Assessment of proper use of Metered Dose Inhaler among patients attending the Out Patient Department of Respiratory Medicine: a cross sectional study

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Dipyaban Das
Kavita Meena
Debopriyo Sinha
Bitwadru Dey
Debabrata Biswas
Atanu Haldar
Debjotiy Mukhopadhyay
Chirantan Banerjee
Dipanjali Paul
Debasmita Biswas
Jayanti Mondal
Kabita Mandal
Keya Purkait
Jyotismita Das
Debmalya Saha
Eashin Gazi
Abhijit Mukherjee

Abstract

Introduction
Respiratory inhalers are the backbone of asthma and COPDmanagement, targeting drug delivery directly to the airways
(target zone).However, inhalers are very often used sub-optimally leading to uncontrolled symptoms and increased drug
utilization for relief medication or preventative therapy, thereby increasing the prescription costs for patients.
Objectives:
Tofind out the socio demographic profile,disease characteristics, type of MDI used and assessing the correct stepsof
usage of MDI among patients, attending Respiratory Medicine Outpatient Department of Nil Ratan Sircar Medical College,
Kolkata.
Materials and methods:
An institutional based observational descriptive study with cross sectional design, was carried out, among 115 patients
using MDI,>12 years attending respiratory OPD during the study period were included in the study. Data were collected
using a predesigned and pretested schedule, entered into MS excel, cleaned and analysed with SPSS (IBM SPSS version
20). Approval was taken from Institutional Ethics Committee.
Results
The mean (standard deviation) age of the study population was 50 (14.5) years. Almost 53%(52.2%) of the patients were
using steroid inhalers, 47.2 % of them for > 12 months. Most (93%) had been demonstrated by the treating physician. Only
13% perceived difficulty in MDI use. The common mistakes made by the patients during MDI use were the following;
13.9% sealed the mouth around the inhaler, 29.6% continued breathing after pressing the MDI and 38.3% rinsed their
mouth after using steroid inhaler.
Conclusions
Several mistakes are committed by the users of MDI during the process, almost all of which can be minimized by repeated
instructions and supervision of MDI technique by the treating physician. Proper MDI use will decrease drug wastage
leading to better and cheaper management of symptoms. 

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Article Details

How to Cite
1.
Das D, Meena K, Sinha D, Dey B, Biswas D, Haldar A, et al. Assessment of proper use of Metered Dose Inhaler among patients attending the Out Patient Department of Respiratory Medicine: a cross sectional study. RJUMS [Internet]. 2023 Nov. 5 [cited 2024 Apr. 18];1(1):23-9. Available from: https://esrfrjums.co.in/index.php/main/article/view/5
Section
Original Articles
Author Biographies

Dipyaban Das, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Kavita Meena, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Debopriyo Sinha, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Bitwadru Dey, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Debabrata Biswas, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Atanu Haldar, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Debjotiy Mukhopadhyay, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Chirantan Banerjee, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Dipanjali Paul, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Debasmita Biswas, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Jayanti Mondal, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Kabita Mandal, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Keya Purkait, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Jyotismita Das, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Debmalya Saha, NRS Medical College and Hospital

MBBS students (Batch 2020 - 2025)

Eashin Gazi, NRS Medical College and Hospital

 Assistant Professor, Community Medicine

Abhijit Mukherjee, NRS Medical College and Hospital

 Associate Professor, Community Medicine

How to Cite

1.
Das D, Meena K, Sinha D, Dey B, Biswas D, Haldar A, et al. Assessment of proper use of Metered Dose Inhaler among patients attending the Out Patient Department of Respiratory Medicine: a cross sectional study. RJUMS [Internet]. 2023 Nov. 5 [cited 2024 Apr. 18];1(1):23-9. Available from: https://esrfrjums.co.in/index.php/main/article/view/5

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