Assessment of asthmatic child inhalation device technique

Authors

  • Pedro Tiago Pinto Unidade de Saúde Familiar São João do Porto
  • Miguel Jeri Unidade de Saúde Familiar São João do Porto
  • Telma Barbosa Department of Pediatrics, Centro Materno Infantil do Norte, Centro Hospitalar do Porto

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v27.i3.11983

Keywords:

Asthma, dry powder inhalers, metered dose inhalers

Abstract

Introduction: In Portugal, asthma is a very common disease, particularly in pediatric age, and many children are treated with medications delivered by inhalation devices. It is known that child inhaler technique is often throughout the world.
Aim: The aim of this paper is to describe the performance of asthmatic child device technique in a Portuguese children hospital in the city of Porto, (Centro Materno-Infantil do Norte - CMIN).
Methods: The authors assessed inhalation device technique of children aged 6 to 18 years, according to standardized checklists, (similar to those on the Aerosol Drug Management Improvement Team (ADMIT) Website) between September and October 2016, during follow-up of pediatric pneumology consultations in CMIN.
Results: Twenty one children met the inclusion criteria and 22 inhalation devices assessments were made. The majority (86%) used dry-powder inhalers; the most common error was failure to exhale before actuation (in 61%).
Discussion/Conclusion: Our results confirm a relatively high percentage of children failing in their performance in the use of the inhalation devices. Pediatricians and primary care physicians should assess the inhalation technique of asthmatic children regularly, in order to ensure a good asthma control in the pediatric age.

References

1. Sá-Sousa A, Azevedo LF, Carvalho R, Jacinto T, Todo-Bom A, Loureiro C, et al. Prevalence of asthma in Portugal - The Portuguese National Asthma Survey. Clin Transl Allergy. 2012; 2:15.

2 . Devadason SG. Recent advances in aerossol therapy for children with asthma. J Aerosol Med. 2006; 19:61-6.

3. Bindels PJ, vand der Wouden JC, Ponsioen BP, Brand PL, Salome PL, Van Hensbergen W, et al. NHG-Standaard Astma Bij Kinderen. Juisarts Wet 2006; 49:557-72.

4 .Gillete C, Rockich-Winston N, Kuhn JA, Flesher S, Shepherd M. INhaler Technique in Children with Asthma: A Systematic Review. Acad Pediatr. 2016; 16:605-15.

5. Kwok PCL, Chan HK. Delivery of inhalation drugs to children for asthma and other respiratory disease. Adv Drug Deliv Ver. 2014; 83: 83-8.

6. National Asthma Education and Prevention Program. Expert Panel Report: Guidelines for the Diagnosis and Management of Asthma. National Institutes of Health. August, 2007. (Accessed November 5, 2016). Available at: http://www.nhlbi.nih.gov/files/docs/guidelines/asthgdln.pdf.

7. Sleath B, Ayala G, Gillette C, Williams D, Davis S, Tudor G, et al, Provider Demonstration and Assessment of Child Device Technique During Pediatric Asthma Visits, Pediatrics. 2011; 127:642-8.

8. ADMIT Website (http://www.admit-online.info/en/).

9. Global Initiative for Asthma. Pocket guide for Asthma management and prevention (for Adults and Children older than 5 years). 2015. Available at: https://ginasthma.org/archived-reports/.

10. Have W, Berg N, Bindels P, Aalderen W, Palen J. Assessment of Inhalation Technique in Children in General Practice: Increased Risk of Incorrect Performance with New Device. Journal of Asthma. 2008; 45:67-71.

Downloads

Published

2018-10-17

How to Cite

Pinto, P. T., Jeri, M., & Barbosa, T. (2018). Assessment of asthmatic child inhalation device technique. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 27(3), 162–165. https://doi.org/10.25753/BirthGrowthMJ.v27.i3.11983

Issue

Section

Original Articles