). The mean age was 30.02±1.84 years, and the mean training experience was 2.0521 ±0.89. Inhaler technique was Proper in 20 (20.83%), Improper in 51 (53.13%) and Poor in 25 (26.04%) doctors. Those with more training periods, pulmonology rotation, attended workshops on inhaler techniques and with relatives using inhalers were more acknowledged of proper meter dose inhalers (MDIs) with spacer technique.

CONCLUSION

Only one-fifth of the postgraduate trainees know proper MDIs techniques. The attendance of workshops and pulmonology rotation is encouraged to enhance the knowledge of physicians regarding MDIs techniques.

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Author Biographies

Tahir Iqbal, Khyber Teaching Hospital, Peshawar

Medical Officer 
Khyber Teaching Hospital, Peshawar

Qaisar Iqbal, Khyber Teaching Hospital, Peshawar

Medical Officer
Khyber Teaching Hospital, Peshawar

Bahar Ali

Medical Officer
Khyber Teaching Hospital, Peshawar

Raza Ullah

Assistant Professor,
Pulmonology and Critical Care, HMC Peshawar  

Shahida Naz, Peshawar Institute of Medical Science

Senior Registrar, Department of Dermatology,
Peshawar Institute of Medical Science

Haleema, Hayatabad Medical Complex, Peshawar

House Officer,
Hayatabad Medical Complex, Peshawar

References

Cho-Reyes S, Celli BR, Dembek C, Yeh K, Navaie M. Inhalation Technique Errors with Metered-Dose Inhalers Among Patients with Obstructive Lung Diseases: A Systematic Review and Meta-Analysis of U.S. Studies. Chronic obstructive pulmonary diseases (Miami, Fla). 2019 Jul 24;6(3):267–80

Dudvarski Ilic A, Zugic V, Zvezdin B, Kopitovic I, Cekerevac I, Cupurdija V, et al. Influence of inhaler technique on asthma and COPD control: a multicenter experience. International journal of chronic obstructive pulmonary disease. 2016 Oct 6;11:2509–17

Levy ML, Hardwell A, McKnight E, Holmes J. Asthma patients' inability to use a pressurised metered-dose inhaler (pMDI) correctly correlates with poor asthma control as defined by the global initiative for asthma (GINA) strategy: a retrospective analysis. Primary care respiratory journal : journal of the General Practice Airways Group. 2013 Dec;22(4):406–11

De Tratto K, Gomez C, Ryan CJ, Bracken N, Steffen A, Corbridge SJ. Nurses' Knowledge of Inhaler Technique in the Inpatient Hospital Setting. Clinical Nurse Specialist. 2014 May;28(3):156–60

Levy ML, Dekhuijzen P, Barnes PJ, Broeders M, Corrigan CJ, Chawes BL, et al. Erratum: Inhaler technique: facts and fantasies. A view from the Aerosol Drug Management Improvement Team (ADMIT). NPJ primary care respiratory medicine. 2016 May 26;26:16028–16028

Molimard M, Raherison C, Lignot S, Balestra A, Lamarque S, Chartier A, et al. Chronic obstructive pulmonary disease exacerbation and inhaler device handling: real-life assessment of 2935 patients. European Respiratory Journal. 2016 Dec 22;49(2):1601794

Lavorini F, Pistolesi M, Usmani OS. Recent advances in capsule-based dry powder inhaler technology. Multidisciplinary respiratory medicine. 2017 May 22;12:11–11

Makarani MM, Patel PP, Gandhi AM, Desai CK, Desai MK. An evaluation of the technique of use of metered dose inhaler administration in bronchial asthma children. International Journal of Basic & Clinical Pharmacology. 2020 Aug 25;9(9):1343

Leung J, Bhutani M, Leigh R, Pelletier D, Good C, Sin DD. Empowering family physicians to impart proper inhaler teaching to patients with chronic obstructive pulmonary disease and asthma. Canadian respiratory journal. 2015/Sep-Oct;22(5):266–70

Bouwmeester C, Kraft J, Bungay KM. Optimizing inhaler use by pharmacist-provided education to community-dwelling elderly. Respiratory Medicine. 2015 Oct;109(10):1363–8

Plaza V, Giner J, Rodrigo GJ, Dolovich MB, Sanchis J. Errors in the Use of Inhalers by Health Care Professionals: A Systematic Review. The Journal of Allergy and Clinical Immunology: In Practice. 2018 May;6(3):987–95

Khan S, Awan SR. Assessment of technique of doctors about use of metered dose inhaler in bronchial asthma and CPOD. Pak J Chest Med. 2003;9:13-6

Abdel Fattah MT, Abdel Aziz AO, Abdel Aziz MO, Atta MI, Mounir SM, Amin SA. Prescription of inhalers among pulmonologists and nonpulmonologists: is there a difference. Egyptian Journal of Bronchology. 2017 Nov 3;11(4):301–10

Plaza V, Sanchis J, Roura P, Molina J, Calle M, Quirce S, et al. Physicians' Knowledge of Inhaler Devices and Inhalation Techniques Remains Poor in Spain. Journal of Aerosol Medicine and Pulmonary Drug Delivery. 2012 Feb;25(1):16–22

DePietro M, Gilbert I, Millette LA, Riebe M. Inhalation device options for the management of chronic obstructive pulmonary disease. Postgraduate Medicine. 2017 Dec 5;130(1):83–97

De Blaquiere P, Christensen DB, Carter WB, Martin TR. Use and Misuse of Metered-dose Inhalers by Patients with Chronic Lung Disease: A Controlled, Randomized Trial of Two Instruction Methods. American Review of Respiratory Disease. 1989 Oct;140(4):910–6

Basheti IA, Obeidat NM, Reddel HK. Inhaler technique education and asthma control among patients hospitalized for asthma in Jordan. Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society. 2018 Dec;26(8):1127–36

Pedersen S, Frost L, Arnfred T. Errors in Inhalation Technique and Efficiency in Inhaler Use in Asthmatic Children. Allergy. 1986 Feb;41(2):118–24

Ganjiwale J, Kshatriya RM, Joshi Y, Nimbalkar S. The effect of single educational intervention on improving nurses' proficiency in using different inhaler devices in a tertiary care setting. Indian Journal of Allergy, Asthma and Immunology. 2019 Jul 1;33(2):86

Chrystyn H, van der Palen J, Sharma R, Barnes N, Delafont B, Mahajan A, et al. Device errors in asthma and COPD: systematic literature review and meta-analysis. NPJ primary care respiratory medicine. 2017 Apr 3;27(1):22–22

Rajah R, Tang YW, Ho SC, Tan JL, Mat Said MS, Ooi LH. Critical Inhaler Administration Errors of Patients on Pressurized Meter Dose Inhaler (pMDI): A Hospital-Based Cross-Sectional Study in Malaysia. Hospital Pharmacy. 2022 Apr;57(2):217-22

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Published

2023-01-01

How to Cite

Iqbal, T. ., Iqbal, Q. ., Ali, B. ., Ullah, R., Naz, S. ., & Haleema. (2023). Assessment of Metered-Dose Inhalers with Spacer Technique among Postgraduate Trainees. Journal of Gandhara Medical and Dental Science, 10(1), 41–44. https://doi.org/10.37762/jgmds.10-1.342

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