Objective. To assess the theoretical and practical knowledge of health care providers (HCPs) in relation to the use of metered-dose inhalers (MDIs) and spacer devices. Methods. A cross-sectional study was conducted in Riyadh, Saudi Arabia, among 52 HCPs using a stratified random sampling technique. A questionnaire was used to assess theoretical knowledge; practical knowledge was assessed by direct demonstration of the use of an MDI and a spacer device. Results. Among the participants, 57% were female. The majority provided education to their patients (92%). Of the HCPs, 36.5% completed the demonstration of holding the spacer with a mask and MDI together and then shaking well 4 to 5 times, 78.8% completed the demonstration of cap removal, 15.4% completed the demonstration of checking for any foreign body in the spacer, 78.8% completed the demonstration of holding the device properly, 69.2% completed the demonstration of inhaling slowly and deeply, 55.8% completed the demonstration of maintaining the seal for 5 to 6 breaths after the MDI is pressed, 26.9% completed the demonstration of "if more puffs of medication are prescribed, complete these puffs," and 25% completed the demonstration of washing the spacer with warm soapy water. The overall scores were good (16.6%), fair (44.4%), and poor (39%). Conclusion. Most of the HCPs in this study lacked basic knowledge and skills regarding the proper way to instruct their patients to use MDIs and spacer devices. There is a need to establish continuing education programs for HCPs about asthma inhaler knowledge and technique.
Background: Poor asthma control remains a common cause of emergency department (ED) visits, presentation and hospital admission. The cost of uncontrolled asthma care is substantial in Saudi Arabia. Methods: A cross sectional observational and descriptive study that is conducted in Pediatric Hospital Allergy and Immunology Clinic (Pediatric Outpatient Department), King Saud Medical City in Riyadh, Saudi Arabia From: 2nd of September 2014 To: 2nd of September 2015. The study includes pediatric patients regardless of age (0-12 years old), gender and nationality who visited Allergy & Immunology Clinic (Outpatient Department). The data will be collected using a questionnaire and statistical analyses were performed using SPSS Version 16.0 with the confidence interval = 95% and P values= <0.05. Results: The study population showed that most of them have a regular visit to outpatient clinic 91% (95), among those 92% (88) visited Pediatric Allergy & Immunology in KSMC, on the other hand, 77% (80) are visiting emergency department within the year, the majority of them visited Pediatric ER in KSMC 63% (37), and less than half of them are visiting 1-3 times per year 43% (45). Asthmatic Children, who are admitted to the hospital, have average length of stay more than 1 week 52% (54) managed with medications. Conclusions: Availability of asthma medications, correct delivery of it and to have permanent asthma clinic with Asthma educators will be the most important factors that will decrease revisit to emergency department, long stay in hospital during admission and to control the asthma.
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