Thinking inside the box: nebulizer care, safe storage, and risk of infection in cystic fibrosis

Alexander, Lauren; Carson, Jane; McCaughan, J.; Moore, John E.; Millar, B. Cherie

doi:10.36416/1806-3756/e20190226

Cited by 5 publications

References 6 publications

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The effects of nebulizer hygiene training on the practices of cystic fibrosis patients and caregivers

Yeğit

Ergenekon

Mursaloglu

et al. 2021

Pediatric Pulmonology

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Background: Nebulizers can be contaminated with microorganisms and may be a source of infection in the lower airways in patients with cystic fibrosis (CF).Objective: Primary aim of this study was to determine the level of knowledge regarding nebulizer hygiene and adherence to CF foundation infection prevention and control (IPC) measures of CF patients in our center. We also evaluated the effect of a standardized training program on nebulizer cleaning and disinfection practises with pre and posttest.Methods: Caregivers of 173 CF patients followed at Marmara University CF Center filled a questionnaire (pretest) regarding nebulizer hygiene and received didactic education including pictures and videos based on the cystic fibrosis foundation (CFF) IPC guidelines, patients were also provided educational materials. Posttest was performed 1-3 months after the education session.Results: Following standardized training, usage of appropriate methods according to CFF IPC guidelines improved significantly. Frequency of nebulizer cleaning after each use increased from 58.4% to 78% (p < .01) and disinfection frequency after each/daily usage increased from 33.6% to 75.7% (p < .01). Additionally, methods of cleaning and storage of the nebulizer, also improved significantly (p < .01, p < .01). Conclusion:Education was highly effective to increase the rate of proper practices for nebulizer hygiene. The necessity of cleaning, disinfection, careful drying, correct storage of the nebulizer parts, and changing the nebulizer equipment within recommended time should be emphasized to CF families regularly.

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The effects of nebulizer hygiene training on the practices of cystic fibrosis patients and caregivers

Yeğit

Ergenekon

Mursaloglu

et al. 2021

Pediatric Pulmonology

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Infektionsschutz und spezielle Hygienemaßnahmen in klinischen Disziplinen

Krämer¹,

Assadian²,

Exner³

et al. 2022

Krankenhaus- Und Praxishygiene

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Nebuliser hygiene in cystic fibrosis: evidence-based recommendations

Bell

Alexander

Carson

et al. 2020

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Nebulised therapies are extensively used in the daily therapeutic management of cystic fibrosis both for mucociliary clearance and for the management of chronic infections. Extensive developments have been made in relation to nebulised drug delivery mechanisms and drug formulations, and guidelines have been prepared that have addressed the appropriate use of such therapies. However, due to these developments, a plethora of nebuliser devices and drug chambers exist, and frequently, the limited guidance provided in relation to nebuliser hygiene is to follow manufacturers' instructions. Such instructions are inconsistent and at times confusing, translating to an increase in the burden associated with nebuliser maintenance. An evidence-based universal guideline relating to nebuliser care and hygiene is urgently required that is applicable to both at-home use and inpatient use. This article reviews the scientific literature in order to propose an evidence-based approach to nebuliser hygiene to ensure optimum drug delivery, and infection prevention and control.Educational aimsTo understand the reasons why nebuliser hygiene is important.To give an overview of the current nebuliser care instructions that have been described by manufacturers, societies and the scientific literature.To outline the current nebuliser hygiene practices used by persons with cystic fibrosis in the home and hospital settings.To highlight areas that need further evaluation to promote optimum nebuliser care.To establish an evidence-based guideline for nebuliser hygiene in relation to cystic fibrosis.

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Thinking inside the box: nebulizer care, safe storage, and risk of infection in cystic fibrosis

Cited by 5 publications

References 6 publications

The effects of nebulizer hygiene training on the practices of cystic fibrosis patients and caregivers

The effects of nebulizer hygiene training on the practices of cystic fibrosis patients and caregivers

Infektionsschutz und spezielle Hygienemaßnahmen in klinischen Disziplinen

Nebuliser hygiene in cystic fibrosis: evidence-based recommendations

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