Assessment of asthmatic child inhalation device technique
Keywords:Asthma, dry powder inhalers, metered dose inhalers
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.
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.
How to Cite
Copyright and access
This journal offers immediate free access to its content, following the principle that providing free scientific knowledge to the public provides greater global democratization of knowledge.
The works are licensed under a Creative Commons Attribution Non-commercial 4.0 International license.
Nascer e Crescer – Birth and Growth Medical Journal do not charge any submission or processing fee to the articles submitted.