Page 53 - IJSA, Vol. 6, No 1, 2023

International Journal of Science Annals, Vol. 6, No. 1, 2023
рrint ISSN: 2617-2682; online ISSN: 2707-3637; DOI:10.26697/ijsa

Chorao et al. (2014) observed that patients over 60 years Chorao, P., Pereira, A. M., & Fonseca, J. A. (2014).
vs. younger age (p=0.002) and COPD vs. asthma patients Inhaler devices in asthma and COPD – An
(p=0.016) required more attempts to ensure correct use. assessment of inhaler technique and patient
41.0% of the study participants chose one of the devices preferences. Respiratory Medicine, 108(7), 968-
they already used as the most preferred inhaler. 975. https://doi.org/10.1016/j.rmed.2014.04.019
In another study conducted on COPD patients of mean Cochrane, M. G., Bala, M. V., Downs, K. E.,
age 70.9±8.3 years using metered-dose inhaler by Mauskopf, J., & Ben-Joseph, R. H. (2000).
Choomuang et al. (2022). It was observed that only 16% Inhaled corticosteroids for asthma therapy: patient
(p<0.001) was using correct technique, 25% (p<0.026) compliance, devices, and inhalation technique.
was having correct flow and only 7% (p<0.001) was Chest, 117(2), 542-550.
using both correct technique and correct flow but after https://doi.org/10.1378/chest.117.2.542
one month of training 34% (p<0.001) was using correct Crompton, G. K. (1991). Dry powder inhalers:
technique, 37% (p<0.026) was having correct flow and Advantages and limitations. Journal of Aerosol
only 22% (p<0.001) was using both correct technique Medicine, 4(3), 151-156.
and correct flow. https://doi.org/10.1089/jam.1991.4.151
Thus, incorrect use of inhaler is a prevalent problem EBSCO. (2020, November 16). Dynamic health in
across countries. The problem can be significantly action: COPD.
reduced with proper training and retraining. https://www.ebsco.com/resources/dynamic-
health-action-copd
Conclusions Melani, A. S., Bonavia, M., Cilenti, V., Cinti, C.,
It is observed that errors in using the device and handling Lodi, M., Martucci, P., Serra, M., Scichilone, N.,
are common in both dry powder inhalers and metered Sestini, P., Aliani, M., & Neri, M. (2011). Inhaler
dose inhaler users. But in old age, female and short-term mishandling remains common in real life and is
users more errors were found compared to young age, associated with reduced disease control.
male and long-term users. The error associated with both Respiratory Medicine, 105(6), 930-938.
users are mainly with handling the devices, technique of https://doi.org/10.1016/j.rmed.2011.01.005
using the devices and safekeeping of the devices. To Melani, A. S. (2007). Inhalatory therapy training: A
overcome problems related to these devices people need priority challenge for the physician. Acta Bio-
more and proper regular training of handling and using Medica: Atenei Parmensis, 78(3), 233-245.
these devices. Patient needs training in how to keep https://pubmed.ncbi.nlm.nih.gov/18330086/
devices clean and use it safely. Patient needs more follow Nainwal, N., Sharma, Y., & Jakhmola, V. (2022). Dry
up visits in which proper training could be provided. powder inhalers of antitubercular drugs.
Tuberculosis (Edinburgh, Scotland), 135,
Ethical Approval 102228.
The study protocol was consistent with the ethical https://doi.org/10.1016/j.tube.2022.102228
guidelines of the 1975 Declaration of Helsinki as Newman, S. P. (2005). Principles of metered-dose
reflected in a prior approval by the Institution’s Human inhaler design. Respiratory Care, 50(9), 1177-
Research Committee. 1190.
https://pubmed.ncbi.nlm.nih.gov/16122401/
Funding Source Newman, S. P., Weisz, A. W., Talaee, N., & Clarke, S.
This research did not receive any outside funding or (1991). Improvement of drug delivery with a
support. breath actuated pressurised aerosol for patients
with poor inhaler technique. Thorax, 46(10), 712-
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