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Year : 2019  |  Volume : 32  |  Issue : 1  |  Page : 12-18

Use of inhaler devices in the asthma clinic of Alexandria University Children’s Hospital

Department of Pediatrics, Faculty of Medicine, Alexandria University, Egypt

Correspondence Address:
Ghada M El-Deriny
Department of Pediatrics, Faculty of Medicine, Alexandria University, Alexandria
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/AJOP.AJOP_10_19

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Background Asthma is the most common chronic noncommunicable disease among children. High rates of incorrect inhaler use among children with asthma have been reported and are associated with worse outcomes. Aim This study was designed to state the types of inhaler devices and to evaluate inhalation techniques and their relation to control of asthma Patients and methods The study was conducted on 130 asthmatic children on inhaled corticosteroids at the age between 1 and 14 years attending the asthma clinic of Alexandria University Children’s Hospital, Egypt. The cases were subjected to detailed history. A preprepared questionnaire about the type of inhaler device and their correct use by the caregivers or older children was conducted. Correlation between inhaler techniques and asthma control according to Global Initiative for Asthma guidelines was done. Results The number of patients who used meter dose inhaler (MDI)-spacer, turbuhaler, and aerolizer was 115, 8, and 7, respectively. The percentage of children having wrong inhalational techniques was 21.74, 25, and 14.28% for MDI-spacer, turbuhaler, and aerolizer, respectively.Wrong technique has a significant relation with asthma control in the three devices (P<0.05).There was a significant relation between the control of asthma and all MDI-spacer parameters except for the spacer type. Presence of cracks, absence of valves, wrong method of cleaning of spacer, and not counting doses are all associated with poor asthma control (P<0.05) while the type of spacer has no effect on control of asthma. Conclusion Poor inhalational technique is associated with poor asthma control and regular assessment of inhalational technique in asthmatic children is recommended.

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