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[Level of knowledge of the technique for using metered-dose inhalers among pediatricians]
B E del Río Navarro1, E Valencia Barajas, M R Arciniega Olvera
1Departamento de neumología y alergia, Hospital Infantil de México Federico Gómez, SS.
Insights
Pediatricians often struggle with demonstrating correct metered-dose inhaler (MDI) technique, impacting asthma self-management. Improving physician training on MDI use is crucial for better pediatric asthma care.
Area of Science:
- Pediatric Pulmonology
- Medical Education
- Respiratory Medicine
Context:
- Metered-dose inhalers (MDIs) are vital for pediatric asthma management.
- Physician proficiency in MDI technique is essential for effective patient education.
- Previous reports indicate suboptimal MDI technique among healthcare providers.
Purpose:
- To assess pediatricians' knowledge and practical skills in demonstrating MDI technique.
- To identify deficiencies in MDI technique among physicians in diverse healthcare settings.
- To evaluate the impact of written instructions and questionnaires on MDI technique demonstration.
Summary:
- A prospective study evaluated 100 pediatricians' MDI technique demonstration after receiving written guidance.
- While 55% provided a correct written description, only 32.7% demonstrated proper MDI use.
- A significant proportion of physicians exhibited incorrect descriptions and demonstrations, highlighting knowledge gaps.
Impact:
- Suboptimal MDI technique among physicians contributes to poor asthma self-management in children.
- This lack of proficiency may be a factor in increased pediatric asthma morbidity and mortality.
- Enhanced training on MDI technique is needed to improve asthma control in pediatric populations.
Abstract:
A longitudinal open prospective study involving 100 pediatricians from 4 different health institutions was performed. After a written description of inhaler technique was provided and a special questionnaire, physicians were asked to demonstrate the technique using a placebo MDI. Correct use was considered if 10 points were obtained. Thirty pediatricians used MDI in children less than 5 years. The correct written description was observed in 55% (55/100) but 32.7% (18/55) failed to use it properly. Although 45% (45/100) made an incorrect description 25% (25/45) demonstrated a describe previous reports which describe that more than half the physicians ignore the correct steps of inhaler technique. Moreover this lack of information appears to be one of the most important factors which affect self-management of acute and chronic symptoms of asthma in which have contributed to the increased morbidity/mortality of the disease since 1980.