Incorrect application technique of metered dose inhalers by internal medicine residents: impact of exposure to a practical situation.
We evaluated residents regarding maintenance treatment of asthma and the technique for using metered dose inhalers. Methods. Residents were asked to prescribe a treatment for a patient with poorly controlled persistent asthma and to demonstrate the use of metered dose inhaler (MDI) medication. Results. 76% of 239 residents correctly identified the medication indicated for the case; only 30% of them adequately performed the inhalation technique (49% from HCFMUSP vs. 19% from other institutions; p < 0.001). Conclusions. The results demonstrate that, when seeing a typical patient with uncontrolled persistent asthma, most residents are able to correctly identify the drugs indicated for treatment but not adequately instruct the MDI technique use.
Stelmach
Rafael
R
Pulmonary Division, Heart Institute (InCor), University of São Paulo Medical School, Brazil. pnerafael@incor.usp.br
Robles-Ribeiro
Priscila Games
PG
Ribeiro
Marcos
M
Oliveira
Julio César
JC
Scalabrini
Augusto
A
Cukier
Alberto
A
D018927:Anti-Asthmatic Agents / Q000008:administration & dosage*; D001249:Asthma / Q000188:drug therapy*; D001938:Brazil; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D036501:Metered Dose Inhalers; D019370:Observation
D018927:Anti-Asthmatic Agents