Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy

Detalhes bibliográficos
Autor(a) principal: Castel-Branco, M. Margarida
Data de Publicação: 2017
Outros Autores: Fontes, Ana, Figueiredo, Isabel V.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10316/101152
https://doi.org/10.18549/PharmPract.2017.04.1072
Resumo: Background: A correct selection of drugs prescribed, but also the choice of the appropriate inhaler device, is crucial for the control of respiratory diseases. Objective: To evaluate the inhaler technique and identify potential errors of patients when treated with inhalers by testing a routinary procedure to be implemented in any community pharmacy. Methods: Adults with asthma/COPD and under inhalation therapy were invited to demonstrate how they use their inhalers. After direct observation it was registered whether all the sequential steps included in the summary of product characteristics (SmPC) were performed. Results: The study involved 67 patients from 4 community pharmacies (Portugal central region): 34 (50.7%) males, 65.4 (SD=18.28) years old, 42 (62.7%) with COPD, and 23 (34.3%) using more than one inhaler. The 67 patients used 95 inhalers, comprising: 57 (60.0%) multiple dose DPI (dry powder inhalers), 18 (18.9%) single dose DPI, 16 (16.8%) pMDI (pressurized metered dose inhalers), 2 (2.1%) pMDI+spacer and 2 (2.1%) SMI (soft mist inhalers). No errors were made only by 9 (13.4%) patients. In the 75 DPIs techniques, the most frequent errors were ‘no previous forced expiration’ (46=61.3%) and ‘no 10s apnea after inhalation’ (51=68.0%); in the 16 pMDIs techniques common errors were ‘lack of hand-lung coordination’ (7=43.8 %), ‘no previous forced exhalation’ (8=50.0%) and ‘no apnea after inhalation’ (10=62.5%). After inhaling from 56 devices containing corticosteroids, 34 (60.7%) of the patients did not wash their mouth. Conclusion: The study demonstrated the possibility of performing this procedure routinely in Portuguese community pharmacies and also its utility, since 58 (87%) of patients had at least one error during the inhalers use.
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spelling Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacyAsthmaPulmonary DiseaseChronic ObstructiveNebulizers and VaporizersPharmaciesPatient Education as TopicQuality AssuranceHealth CarePortugalBackground: A correct selection of drugs prescribed, but also the choice of the appropriate inhaler device, is crucial for the control of respiratory diseases. Objective: To evaluate the inhaler technique and identify potential errors of patients when treated with inhalers by testing a routinary procedure to be implemented in any community pharmacy. Methods: Adults with asthma/COPD and under inhalation therapy were invited to demonstrate how they use their inhalers. After direct observation it was registered whether all the sequential steps included in the summary of product characteristics (SmPC) were performed. Results: The study involved 67 patients from 4 community pharmacies (Portugal central region): 34 (50.7%) males, 65.4 (SD=18.28) years old, 42 (62.7%) with COPD, and 23 (34.3%) using more than one inhaler. The 67 patients used 95 inhalers, comprising: 57 (60.0%) multiple dose DPI (dry powder inhalers), 18 (18.9%) single dose DPI, 16 (16.8%) pMDI (pressurized metered dose inhalers), 2 (2.1%) pMDI+spacer and 2 (2.1%) SMI (soft mist inhalers). No errors were made only by 9 (13.4%) patients. In the 75 DPIs techniques, the most frequent errors were ‘no previous forced expiration’ (46=61.3%) and ‘no 10s apnea after inhalation’ (51=68.0%); in the 16 pMDIs techniques common errors were ‘lack of hand-lung coordination’ (7=43.8 %), ‘no previous forced exhalation’ (8=50.0%) and ‘no apnea after inhalation’ (10=62.5%). After inhaling from 56 devices containing corticosteroids, 34 (60.7%) of the patients did not wash their mouth. Conclusion: The study demonstrated the possibility of performing this procedure routinely in Portuguese community pharmacies and also its utility, since 58 (87%) of patients had at least one error during the inhalers use.3910-3178-31BA | MARIA MARGARIDA COUTINHO DE SEABRA CASTEL-BRANCO CAETANOinfo:eu-repo/semantics/publishedVersion2017-12-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/101152http://hdl.handle.net/10316/101152https://doi.org/10.18549/PharmPract.2017.04.1072eng1886-36551885-642Xcv-prod-144359Castel-Branco, M. MargaridaFontes, AnaFigueiredo, Isabel V.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-28T15:28:19Zoai:estudogeral.uc.pt:10316/101152Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:18:22.190411Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy
title Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy
spellingShingle Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy
Castel-Branco, M. Margarida
Asthma
Pulmonary Disease
Chronic Obstructive
Nebulizers and Vaporizers
Pharmacies
Patient Education as Topic
Quality Assurance
Health Care
Portugal
title_short Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy
title_full Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy
title_fullStr Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy
title_full_unstemmed Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy
title_sort Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy
author Castel-Branco, M. Margarida
author_facet Castel-Branco, M. Margarida
Fontes, Ana
Figueiredo, Isabel V.
author_role author
author2 Fontes, Ana
Figueiredo, Isabel V.
author2_role author
author
dc.contributor.author.fl_str_mv Castel-Branco, M. Margarida
Fontes, Ana
Figueiredo, Isabel V.
dc.subject.por.fl_str_mv Asthma
Pulmonary Disease
Chronic Obstructive
Nebulizers and Vaporizers
Pharmacies
Patient Education as Topic
Quality Assurance
Health Care
Portugal
topic Asthma
Pulmonary Disease
Chronic Obstructive
Nebulizers and Vaporizers
Pharmacies
Patient Education as Topic
Quality Assurance
Health Care
Portugal
description Background: A correct selection of drugs prescribed, but also the choice of the appropriate inhaler device, is crucial for the control of respiratory diseases. Objective: To evaluate the inhaler technique and identify potential errors of patients when treated with inhalers by testing a routinary procedure to be implemented in any community pharmacy. Methods: Adults with asthma/COPD and under inhalation therapy were invited to demonstrate how they use their inhalers. After direct observation it was registered whether all the sequential steps included in the summary of product characteristics (SmPC) were performed. Results: The study involved 67 patients from 4 community pharmacies (Portugal central region): 34 (50.7%) males, 65.4 (SD=18.28) years old, 42 (62.7%) with COPD, and 23 (34.3%) using more than one inhaler. The 67 patients used 95 inhalers, comprising: 57 (60.0%) multiple dose DPI (dry powder inhalers), 18 (18.9%) single dose DPI, 16 (16.8%) pMDI (pressurized metered dose inhalers), 2 (2.1%) pMDI+spacer and 2 (2.1%) SMI (soft mist inhalers). No errors were made only by 9 (13.4%) patients. In the 75 DPIs techniques, the most frequent errors were ‘no previous forced expiration’ (46=61.3%) and ‘no 10s apnea after inhalation’ (51=68.0%); in the 16 pMDIs techniques common errors were ‘lack of hand-lung coordination’ (7=43.8 %), ‘no previous forced exhalation’ (8=50.0%) and ‘no apnea after inhalation’ (10=62.5%). After inhaling from 56 devices containing corticosteroids, 34 (60.7%) of the patients did not wash their mouth. Conclusion: The study demonstrated the possibility of performing this procedure routinely in Portuguese community pharmacies and also its utility, since 58 (87%) of patients had at least one error during the inhalers use.
publishDate 2017
dc.date.none.fl_str_mv 2017-12-31
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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https://doi.org/10.18549/PharmPract.2017.04.1072
url http://hdl.handle.net/10316/101152
https://doi.org/10.18549/PharmPract.2017.04.1072
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