Indexed In
- Open J Gate
- Genamics JournalSeek
- Academic Keys
- JournalTOCs
- The Global Impact Factor (GIF)
- China National Knowledge Infrastructure (CNKI)
- Ulrich's Periodicals Directory
- RefSeek
- Hamdard University
- EBSCO A-Z
- OCLC- WorldCat
- Publons
- Geneva Foundation for Medical Education and Research
- Euro Pub
- Google Scholar
Useful Links
Share This Page
Journal Flyer
Open Access Journals
- Agri and Aquaculture
- Biochemistry
- Bioinformatics & Systems Biology
- Business & Management
- Chemistry
- Clinical Sciences
- Engineering
- Food & Nutrition
- General Science
- Genetics & Molecular Biology
- Immunology & Microbiology
- Medical Sciences
- Neuroscience & Psychology
- Nursing & Health Care
- Pharmaceutical Sciences
Replacing nebulizers by MDI-spacers for bronchodilators and inhaled corticosteroids administration: Impact on the utilization of hospital resources
5th International Conference and Exhibition on Pharmaceutics & Novel Drug Delivery Systems
March 16-18, 2015 Crowne Plaza, Dubai, UAE
Alhaider S A1, Alshehri H A2 and Al-Eid K3
Posters & Accepted Abstracts: Pharm Anal Acta
Abstract:
Metered-dose inhalers plus spacers (MDI-spacer) are as effective as, or better than, nebulizers in aerosol delivery. The selection of aerosol delivery system for hospitalized children can have a significant impact on the utilization of healthcare resources. This was investigated in a quality improvement project in a tertiary pediatric ward from April to May 2013. Our project was conducted over a 6-week period. In the first two weeks, data were gathered from all hospitalized children receiving BDs and/or ICSs by nebulizers. This was followed by a two-week washout period. In the last two weeks, data were gathered after conversion to MDI-spacer. The primary outcome was the mean time of medication preparation and delivery. Secondary outcomes included: Need for respiratory therapy assistance, estimated cost of treatment sessions, and patient/caregiver satisfaction. Five hundred seventy-five treatment sessions were enrolled. The nebulizer group had more male predominance and were slightly older compared to the MDI-spacer group. The duration of treatment preparation and delivery was significantly lower in the MDI-spacer group (2 min reduction in preparation time and 5 min reduction in delivery time; p<0.01). Caregivers mastered MDI-spacer use after an average of two observed sessions. Medication cost analysis showed savings in favor of MDI-spacer (cost reduction per 100 doses: 50% for albuterol, 30% for ipratropium bromide, and 87% for ICSs). The patient satisfaction survey showed ?very good? to ?excellent? levels in both groups. Conversion to MDI-spacer for BDs and ICSs administration in hospitalized children improve hospital resource utilization.